Interested candidates are requested to fill up the form below. Full Name of Student*Gender* Male Femele Contact Number*Parents Contact Number*Email Address Address*Date of Birth (AD) Day Month Year Date of Birth (BS)* Day Month Year SEE/SLC School Name*SEE/SLC Symbol Number*SLC/SEE DetailsPlease fill the box with grades or marks obtained in SLC or SEE.Math*English*Science*Total GPA/Percentage*Interested Program* General Medicine (HA) - 3 Years Medical Laboratory Technology (CMLT) - 3 Years Diploma in Pharmacy - 3 Years Diploma in Radiography X-Ray Technician - 3 Years Diploma in Civil Engineering - 3 Years Diploma in Computer Engineering - 3 Years Pre-Diploma in computer engineering (JCT) - 18 months Pre-Diploma in computer application and secretrial management (OM) - 18 months Add scan photo*Max. file size: 12 MB.Add scan voucher*Max. file size: 10 MB.Scan voucher in the name of NIC Asia bank Dharan branch AC no: 2341114252524001If you have any queries please feel free to contact on 9841429713.
