Modern English Secondary School :: Online Admission From

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

Previous School

Previous School Address

Previous School Phone

Academic record in Previous Class:

Subject	Score	Remarks (Opt. Subject Name)
English
Nepali
Mathematics
Science
Social Study
EPH
Opt. I
Opt II

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

Do you want to take special ECA class beside regular classes?

Yes No

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 MODERN ENGLISH SECONDARY SCHOOL

I do understand that the programming and philosophy of Education of Modern English Secondary School is to lay great deal of stress on sports and games and excursions, and other co-curricular activities which involve some amount of risk. I as a parent will fully co-operate with the school in this direction.

I certify that l am a bona fide guardian of the pupil and the information furnished above is correct to the best of my knowledge. In the event of my ward being admitted to the school. I will abide by the school’s rules and procedures in all respects. I do understand that the decision of the principal shall be final and binding on me.

I agree to abide by the rules and regulations of MODERN ENGLISH SECONDARY SCHOOL