KAPILVASTU MULTIPLE CAMPUS
Student Enrollment Form
Note: Fields with (*) are all required to fill before submit.
Regular Student
New Student
Name
*
DOB (AD)
Date of Birth
*
BS
Province
*
Select
Sudurpashchim Pradesh
Karnali Pradesh
Lumbini Province
Gandaki Pradesh
Province 3
Province 2
Province 1
District
*
Select
Municipality
*
Select
Address
*
Phone no.
Primary
*
Secondary
Gender
*
Male
Female
*
Email
Photo
Clear
Image Browse
Marital Status
*
Single
Married
Divorced
Category
*
None
EDJ
Dalit
Madhesi
Ethnicity
Select
Ahir
Badhai
Baniya
Barai
Brahmin
Chhetri
Dalit
Dalit
Dalit
Dhobi
Gosain
Gurung
Janjati
Kahar
Kami
Kaystha
Kewat
Kumhar
Kurmi
Limbu
Lohar
Loniya
Magar
Murau
Muslim
Naee
Newar
Other
Pal
Rai
Sunar
Teli
Tharu
Tharu
Yadav
Nationality
*
Select
Chinese
Indian
Nepali
Religion
Select
Buddhism
Christianity
Hinduism
Islam
Kirat
Physical
Select
Able
Disable
Father Name
*
Father Contact
Mother Name
*
Mother Contact
Academic Background
Title:
Institution:
Passed Year:
Percentage:
Division:
Delete
Add New Academic
Academic Details
Admission/Register No.
*
New Student's NEB/TU/PU/other Register No.
New Student's
NEB/TU/PU/other
Register No.
Program
*
Select
B.Ed.
BA
BBS
M.Ed.
MBS
Ten Plus Two
Year
*
Select
Semester
*
Select
Group
Select
Do you have Laptop/Desktop ?
Yes
No
Do you have Smart phone/Tablet ?
Yes
No
Do you have Internet connection ?
Yes
No
Submit
Cancel