MBS & BBS Application Form

Course
MBS BBS

First Name

Last Name

Date Of Birth (AD)

Gender
Female Male Other

Address

Email

Mobile No.

Phone No.

Nationality
Nepali Indian Other

First Name

Last Name

Address

Occupation

Mobile No.

Phone No.

First Name

Last Name

Address

Occupation

Mobile No.

Phone No.

First Name

Last Name

Address

Mobile No.

Phone No.

Occupation

Relationship

Name of School , Address

Grade / GPA

Year of Completion:

Board

+2 college
10+2 / Equivalent Level A

College Name

College Address

Year of Completion:

College Symbol

Mark Scored In XI

Mark Scored In XII

Aggregate % / GPA

Name Of Institute

Institute Address

Degree/ Qualification:

Attended From ____ To __

Marks Obtained (% GPA):

Shift
Morning Day

Do you need transportation facility?
Yes No

If yes, specify the location.

1. List Scholarship, Awards or other recognitions of excellence that you have won. (if any)

2. List Extra / Co – curricular Activities you were involved in leadership positions you held.

3. How did you come to know about Chanakya HSS?
Newspaper Guardian/Parents Social Media Chanakya Faculty Brochure
Friends Senior Chanakya Students

4. What made you to apply in Chanakya HSS?

5. List Medical conditions or disabilities. (If any)

PP Size Photo

Latest Marksheet

Latest Migration Certificate

Latest Provisional Certificate

Character Certificate

I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.

I have read and agree the Rules and Regulations.