Nirmal Batika Academy

Tokha-11 Mahadevtar,Kathmandu 01-4957429

Online Registration Form 2078


Nirmal Batika Academy

Student Name (IN BLOCK LETTERS)

Date of Birth

  •    

Father's Information

Mother's Information

Local Guardian/Contact Person

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


  • Hostel

    Lunch (Day Scholar)

  • Bus

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.