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Registration Form
Admission Form of Modern Nepal E.M.B. School, Janakpur Dham
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* Indicates required question
Student's Name
*
Your answer
Gender
*
Male
Female
Other:
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Date of Birth
*
MM
/
DD
/
YYYY
Admission for Grade
*
Choose
Play Group
Nursery
LKG
UKG
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Father/Mother's Name
*
Your answer
Parent's Mobile
*
Your answer
Parent's Email
*
Your answer
Parent's Address
*
Your answer
Previous School's Name
*
Your answer
Previous School's Address
*
Your answer
Additional Note (If any)
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