Jagat Mandir Secondary School

Lampokhari, Chabahil, Kathmandu 4581893

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

Address
Admission for Grade
Name of the school last attended

Father's Information

Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation

Mother's Information

Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation

Local Guardian/Contact Person

Full Name
Relation
Mobile No.
Phone No.(Office)
Email
Occupation

Please tick (✓) the appropriate box if the student needs any/all the following services (optional).

Hostel
Yes No

Lunch (Day Scholar)
Yes No
Bus
Yes No

Pick Up Point

Documents

Birth Certificate

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

Last Marksheet

(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.

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

I agree.