Boston International College

Bharatpur-10, Hakimchowk, Chitwan 056-598892, 056-598992

Online Registration Form

Student's Name (IN BLOCK LETTERS)

First Name
Middle Name
Last Name

Date of Birth

Nepali Date (BS)
English Date (AD)
Gender
Male Female

Program Name
Nationality
Contact Number One
Contact Number Two

Permanent Address

Address
Country
Province
District

Local Address

Address
Country
Province
District

Academic Background

Name(s) of School(s) Attended	GPA/Percentage	End Year	Board

Parents / Guardian's Information

Full Name
Relation
Mobile Number
Email
Occupation

How did you hear about us ?

Social Media Friends and Family Recommendation News & Websites Others

Documents

Grade/Mark Sheet of SEE/Equivalent Certification

(Note: Only jpg/jpeg/png/pdf/doc/docx. Max size 3 MB.)

Grade/Mark Sheet of Grade XI/Equivalent Certification

(Note: Only jpg/jpeg/png/pdf/doc/docx. Max size 3 MB.)

Other Certificate (If Available)

(Note: Only jpg/jpeg/png/pdf/doc/docx. Max size 3 MB.)

Any particular disease(s)/illness(es) student is suffering from? If yes, please give details.

Does the student have any allergy? Is he/she under any medication? If yes, please give details.

Payment Method

Pay Via College

Bank Transfer

By checking the checkbox below you have confirmed the eligibility criteria to apply and you are ready for further application process.

I declare the information supplied in this application and the documentation supporting is correct and complete.

I acknowledge that the provision of false or misleading information may result in the non-acceptance of this application or immediate expulsion from the College after admission.

I authorize the College to verify any information provided by me.

I authorize the College to obtain, where necessary, from any other educational institution evidence of my academic record or to seek other supporting evidence with respect to my application.

Student's Name (IN BLOCK LETTERS)

Date of Birth

Permanent Address

Local Address

Academic Background

Parents / Guardian's Information

How did you hear about us ?

Documents

Any particular disease(s)/illness(es) student is suffering from? If yes, please give details.

Does the student have any allergy? Is he/she under any medication? If yes, please give details.

Payment Method

Bank Details