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SAINIK AWASIYA MAHAVIDYALAYA

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APPLICATION FORM FOR ENTRANCE EXAMINATION - 2077
Grade – VI
Applicant's Name:
In English (Block Letters)
Latest
In Nepali
Passport-sized
Date of Birth (In B.S.) Date of Birth (In A.D.) Photo
Year Month Day Year Month Day

Nationality: ..................................... Religion: ..................................... Sex: Female Male

Permanent Address: Province: ............................................ District: .................................................................

Metropolitan/Sub-metropolitan/Municipality/Rural Municipality: ...................................... Ward no.: ..............

Father's Name: ...................................................................................... Occupation: ..........................................

Post : ................................................ Office : ......................................................................................................

Telephone: (Office)..................................... (Res.) .................................... (Mobile)...........................................

Mother's Name: ...................................................................................... Occupation: ........................................

Post : ................................................ Office : ......................................................................................................

Telephone: (Office)..................................... (Res.) .................................... (Mobile)...........................................

Grandfather's Name : ...........................................................................................................................................

Last School Attended and Examination Passed:


School's Name Grade Year Marks Obtained (%) GPA/Grade Obtained

Category of Applicant:
In-service Army Retired Army Army applying
Non- Non- for Civilian
Officer JCO OR Officer JCO OR Quota
Combatant Combatant
Computer No. : .............................. Patta No.: ..............................

SAINIK AWASIYA MAHAVIDYALAYA


(AdmiT card for entrance exam of Grade VI)

Latest
Roll No.: ..........................................
Auto-sized
Photo
Applicant's Name : ............................................................................
Category: Officer  JCO  OR Non-Combatant  …………………….
Principal's Signature
Applicant's Siblings (brother/sister) studying at any Sainik Mahavidyalaya/Vidyalaya
Name Grade Parent's / Guardian's Signature
1. .................................................... ..........................................
2. .................................................... Name : .......................................
If the present candidate had applied before, please put a tick mark.
Address of Correspondence:
Local Guardian:
1. Name: ................................................... Relation: ............................... Phone No: ..................................
2. Name: ................................................... Relation: ............................... Phone No: ..................................
I declare that particulars given above are correct.
Student's Name: Guardian's Name:
Signature: Date: Signature:
Write the number (1st, 2nd, 3rd, 4th........) in the box as per your priority to study in the following
Sainik Mahavidyalayas:

Bhaktapur Pokhara Dharan Surkhet


Kailali Chitwan Bijeshwori Ripumardini
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