Application form for grade XI print

APPLICATION FORM FOR GRADE XI

Prasadi Academy

Address: Lalitpur     Contact: [email protected], +977-1- 5530562, 5541117

SECTION A: Student's Personal Information (PLEASE FILL IN BLOCK LETTERS)

First Name * Sujit     Gender * Male     Female
Middle Name
Last Name * Pathak
BS   2069-12-8
Date of Birth *

Student's Phone * 9849290363 Student's Email * [email protected]
Student's Photo * Choose File sujit pp size.jpg

(Note: Only jpg/jpeg/png. Max size 3 MB, PP size. Photo must be taken within the last six months.)

SECTION B: Please select any one group from New Course Structure.

Shift/Group * Science Morning(Biology Group) Science Day(Biology Group)

Science Morning(Math Group)

Management Morning(Business Math Group) Management Morning(Marketing Group)

1. In case of Old Course apply, we will conduct the classes in the given pattern of old courses that you already checked in the rst page.
2. In Grade XII (Next session 2078/79), all the classes for Science will be conducted in Day shift only.

S.N Subject SEE Grade Details Final Grade

1 Comp. English B
2 C
3 Comp. Nepali B
4 B
5 Comp. Mathematics C
6 C
7 Comp. Science B

Comp. Social Studies

Comp. Health, Pop & Env. Edu

Additional Mathematics

8 opt math SEE Grade Details
C
Academic year enrolled for 2077/78
GPA

PREVIOUS SCHOOL DETAILS

Name of the School * Address * Phone * Board Year
Fluorescent School Tokha NEB Nepal
0987 2077

SECTION C: Address

Country * Nepal Permanent Province 3 ( दश नं ३ )
Province *

District * Kathmandu Municipality/ Rural Municipality * municipality-1

Ward No. ward-1 Street/ Tole Tokha

Country Nepal2 Current (Copy Permanent Address)
District district-2 Province Province 3 ( दश नं ३ ) 2
Ward No. ward-2
Municipality/ Rural Municipality municipality-2

Street/ Tole Tokha2

SECTION D: Parents/ Guardian

Father's Name * Keshab Bahadur Thapa Email [email protected]
Occupation Agriculture

Phone:    Residence 9849290363 Work Business

Mobile * 9849290363

Mother's Name * Anita Thapa Email [email protected]
Occupation Housewife

Phone:    Residence 9849290363 Work Mobile

SECTION E: Documents to be Attached

SEE Admit Card *
Choose File 0-02-06-c0e3d9680d0f1b9e456a1c921aba29ecfc5fae499f226f7a5eeb7dad0d47741f_full.jpg

(Note: Only jpg/jpeg/png/pdf. Max size 3 MB.)

SEE Grade Sheet *
Choose File 1-2.pdf

(Note: Only jpg/jpeg/png/pdf. Max size 3 MB.)

All of the information and supporting documents provided with this form are true and correct. In case of misinformation found at any stage,
my registration for application form or admission can be cancelled by the Academy.

I agree.

Submit