UGYEN Academy

Khuruthang, Punakha: Bhutan

Application form for admission to class IX(NINE) Only

                    Bio-data (To be filled by the applicant)                back to home

 Name:                                   Gender:                                                         

 Date of Birth:       Date                                  Month                   Year             

Village:                 Geog:     
Dzongkhag:    House No:   
Tharm No:   I.D Card No:   **Optional
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 VIII (Eight) examination)                   

Subject English Dzongkha Maths HCG Science 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