Application Form

Please fill the form carefully. You must answer all questions for successful submission of the application.

Name

Sex

Date of Birth

Nationality

University

Address

Phone

Duration of Stay

1. Why do you want to do elective ?

2. When do you want to begin elective(internship) and for how long?

3. What is your field of interest?

4. How did you know about elective student center Nepal?

If you encounter any technical issues to submit the application, please write us at electivestudentcentre@gmail.com or whats +977-9841756299