Online Application Form - Bajracharya Club

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Email *

Country *

State *

City *

Address *

Mahabihar/ Bihar

Father's Name *

Mother's Name *

Education *

University/ Board *

Score *

Percentage/Grade *

Citizen/ Passport Number *

Mobile Number *

Parent's Number *

Transcript * Supported file type: .jpg, Max file size: 1MB

Character Certificate * Supported file type: .jpg, Max file size: 1MB

Citizenship/Passport * Supported file type: .jpg, Max file size: 1MB

Photo * Supported file type: .jpg, Max file size: 1MB

Fields marked with * are mandatory.
Online Image Resizer: https://imageresizer.com/

Online Application Form will be closed in .

If you have any difficulties filling the online application form, please contact
Mr. Sujan Ratna Bajracharya, 9841280473, sujanrb@gmail.com.