Baluwatar School

Application for ADMISSION

StudentsPersonalInformation: FirstName: MiddleName: LastName: NameInNepali: Gender: Nationality: BirthDate: EnteringGrade: StudentsPermanentAddress: HouseNumber: AreaorTole: WardNumber: City: Country: HomePhone: FathersName: FathersMobile: MothersName: MothersMobile: FathersWorkPhone: MothersWorkPhone: EmergencyContactName: EmergencyContactPhone: StudentsEducationHistory NameofPreviousSchool: City: Phone: LanguagePrimarilyspokenathome:

I certify that all statements on this application are true and complete and that no information has been withheld. I also acknowledge that it is my responsibility to ensure that I notify the school regarding any changestotheaboveinformation. ___________________ ___________________ ___________________ FathersSignature Date MothersSignature OFFICEUSEONLY StudentsEnrollmentDate: StudentsNumber: ______________________ ______________________ Date PrincipalsSignature