Devinagar,Butwal-11 Rupandehi,Nepal
Tel
:0977-71-410479,410479
Fax
:0977-71-410479
Email
:cct@cct.edu.np
Website
:www.cct.edu.np
Entrance Exam - 2075
Application Form
Roll No
I hereby request for the permission to appear in the entrance examination.
I have included all credentials and information required for appearing in the examination
Only Jpg,Jpeg,Png allowed
File size upto 10 MB
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Photo
Image
Applicant's Name
Father's Name
Occupation
Landline/Cell
Mothers's Name
Occupation
Landline/Cell
Permanent Address : (Tole Village)
Ward No
Nagarpalika/Gaupalika
District
Zone
Religion
Nationality
Email
Contact Address
Landline/Cell
Reference Person
Contact No
Exam Passed
Board
Passed Year
Percentage/Grade
Main Subjects
Previous College
Remarks
SLC
PCL or 10+2
Bachelor
Academic Year
2073
2074
2075
2076
2077
2078
2079
2080
Program Applied For(Please Check)
BBA
BCA
BCIS
B.Pharmacy
BMLT
Date of Birth According to +2 (In A.D)
Date of Birth According to +2 (In B.S)
Bank Details
Bank Name
Voucher No.
Amount
Submit
