Kathmandu World Secondary School

Surya Binayak - 7 | Gundu, Bhaktapur, Nepal
5090337 | info@kws.edu.np

APPLICATION FORM

FOR GRADE XI

Surya Binayak - 7 | Gundu, Bhaktapur, Nepal
Tel: 5090337
URL: kws.edu.np
E-mail: info@kws.edu.np

Fields with (*) are compulsory.

Grade Applied For *:

Personal Information

Name of Applicant (Full Name)*: REG. NO.:

Date of Birth*:

B.S.

A.D.

Gender*: Male Female Other

Age:

Nationality*:

Phone (Res.):

Mobile No.*:

Religion :

Caste / Ethnicity :

Blood Group:

Academic Information

Previous School/College Name *	Address *	Contact *

Exam Type	First Term *		Second Term *		Third Term/Send Up *
GPA	%	GPA	%	GPA	%

Parent's Information

FATHER'S INFORMATION

Father's Name:

Email:

Occupation:

Mobile No.:

Post:

Office:

Telephone(Office):

MOTHER'S INFORMATION

Mother's Name:

Email:

Occupation:

Mobile No:

Post:

Office:

Telephone(Office):

GUARDIAN'S INFORMATION

Local Guardian's Name :

Address:

Relationship:

Occupation:

Mobile No.:

Telephone(Home):

CONTACT ADDRESS

PERMANENT ADDRESS

Country :

Province :

District :

Municipality :

Ward No :

Street :

House No:

CURRENT CONTACT ADDRESS

Same as Permanent Address

Country :

Province:

District :

Municipality :

Ward No :

Street :

House No:

Other Information

Do you require transportation?*

Yes No

If Yes, please mention the nearest BUS STOP and landmark:

If ‘No’, Please mention how you will come to school:

Do you require hostel facilities?*

Yes No

Do you require lunch facilities?*

Yes No

Details of referees you would like us to contact, if required:

1 . Name:

Relation:

Phone No:

Email:

2 . Name:

Relation:

Phone No:

Email:

Declaration

All the information provided in this application form is correct, complete and true to the best of my knowledge and belief.
I understand that the school reserves the right to cancel the application and subsequent admission on the basis of incorrect or incomplete information I may have furnished.
I shall abide by the rules and regulations of the school.

Student Image :

Student Signature