WILSON ACADEMY

GPO.Box 13365 . Kathmandu . Nepal .

 
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ADMISSION FORM

( To be completed in Block Capital Letters )

01 Name of the Student Master / Miss ...................................................................
02 Date of Birth ( both in figures and words ) As Nepali Calendar ........................................................
    As English Calendar .......................................................
03 Religion & Caste ........................................................................................
04 Name and Address of the Previous School , if studied .........................................................................................
  before .........................................................................................
05 Reason of leaving the previous school ........................................................................................
06 Class last passed ........................................................................................
07 Class to which Admission applied for now .........................................................................................
08 To be admitted as a BOARDER or DAYSCHOLAR ........................................................................................
09 Is Bus facility needed for Dayscholars ? ( YES / NO )
  If YES mention the intended bus stop .......................................................................................
10 Father's Name & Occupation .......................................................................................
    ........................................................................................
11 Office Address ........................................................................................
    Tel No.............................................................................
12 Residential Address .......................................................................................
13 Name of the Authorised Local Guardian ........................................................................................
  ( in respect of the out station Boarders )  
14 Contact Address ........................................................................................
    Tel No.............................................................................
15 Any other Information ........................................................................................
    ........................................................................................

I have read and understood the Contents of the Prospectus fully and hereby agree to abide by the same.

 

DATE ................................................. ................................................................
 
Signature of Parent / Guardian

 

WILSON ACADEMY