POKHARA UNIVERSITY Faculty of Science and Technology School of Engineering Entrance Examination 2017 AD (2074 BS) BE Civil / BE Electrical and Electronics Registration Number/Roll No: (official purpose only):……………………..................... Personal details Name (CAPITAL LETTERS) Date of birth (D/M/Y) BS AD Gender Contact number Father's name Mobile Mother's name Mobile Guardian’s name Mobile Permanent address District Municipality/ VDC Ward Block / Tole No. Academic qualification Marks / GPA Board or Full obtained Level Passed Institution Major Subjects University Marks %* 10+2 or Equivalent SLC or Equivalent Has to be calculated up to 2 decimals I hereby declare that the details given above are correct and I bear the sole responsibility for disqualifying my application due to incomplete or incorrect information. I unconditionally agree to abide by the rules and regulations of Pokhara University. ……………………………… ………………………………. Applicant's signature Date Verification checklist (Official use only) Description Tick(√) Description Tick(√) Citizenship Certificate Passport Size Photo 3 copies – SLC Mark-Sheet SLC Character Certificate 10+2 or Equivalent Transcript 10+2 or Equivalent Character Certificate Signed and Completed Form Voucher or Cash of NRs 1600 (or Both)
POKHARA UNIVERSITY Faculty of Science and Technology School of Engineering Entrance Examination 2017 AD (2074 BS) BE Civil / BE Electrical and Electronics Registration Number/Roll No: (official purpose only):……………………..................... Personal details Name (CAPITAL LETTERS) Date of birth (D/M/Y) BS AD Gender Contact number Father's name Mobile Mother's name Mobile Guardian’s name Mobile Permanent address District Municipality/ VDC Ward No. Block / Tole Academic qualification Level Passed Board or University Institution Full Marks Marks / GPA obtained Major Subjects %* 10+2 or Equivalent SLC or Equivalent Has to be calculated up to 2 decimals I hereby declare that the details given above are correct and I bear the sole responsibility for disqualifying my application due to incomplete or incorrect information. I unconditionally agree to abide by the rules and regulations of Pokhara University. ……………………………… ………………………………. Applicant's signature Date Verification checklist (Official use only) Description Tick(√) Description Tick(√) Citizenship Certificate Passport Size Photo – 3 copies SLC Mark-Sheet SLC Character Certificate 10+2 or Equivalent Transcript 10+2 or Equivalent Character Certificate Signed and Completed Form Voucher or Cash of NRs 1600 (or Both)