UGYEN Academy

Khuruthang, Punakha: Bhutan

               Application form for admission to class TEN (X) Only                Back to 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 IX exam. (BCSE) examination if repeater)                 

Index number: (*** Important for repeater )

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