Admission Open – 2081 – Regent Residential School

Student's Name (English): *

First

Middle

Last

Student's Name (Devnagari)

(Only Applicable to Nepali Children)

Gender: *

Female
Male

Nationality *

Date of Birth (English): *

DD/MM/YYYY

Date of Birth (Nepali): *

DD/MM/YYYY

Student's Residential Address: *

[Home No.] [Area/Location] [Ward No.] [VDC/Municipality] [District] [Zone]

Student's Religion *

Contact No. *

Student's Passport No.:

(Only for foreign students.)

Grade Applying For: *

Father's Name: *

Nationality: *

Residential Address: *

Telephone: *

Project/Company Name: *

Company's Telephone: *

Company's Address: *

Email: *

Mother's Name: *

Nationality: *

Residential Address: *

Telephone: *

Project/Company Name: *

Company's Telephone: *

Company's Address: *

Email: *

Name