Pre Uni Admission Form – Pathshala Nepal Foundation

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Pre Uni Admission Form

Pre Uni Admission Form

Name*
First Last
Date of Birth*
Your Educational Information*
Name of school attended Address Study duration Grade/Level
Your Siblings’ Information*
Name of school attended Address Study duration Grade/Level
Give details of your physical/ handicap/ previous illness (if any):

Your Parents’ information

Mother's Name*
First Last
Mother's Address*
Street Address Address Line 2 City State / Province / Region Country
Mother's Profession*
Mother's Nationality*
Mother's Phone Number*
Mother's Email*
Father's Name*
First Last
Father's Address*
Street Address Address Line 2 City State / Province / Region Country
Father's Profession*
Father's Nationality*
Father's Phone Number*
Father's Email*

Local Guardian Information (if any)

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region Country
Phone

Answer the following questions:

Who recommended Pathshala Pre-Uni Program and what factors led you to apply?*
What is the reason of changing your present school?*
What do you like most in your present school?*
What type of extracurricular activities are you interested in? Please tick the appropriate box/es*
- Community Service
- Music
- Sports
- Arts
Others (Please specify)
What course/ degree are you planning to pursue after completion of your Pre-Uni Program from Pathshala Nepal?*
What are your expectations (both in terms of academics and extracurricular activities) from pursuing Pre-Uni Program at Pathshala?*