Human Resource Development
And Research Institute
Affiliated to CTEVT
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Student Application Form
Recently joined student please fill this form.
* Required
STUDENT ENROLLED YEAR -
*
Program:
*
-- Select Program --
A.N.M
Lab Assistant
C.M.A.
Health Assistant (HA)
Student's Details
Name:
*
Photo:
*
Gender:
*
Male
Female
Date of Birth:
*
BS.
Email:
*
Password:
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Permanent Address
LOCALITY:
*
WARD No:
*
VDC/
MUNICIPALITY
*
VDC/MUNICIPALITY Name:
*
TELEPHONE:
Contact Address
LOCALITY:
*
WARD No:
*
VDC/
MUNICIPALITY
*
VDC/MUNICIPALITY Name:
*
TELEPHONE:
Mobile:
Parent's Details
FATHER DETAIL
MOTHER DETAIL
FULL NAME
*
FULL NAME
*
OCCUPATION
*
OCCUPATION
*
CONTACT ADDRESS
*
CONTACT ADDRESS
*
TELEPHONE
TELEPHONE
MOBILE
MOBILE
EMAIL
EMAIL
Academic Details, Certificates & Enclosures
ACADEMIC BACKGROUND (MENTION ONLY THE ELIGIBILE QULIFICATION)
EXAMINATION
*
BOARD/UNIVERSITY
*
PASSED YEAR
*
SYMBOL NO.
*
%
*
Action
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ENCLOSURES
-- Select Enclosure --
Mark sheet/Transcript
Provisional Certificate
Citizenship
Migration Certificate
Equivalence Certificate