GIHE A Levels Application Form

Pre-Registration Form

GCE A Levels
Applicant’s name:*
Stream Applied For
Gender
Date of Birth (AD)*

MonthDayYear
Date
Nationality:*
E-mail:*
example@example.com
Address:*
Home telephone:
Mobile number (personal):*
Name and Address of Parent/ Guardian for Academic Reports:
Mother’s Name:*
Occupation*
Name of Organization
Address of Organization
Designation/Post
Telephone (work):
Telephone (home):
Mobile:*
Email:*
example@example.com
Father’s Name:*
Occupation*
Name of Organization
Address of Organization
Designation/Post
Telephone (work):
Telephone (home):
Mobile:*
Email:*
example@example.com
Name and address of person to be contacted during the term, in the event of a problem, e.g., absence (if different from above)
Full name:
Address:
Email:
example@example.com
Telephone (work):
Telephone (home):
Mobile:
Relationship to the student:

If any family member of the applicant is currently studying at GEMS, provide the following information:

Rows	Name	Grade
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Academic Background

List the name(s) of school(s) from where you did your schooling.

Education from age 11, Class-wise*

Rows	School/College (Name and address)	Start Month	Start Year	Left Month	Left Year
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Grade IX Final Exam GPA*
Grade X Latest Exam GPA*
Examinations already taken or to be taken before joining GIHE.
Level
Subject/Unit
Date (Month/Year)
Result
Examination Board
Subjects Offered

Compulsory Subject: English General Paper
ChemistryPhysicsBiologyMathematicsComputer ScienceAccountingBusinessEconomicsInformation TechnologyPsychologyLiterature in EnglishSociologyArt & Design
Probable future career:
CO-CURRICULAR ACTIVITIES
Games and sportsLiterary activitiesMusicAdventure sportsTravelingPhotography/MediaOther
OTHER INFORMATION
List the awards or scholarships you earned at school(s), if any:
ParentsGuardianOthers
If ‘others’, please specify details below:
YesNo
If ‘Yes’, please mention the nearest BUS STOP:
Passport Size Photo of Student*

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Passport Size Photo of Mother

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Passport Size Photo of Father

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Final Term Marksheet of Grade IX.*

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Latest Exam Marksheet of Grade X.*

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Certificates of awards or scholarships earned at school, if any.

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Confidential Reference File (Download from website / To be filled by respective authority)

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A sealed recommendation letter from the principal/ vice principal or a teacher of the school last attended

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DECLARATION AND SIGNATURE
1. I understand that the institution reserves the right to reverse any decision on the basis of incorrect or incomplete information I may have furnished.
2. I have read and understood the rules and regulations enshrined in the prospectus, and thereby accept and agree to abide by them.
3. I declare that all the information I have given in this application is true and correct to the best of my knowledge.
Declaration of Using Social Media

I will not misuse social media platform against the institute such as data phishing, sending threatening emails, cyber bullying towards the institution or other person on social media platform in any form, etc. If I breach this I will be fully responsible for my termination from GIHE. I will be held accountable for my action and I will accept the consequences.
Applicant's Signature*

Clear
Mother's Signature

Clear
Father's Signature

Clear
ADMISSION POLICIES

Read the following information and follow the instructions carefully.
Eligibility for A Level Study

Students should have passed the Secondary Education Examination (SEE) or equivalent examination in order to be eligible for A Level study. Students who have scored grade B in English, Science, C. Maths (Plus Optional Maths for Science stream applicants) in the school’s internal SEE qualifying/Class X annual examinations are eligible to apply for A Level in Science and Non-science streams.

Admission is granted to shortlisted students after entrance examination and interview on condition that a copy of the SEE mark-sheet, along with the character certificate, is submitted to the college office within the first week from the date of the publication of the SEE results, failing which admission will be cancelled, and the amount deposited during admission will be forfeited.
- Copies of the following documents must be submitted at the time of submission of the completed application form.
- Final term exam marksheet of grade IX and latest exam marksheet of grade X.
- Two recent passport size coloured photographs.
- Certificates of awards or scholarships earned at school, if any.
- Migration Certificate (Applicable for the students from boards other than SEE).
- A sealed recommendation letter from the principal/ vice principal or a teacher of the school last attended (can also be submitted via email directly to info@gihe.edu.np addressed to the Coordinator).
Note: Once the student is admitted to the College, admission fees, including annual fees, will not be refunded in case of cancellation or withdrawl of the admission.

ADMISSION PROCEDURE
1. Admission must be completed within the stipulated time mentioned, failing which seats will be offered to candidates on the waiting list.
2. Management may ask students at any point in time to bring original transcripts for verification. Therefore, students are strongly advised to keep all original certificates ready for authentication as and when demanded, possibly even after admission.
3. It is at the Institution’s discretion to disqualify an applicant for not submitting the required documents on time or for providing false information.
4. Supporting documents and information provided in the application form play an important role in the selection process for your admission at GEMS. We analyze your academic background, potential, achievements and credentials, and your careerplans from your application form. Hence, please provide detailed information about yourself and your academic background. Your application shall be thoroughly scrutinized, and the decision regarding your admission shall be made on the information provided by you.
5. The decision of the admission committee regarding all matters of admission is final and can not bedisputed.
Final term exam marksheet of grade IX and latest exam marksheet of grade XCharacter CertificateCertificates of awards or scholarships earned at school, if anyMigration Certificate (Applicable for the students from boards other than SEE).Two recently taken passport size photographs of student and one each of the parents.A sealed recommendation letter from the principal / vice principal or a teacher of the school last attended (can be submitted via email directly to info@gihe.edu.np addressed to the Coordinator).
GEMS Institute of Higher Education (GIHE)

Dhapakhel, Lalitpur, Nepal

Tel: 5275111/ 5275112

Fax: 00977 1 5275121

G.P.O. Box No.: 1794, Kathmandu

Email: info@gihe.edu.np
Should be Empty:

Pre-Registration Form

CO-CURRICULAR ACTIVITIES

OTHER INFORMATION

DECLARATION AND SIGNATURE

ADMISSION POLICIES