ASIA PACIFIC SCHOOL
Dhapasi, Tokha-6, Kathmandu 01-5159108
Online Registration Form 2081
Student Name (IN BLOCK LETTERS)
First Name
Middle Name
Last Name
Date of Birth (A.D)
Date of Birth (B.S)
Gender
Male
Female
Nationality
Ethnicity
Janajati
Brahman/Chhetri
Dalit
Madhesi
Others
Religion
Mother Tongue
Language Spoken at Home
Permanent Address
Temporary Address
Personal Interest & Hobby
Medical Information
Blood Group
Allergies
Differently able
Yes
No
Any Other Health Problems
Admission Sought to Class
Select Class
Nursery
LKG
UKG
1 (One)
2 (Two)
3 (Three)
4 (Four)
5 (Five)
6 (Six)
7 (Seven)
8 (Eight)
9 (Nine)
10 (Ten)
XI
XII
Bachelor
Passed Class/Level
School History (Most recent school first)
S.N
School
Class
Duration(Year)
1.
2.
3.
Father's Information
Full Name
Occupation
Contact No.
Email
Mother's Information
Full Name
Occupation
Contact No.
Email
Local Guardian/Contact Person
(An emergency number to be used if the parents are unreachable)
Full Name
Relation
Contact No.
Other Children in the family
Full Name
Age
Grade
School
Student's Image
(Note: Only jpg/jpeg/png/pdf. Max size 3 MB.)
Birth Certificate
(Note: Only jpg/jpeg/png/pdf. Max size 3 MB.)
Mark-sheet
(Note: Only jpg/jpeg/png/pdf. Max size 3 MB.)
Does your child need to be picked up by school?
Yes
No
If Yes Nearest Bus Stop:
Does your child need school meal?
Yes
No
If Yes please mention food habit:
Vegetarian
Non-Vegetarian
Please mention if you have any special remarks?
