Kathmandu University School of Management

Application Form for spring 2024

If yes to the following questions, please tick the box
Program Applied for :
Are you applying as a candidate for provisional admission? Attach a recent passport
size photo here.
KU SOM Symbol : The applicant whoever has appeared in the final exam of Last Semester/Annual
(Bachelor Level) must have passed the previous the entire exam.

Please print in black. Give clear, concise and complete information in each case as required. Read and follow carefully all directions.
Use additional sheets if necessary.
Personal Details
1. Title (circle one) 2. Gender (circle one)
Mr Ms Mrs Full Name (In Block Letter) : ______________________________________________________________ Male Female Other

3. Date of Birth In BS : Day ______ Month ________ Year ________ In AD : Day ______ Month ________ Year _________
6. Parents/Guardian's Details
4. Nationality : _____________ 5. Citizenship Number : __________________
Name : ___________________________________________

7. Permanent Address : 8. Contact Address : Occupation : _______________________________________

_____________________________________
_____________________________________
_____________________________________
__________________________________________
Organization : ______________________________________
__________________________________________
Mobile No. : _______________________________________
Applicant’s Personal Mobile No.:

_________________________________________ E-mail : ___________________________________________

E-mail : ___________________________________

Educational Attainment

9. SEE or Equivalent (10 years schooling)

Board or University Country Year Passed Percent or Grade Obtained

10. Intermediate, + 2 or Equivalent (Two years after 10 years schooling)

Board or University Country Year Passed Percent or Grade Obtained

11. Bachelor (Three/ Four years after Intermediate)

Board or University Country Year Passed Percent or Grade Obtained

12. Master (if applicable)

Board or University Country Year Passed Percent or Grade Obtained

Other Information (Attach additional sheet if required)

13. Work Experience (if applicable with the most recent first)
Organization Address Designation Period (From - To) Responsibility

14. Award and Recognition (If any)

Award Award Agency

Student Undertaking
I pledge that the information I have given in this application form is correct to the best of my knowledge. I understand and accept that any wrongful representation of
information will result in automatic disqualification for my admission to the program and dismissal from the program and the University if already admitted.
I hereby apply for admission to KU SOM’s MBA program. If accepted as a student, I will comply with all the rules, regulations and conditions of the University.

Applicant’s Signature : ____________________________________ Date : _______________________________