Student data collection – Birgunj Public College

Students Details Collections Form

Name *

First

Last

Date of Birth <in AD> *

Student Phone *

Student Email iD

Admission Year (in BS) *

Course *

Current Semester / Class / Year

Current Section

Current Roll Number

Father's Name *

First

Last

Father Email iD

Father Phone *

Father Occupations *

Mothers Name *

First

Last

Mother Phone

Guardian Name *

Guardian's Phone

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Any Message

Pic Upload

Click or drag a file to this area to upload.

Please upload your Academic pic , ,the same pic will be displayed in your dashboard and id card.

Comment