Kantipur Academy of Health Science

Tinkune, Kathmandu, Nepal | Phone: 014117920

Email: info@kantipuracademy.edu.np

Admission Application Form

Fields with (*) are compulsory.

Name of the Applicant (Full Name)*:

Applied for Grade*:

RadioGraphy 2081

HealthLab 2081

Current Grade:

Gender:*

Male

Female

Nationality:

Email:

Date of birth*: BS AD

Age:

Address*:

Phone*:

Father's Name*:

Mobile No.*:

Email:

Occupation:

Mother's Name*:

Mobile No.:

Email:

Occupation:

Local Guardian:

Mobile No.:

Email:

Occupation:

School Name:

Address:

GPA:

Write your query(if any)