National Engeeniring College

APPLICANT INFORMATION

Given Name *

Family Name *

Mobile Number *

Date of Birth(In AD or BS) *

Place of Birth *

Nationality *

Email *

Gender: *

Male

Female

Permanent Address *

Province

City

Address

Local Address * (If it's the same as your permanent address write 'AS ABOVE)

Province

City

Address

EDUCATIONAL BACKGROUND

List of schools you have being with the most recent school.

Level	College/Institution	Board/University	Completion Year	Major Subjects	Grade/GPA
SEE or Equivalent *
10 + 2 or Equivalent *
Bachelor or Equivalent Only for master's student

Have you been awarded any scholarship ?

Yes

If yes, please give details of the scholarship (including the basic the amounts of the scholarship awarded)

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COURSE CHOICE

Bachelor
BE IT
BE Civil
Morning Day

Alternative Choice

In case you are interested in another programme in addition to your first choice,please menttion it

Second Choice

Third Choice

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PARENTS AND GUARDIAN INFORMATION

Father *

Name

Family Name

Mobile

Province

City

Address

Mother

Name

Family Name

Mobile

Province

City

Address

Local Guardian *

Name

Family Name

Mobile

Province

City

Address

FINANCING YOUR EDUCATION

Parents

You

Others

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REFERENCES

First Reference

Name

Occupation/Designation

Organization

Contact Person

Telephone

Second Reference

Name

Occupation/Designation

Organization

Contact Person

Telephone

MISCELLANEOUS

How did you come to know about National Engeeniring College?

COEM student or college family

Friend/s or acquaintance/s

Relatives

Website

Seminar

Newspaper

Other

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DECLARATION AND SIGNATURE

I, to be considered for admission to Nepal College of Information Technology -COEM.

1. I declare the information supplied in this application and the documentation supporting it is complete.
2. I acknowledge that the provision of false or misleading information may result in the non-acceptance of this application or immediate expulsion from the college after admission.
3. I authorize the college to verify any information provided by me.
4. I authorize the college to obtain, where necessary ,from any other education institution evidence of my academic record or to seek other supporting evidence with respect to my application .
5. I hereby agree to abide by all rules and regulations of COEM and Pokhara University.

Date:

Note:

Please attach the following documents

* Marks-sheet or progress report of SEE/Equivalent Examinations.
* Documents related to SEE/Equivalent certification--Character Certificate/Migration Certificate
* Documents related to +2--Character Certificate/Transcript
* Passport-sized photograph.
* Citizenship

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PAYMENT

Bank Details

Account Name: College of Engineering and Management

Global IME Bank A/C no.: J701010000327

Email: coem.clg@gmail.com Ph. No.:081-526086, 9851216582
NOTE:- Submit Rs 1000 as form charge and submit Bank Voucher in College Account Section

Please submit your bank voucher slip *

Upcoming events

APPLICANT INFORMATION

EDUCATIONAL BACKGROUND

COURSE CHOICE

Alternative Choice

PARENTS AND GUARDIAN INFORMATION

FINANCING YOUR EDUCATION

REFERENCES

First Reference

Second Reference

MISCELLANEOUS

DECLARATION AND SIGNATURE

Note:

PAYMENT

Bank Details

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