BernHardt Secondary School and College
Online Registration Form
You are a name not a number at BernHardt !!
* marked fields are compulsory.
Applicant Information
Name
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Middle Name
Last Name
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Choose Gender
Male
Female
Other
Gender
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DOB (BS)
DOB (AD)
Mobile number
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Email for correspondence
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Permanent Address
Choose Province
Province No. 1
Province No. 2
Bagmati Pradesh
Gandaki Pradesh
Province No. 5
Karnali Pradesh
Sudurpashchim Pradesh
Province
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Choose District
Achham
Arghakhanchi
Baglung
Baitadi
Bajhang
Bajura
Banke
Bara
Bardiya
Bhaktapur
Bhojpur
Chitwan
Dadeldhura
Dailekh
Dang Deukhuri
Darchula
Dhading
Dhankuta
Dhanusha
Dolakha
Dolpa
Doti
Eastern Rukum
Gorkha
Gulmi
Humla
Ilam
Jajarkot
Jhapa
Jumla
Kailali
Kalikot
Kanchanpur
Kapilvastu
Kaski
Kathmandu
Kavrepalanchok
Khotang
Lalitpur
Lamjung
Mahottari
Makwanpur
Manang
Morang
Mugu
Mustang
Myagdi
Nawalpur
Nuwakot
Okhaldhunga
Palpa
Panchthar
Parasi
Parbat
Parsa
Pyuthan
Ramechhap
Rasuwa
Rautahat
Rolpa
Rupandehi
Salyan
Sankhuwasabha
Saptari
Sarlahi
Sindhuli
Sindhupalchok
Siraha
Solukhumbu
Sunsari
Surkhet
Syangja
Tanahun
Taplejung
Terhathum
Udayapur
Western Rukum
District
* required
Ward
Parent's Information
Father's Name
* required
Father's Occupation
Father's Mobile No.
Mother's Name
* required
Mother's Occupation
Mother's Mobile No.
Guardian's Name
* required
Guardian's Occupation
Guardian's Mobile No.
Previous School Information
School's Name
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Choose School Type
Private
Community
Government
School Type
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Choose School District
Achham
Arghakhanchi
Baglung
Baitadi
Bajhang
Bajura
Banke
Bara
Bardiya
Bhaktapur
Bhojpur
Chitwan
Dadeldhura
Dailekh
Dang Deukhuri
Darchula
Dhading
Dhankuta
Dhanusha
Dolakha
Dolpa
Doti
Eastern Rukum
Gorkha
Gulmi
Humla
Ilam
Jajarkot
Jhapa
Jumla
Kailali
Kalikot
Kanchanpur
Kapilvastu
Kaski
Kathmandu
Kavrepalanchok
Khotang
Lalitpur
Lamjung
Mahottari
Makwanpur
Manang
Morang
Mugu
Mustang
Myagdi
Nawalpur
Nuwakot
Okhaldhunga
Palpa
Panchthar
Parasi
Parbat
Parsa
Pyuthan
Ramechhap
Rasuwa
Rautahat
Rolpa
Rupandehi
Salyan
Sankhuwasabha
Saptari
Sarlahi
Sindhuli
Sindhupalchok
Siraha
Solukhumbu
Sunsari
Surkhet
Syangja
Tanahun
Taplejung
Terhathum
Udayapur
Western Rukum
School District
* required
School/Principal's Number
SEE Grade
SEE Send Up grade
SEE Send Up Grade sheet
Course/Stream
Choose Class Applying for
XII
XI
X
IX
VIII
VI
V
IV
III
II
I
UKG
LKG
Nursery
Playgroup
Class Applying for
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Choose Stream
Science
Management
Humanities
Stream
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Choose Stream Type
Biology
Computer
Stream Type
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Choose Applying as a
Day Scholar
Hostler
Applying as a
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Yes
No
Are you applying for Scholarship
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Yes
No
Are you using school bus?
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Reasons for Scholarship
Survey
Choose How did you know BernHardt?
Friends
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Relatives
Teachers
TV
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How did you know BernHardt?
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