Kantipur Institute Of Technology and Management

Affiliated with Rajarshi Janak University (RJU)

Student Application Form

Fill out the form below to apply for admission to KITM.

Course Selection

BCA BSc.CSIT BBA MBA

Entrance Roll Number:

Part 1: Student's Information

Full Name:

Mobile:

Email:

Date of Birth (BS):

Date of Birth (AD):

Gender:

Nationality:

Country of Residence:

Contact Address:

Passport Number:

Permanent Address:

Religion:

Blood Group:

Part 2: Local Guardian Details

Father's Name:

Father's Phone:

Mother's Name:

Mother's Phone:

Contact Address:

E-mail:

Part 3: Educational Qualifications

Degree/Level	Year of Completion	Institution	Board/University	% / Grade	Action

Part 4: Declaration

I hereby declare that all the information provided in this application form is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application or subsequent termination of my enrollment.

I agree to abide by the rules, regulations, and policies of the institution if admitted.

I confirm that I have read and agree to the above declaration.