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Application Form
1. Individual Information
Student's Name :
Date of Birth :
Sex :
Male
Female
Nationality :
Permanent Address:
Municipality/VDC :
Ward No :
District :
Zone :
Temporary Address:
Municipality/VDC :
Ward No :
District :
Zone :
Phone :
E-Mail :
2. Family & Guardian's Information
Father's Information
Father's Name :
Occupation :
Tel (Office) :
Tel (Res.) :
Mother's Information
Mother's Name :
Occupation :
Tel (Office) :
Tel (Res.) :
Contact Address :
Local Guardian's Name :
Relation :
Address :
3. Educational Information
Name & Address of Previous School/College :
Admission desired for:
+2 Management
+2 Humanities
BBS
How did you know about this College?
4. Others :
Transportation Facility :
Needed
Not needed
Pick up Point :
Hostel Facility :
Needed
Not needed
I certify that all of the above particulars are true to the best of my knowledge. If accepted as a student at Cosmopolitan I will abide by all of the rules, regulations and policies of this institution.
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