Sainik Awasiya Mahavidyalaya

Teghari, Kailali, Nepal
091-551195 | [email protected]

APPLICATION FORM

Teghari, Kailali, Nepal
Tel: 091-551195
URL: www.samt.edu.np
E-mail: [email protected]

Fields with (*) are compulsory.

Stream Applied For *:

No stream enrolled yet!!!

Personal Information

Name of Applicant (Full Name)*: REG. NO.:

Date of Birth*:

B.S.

A.D.

Gender*: Male Female Other

Age:

Nationality*:

Email*

Phone (Res.):

Mobile No.*:

Religion :

Caste / Ethnicity *:

Blood Group:

Category of Applicant*:

Nepali Army Open(खुला) Mahavidyalaya Staff

Academic Information

SEE

Name of Appeared School*

Appeared Year*:

S.N.	Subject	Obtained Grade	Action(s)
1.
2.
3.
4.
5.
6.
7.
8.
1.
GPA *		SEE Symbol Number *:

Parent's Information

FATHER'S INFORMATION

Father's Name*:

Email*:

Occupation*:

Mobile No.*:

Post:

Office:

Telephone(Office):

MOTHER'S INFORMATION

Mother's Name*:

Email*:

Occupation*:

Mobile No*:

Post:

Office:

Telephone(Office):

GUARDIAN'S INFORMATION

Grandfather's Name:

Local Guardian's Name *:

Address:

Relationship*:

Occupation:

Mobile No.*:

Telephone(Home):

CONTACT ADDRESS

PERMANENT ADDRESS

Country *:

Province *:

District *:

Municipality *:

Ward No *:

Tole/Area *:

CURRENT CONTACT ADDRESS

Same as Permanent Address

Country *:

Province*:

District *:

Municipality *:

Ward No *:

Tole/Area *:

Declaration

All the information provided in this application form is correct, complete and true to the best of my knowledge and belief.
I understand that the Mahavidyalaya reserves the right to cancel the application and subsequent admission on the basis of incorrect or incomplete information I may have furnished.
I shall abide by the rules and regulations of the Mahavidyalaya.

Student Image *:

Gradesheet *:

Payment Voucher *:

Character Certificate:

Birth Certificate *:

Unit Letter or Pension Patta (if Nepali Army) *:

Sorry but you won't be able to apply right now because none of the stream has been enrolled.
Please contact school/college administration.