Sudur Paschimanchal Campus

Dhangadi, Kailali

(Affiliated to Tribhuvan University)

Admission Form

Field marked with (*) are compulsory.

Student ID *

Student Name *

Gender *

Male Female

Date of Birth *

BS:

AD:

Contact Info *

(Permanent Address)

(Contact Number)

Father Name *

(Father Name)

(Contact Number)

Mother Name *

(Mother Name)

(Contact Number)

Local Guardian Info *

(Local Guardian Name)

(Contact Number)

Level *

Academic Qualification *:

S.N.	Level	University/Board	Passed Year	Mark Obtained	Symbol No	GPA/Percentage	Major Subjects
1.	SLC/SEE*
2.	+2*
3.	Bachelor
4.	Others