Nirmal Batika Academy

Tokha-11 Tokharoad,Ktm. 01-4957429

Online Registration Form


Nirmal Batika Academy

Student's Name (IN BLOCK LETTERS)

Date of Birth

  •    

Father's Information

Mother's Information

Local Guardian/Contact Person

Please tick (✓) the appropriate box if the student needs any/all the following services (optional).


  • Hostel

    Lunch (Day Scholar)

  • Bus

Any particular disease(s)/illness(es) student is suffering from? If yes, please give details.

Does the student have any allergy? Is he/she under any medication? If yes, please give details.

By checking the checkbox below you have confirmed the eligibility criteria to apply and you are ready for further application process.