• Full Name
• Sex MaleFemaleOthers
• Date of Birth

Current Address

• Street
• Apt/Block/Unit/Room Number
• City
• State
• Zip Code
• Phone No.
• Email
• Facebook Name
• Skype

Occupation Details

• Current Occupation
• Name of Company
• Company Contact No

Nepal Address

• District
• VDC/Municipality/Metropolitan/Sub-Metropolitan
• Word No
• Contact Number (Optional)

• * I hereby assure that all the facts furnished above are quite true. I shall the abide by all rules and regulations of the organization, if any disobedience of the rules and regulations result in expulsions or any kind of penalty will of acceptable to me.