Kanjirowa National Sec. School
Koteshwor, Kathmandu 015100433, 015100479
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
Select Class
Pre-Nursery
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
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
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.
