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Academic Session Novermber 2024
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Master Of Applied Science
PhD
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Sustainable and Resilient Infrastructure (specialization - tourism) MAS
Organic Agriculture - PhD
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Organic Agriculture - Master in Applied Science (MAS)
Forest Biomaterials - MAS
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First Name
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First Name
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Middle Name
Family Name
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Gender
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Male
Female
Other
Date of Birth
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In B.S.
In A.D.
Date of Birth (in B.S.)
*
Date of Birth (in A.D.)
*
Nationality
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Nepali
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Phone
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Primary Mobile No.
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Secondary Mobile No.
Landline
Email
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Primary Email Address
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Secondary Email
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Tertiary Email
Citizenship
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Citizenship No.
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Place of Issue
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Date of Issue in B.S. (YYYY-mm-dd)
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Passport
Passport No.
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Date of Issue (A.D.)
Country
Valid Date (A.D.)
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Permanent Address
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House No.
Ward No
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Street / Tole
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Muncipality
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District
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Koshi
Madhesh
Bagmati
Gandaki
Lumbini
Karnali
Sudurpashchim
Province
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Address
*
Country
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Temporary Address
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Same as Permanent Address
House No.
Ward No
*
Street / Tole
*
Muncipality
*
District
*
Koshi
Madhesh
Bagmati
Gandaki
Lumbini
Karnali
Sudurpashchim
Province
*
Address
*
Country
*
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Father
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Full Name
*
Mobile No.
Occupation
Mother
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Full Name
*
Mobile No.
Occupation
Local Guardian
Full Name
Mobile No.
Relation
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SLC / SEE
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Board
*
Year of Completion
*
Aggregate %
Division / Grade
*
School
*
Address of School
*
Secondary
Level
*
Board
*
Year of Completion
*
Aggregate %
Division / Grade
*
School
*
Address of School
*
Bachelor
*
Faculty / Specialization / Subjects
*
Duration (Years)
*
Enrollment Year
*
Graduation Year
*
Division
CGPA
% Aggregate
*
Division
*
CGPA
*
Campus / University
*
Address of Campus / University
*
Masters
*
(For PhD.)
Faculty / Specialization / Subjects
*
Duration (Years)
*
Enrollment Year
*
Graduation Year
*
Division
CGPA
% Aggregate
*
Division
*
CGPA
*
Campus / University
*
Address of Campus / University
*
Other
Faculty / Specialization / Subjects
Duration (Years)
Enrollment Year
Graduation Year
Division
CGPA
% Aggregate
Division
CGPA
Campus / University
Address of Campus / University
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References
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1.
Name
*
Email Address
*
Contact No.
*
Designation
*
Affiliated Institution
*
2.
Name
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Email Address
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Contact No.
*
Designation
*
Affiliated Institution
*
3.
Name
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Email Address
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Contact No.
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Designation
*
Affiliated Institution
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Professional Experience
1.
Organization Name
Address
Contact No.
Position
From (MM/YY)
To (MM/YY)
2.
Organization Name
Address
Contact No.
Position
From (MM/YY)
To (MM/YY)
3.
Organization Name
Address
Contact No.
Position
From (MM/YY)
To (MM/YY)
4.
Organization Name
Address
Contact No.
Position
From (MM/YY)
To (MM/YY)
5.
Organization Name
Address
Contact No.
Position
From (MM/YY)
To (MM/YY)
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Voucher/Evidence Details
Bank Name
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Branch
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Voucher No.
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Amount
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Payment Date
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CV
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Transcript (SLC/SEE)
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