Savyata Pathshala
Online Admission Form
Student Name (SHOULD IN CAPITAL LETTERS)
First Name
Middle Name
Last Name
Date of Birth
English Date
Nepali Date
Gender
Male
Female
Address
Admission for Grade
Select Class
Nursery
LKG
UKG
1 (One)
2 (Two)
3 (Three)
4 (Four)
5 (Five)
6 (Six)
7 (Seven)
8 (Eight)
9 (Nine)
XI
XII
Bachelor
Name of the school last attended
Father's Information
Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation
Mother's Information
Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation
Local Guardian's/Contact Person
Full Name
Relation
Mobile No.
Phone No.(Office)
Email
Occupation
Please tick (✓) The appropriate box if our child needs any/all the following services.
Hostel
Yes
No
Day Boarder
Yes
No
Bus
Yes
No
Pick Up Point
Any Particular disease(s)/illness(es)the student is suffering from? If yes, Please give details.
Does your child have any allergy? Is he/she under any medication? If yes, please give details.