Serial No.:______

KATHMANDU UNIVERSITY

SCHOOL OF EDUCATION

APPLICATION FORM

2017FallBatch

a)Face to Face Mode

b)On-line/Distance Mode

Two-Year Master Programs

  1. MEd in English Language Teaching 
  2. MEd in Mathematics Education
  3. MEd in Leadership and Management
  4. Master in Sustainable Development 

One-Year Master Programs

  1. MEd in Leadership and Management
  2. MEd in Pedagogical Studies

Enquiry and Correspondence

Office of the Dean

Kathmandu University School of Education

Hattiban, Lalitpur

Tel: 01-5250524

P.O. Box No. 6250, Kathmandu

Email: /

Web:

Name of the Applicant:______

Home Telephone:______Office Telephone: ______

Mobile: ______Email: ______

Date of Submission: ______

Instruction to the Applicants

Indicate a tick mark (  ) in the check box given below to indicate the documentation is complete.

All fields in the form are duly filled in

Two passport sized photograph attached

Certified copies of academic credentials (high school onwards) are attached

(those who have Abroad Degrees must submit Equivalent Certificate)

A certified copy of Nepali citizenship certificate attached

Provisional applicants must submit their transcript & certificate within one month.

Application form completed

Bank voucher of the application fee (NRs 500) is attached

There will be an application fee of NRs 500 that needs to be deposited to either of the KU bank account in Machhapuchhre Bank Limited (account no. 2022524044147028) or in Nepal Investment Bank Limited (account no. 00501030250009). KU bank deposit slip with account number is available in some of the branches of these banks.

Symbol No: ______

KATHMANDUUNIVERSITY

School of Education

Application Form

  1. I hereby apply for admission to Master Program. If accepted as a student, I will comply with all regulations, conditions and rules made by the University.

______

Signature Date

  1. Personal Details (use BLOCK LETTERS)

Surname Middle First
Date of Birth / :______ / Nationality / :______
Marital Status
Caste/ethnicity / : Married Unmarried
:______ / Sex
Religion / : Male Female
:______
Father's Name / :______ / Mother's Name / :______
Occupation / :______ / Occupation / :______
Permanent Address: / Temporary Address:
Locality:______
Ward: ______Urban  Rural
VDC/municipality: ______
District: ______
Only for foreign students:
Type of visa: ______ / Locality:______
Ward: ______Urban  Rural
VDC/municipality: ______
District: ______

For Official Use

Accept / : ______ / Reject / : ______
Subject to / : ______
Comments / : ______
Date / : ______Dean: ______

Education

List in order the schools you have attended, beginning from High School, all colleges, universities, graduate and professional schools. Attach certified copies of transcripts for all institutions.

School/College/
University / Location / MajorSubjects / Degree
Earned / Division / Percentage / DatesAttended

Awards and Recognition

Please list all significant scholastic honors and academic prizes since entering college.

Career

Career summary (Current or most recent post first)

Dates
From mm/yy
To mm/yy / Employer / Location / Job Title / Final Salary

References

Area / Name of Referees / Name of Organization / Tel. / Position
Academic
Employment

Other Details

Please add any other information which you believe may influence our decision on your application.

______

If you are a sponsored candidate, mention the source of your funding.

______

Symbol No: ______

KATHMANDU UNIVERSITY

School of Education

Admit Card

Level:______Batch: ______Area of Specialization: ______

Personal Details (use BLOCK LETTERS)

Surname First Middle
Temporary Address: ______
Telephone (landline): Home: ______Office: ______
Mobile: ______Email: ______
______
Signature of the applicant Signature of Dean
Date:______Date:______

1