Universal Modern College :: Online Admission Form

Universal Modern College

Online Registration Form

Online Admission Form

Student Info:

Name

* First Name

Middle Name

*Last Name

Date of Birth

वि.सं *:

साल*

महिना*

गते*

A.D.

Year

Month

Date

Gender *

Male Female Other

Permanent Address:

State/Province

District

VDC/Municipality

Address1 (Street, Ward no)

Address2 (Additional Details)

Current Address:

State/Province

District

VDC/Municipality

Address1 (Street, Ward no)

Address2 (Additional Details)

Contact Details:

Phone Number

Separate with a comma ( , ) if multiple numbers are listed

Mobile Number

Separate with a comma ( , ) if multiple numbers are listed

Email Address

Separate with a comma ( , ) if multiple email addresses are listed

Parent/Guardian Details:

Relation	Name	Occupation	Phone (Mobile)
Father
Mother
Local Guardian

Seeking Admission In

* Grade/Level:

Previous School

Previous School Address

Previous School Phone

+2/12 Passed in

Management Science Law Humanaities Other

Symbol number

Score (%)/GPA

Photo/Documents

PP size Photo (Optional)

Birth Certificate (Optional)

Transfer Certificate (Optional)

Copy of the marksheet of last exam (Optional)

Extra Curricular Activities

Mention the extra activities you are instersted in

Need Transportation?

Yes No

Pickup Location

Drop Location

Source of Information

Radio Newspaper Borchure/Prospectus

Tick the source of information you got about this college

Specify, if other

Class Shift

Morning Day

Expectation

Mention your expectation from this college

IN CASE THE PUPIL IS ADMITTED IN UNIVERSAL MODERN COLLEGE

I feel pleasure to show my commitment in following rules regulations of this school. If I voilate them, I will accept any action taken against me.

I herby declare that tha above information given in this form is true.