UGYEN Academy

Khuruthang, Punakha: Bhutan

                Application form for admission to class VIII Only             back home

Bio-data (To be filled by the applicant)

 Name:                                   Gender:                                                        

 Date of Birth:       Date                                 Month                       Year            

Village:                    Geog:        
Dzongkhag:       House No:      
Tharm No:      I.D Card No:     
Father's Name:        Occupation:      
Mother's Name:      Occupation:     

Contact Address (Present mailing address of the parent/guardian financing the applicant's education-please provide phone/mobile number)

    

Phone/Mobile number of the nearest guardians/parents in case of emergency:         

Email Address :               

Accommodation

Day Scholar                                   Boarder

Schooling History

Name of the school (from where the applicant appeared class seven examination)                  

 

Subject English Dzongkha Maths HCG PCB CTS/ECO Average(%) SUPW
Marks

         

                                                                                        

 Other school attended:

Name of other school attended:

 Class
Year
From To From To
    

    

    

    

    

  Personal Characteristics

My three good/strong points are: My three weak points/weaknesses are:
1      1            
2 2
3 3

IMPORTANT