APPLICATION FORM

Nobel Academy

New Baneshwor, Kathmandu
014791401,4791515 | info@nobel.edu.np

Fields with (*) are compulsory.

Registration Number : 3005

Date : 2081-08-09

Stream / Programme Applied For *
XI- Science XI- Management XI- Fine Art

First Name*:

Middle Name:

Last Name*:

Date of Birth*:

Gender*: Male Female Other

Age:

Nationality*:

Email:

Address*:

Mobile No.*:

Province:

District:

Municipality:

Previous School's Name:

Previous Grade:

Appeared Year:

Percentage/GPA:

Father's Name:

Mobile No:

Occupation:

Address:

Mother's Name:

Mobile No:

Occupation:

Address:

Student Image

Document

Others (if any)

Write your query(if any):

_____________________________________ Parent's Signature

_____________________________________ Principal Signature