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Affiliation rules 2056 - Pokhara University

Affiliation rules 2056 - Pokhara University

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POKHARA UNIVERSITY<br />

OFFICE OF THE CONTROLLER OF EXAMINATIONS<br />

Application Form for the Registration<br />

Registration Number<br />

Faculty ............................................ Level .......................... Program ..................................................<br />

Name of the Student<br />

(In Block Letter)<br />

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Mr./Ms./Mrs.<br />

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First Name Middle Name Last Name<br />

Date of birth according to the Secondary level certificate or equivalent Year Month Day<br />

In BS<br />

In AD<br />

Nationality..........................................................Religion ………………………………………………<br />

Father's Name<br />

Mailing Address (Town/Village) .................................................................. …........ Ward No. ..........<br />

District ............................................................................. Zone ..................................................<br />

Examination Passed<br />

Examination<br />

Board or<br />

<strong>University</strong><br />

Year<br />

Total<br />

Marks<br />

Marks<br />

Obtained<br />

Division<br />

Roll No. or<br />

Symbol No.<br />

Secondary or<br />

Equivalent<br />

Higher Secondary<br />

or Equivalent<br />

Bachelor<br />

Others<br />

I declare that the particulars given above are correct. If found incorrect, any action to be taken<br />

against me by the Controller of the Examinations shall be acceptable.<br />

Student's Signature<br />

Date:<br />

__________________________________________________________________________________________<br />

11

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