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1) Full Name

. Last Name First Name Middle Name

2) Date of Birth
. (DD/MM/YY in BS (DD/MM/YY in AD

3. Gender Male Female

4) City Where You Born


. Birth City(District)

5) Country Where You Born Nepal


. The name of the country should be that which is currently in use for the place where you were born.

6) Mailing Address
In core of,optional
Address Line 1: Rijalphotostudio, Mangalpur Gabisa

Address Line 2:
. Permanent Address(compulsory)

7) Country where you live today Nepal

8) Mobile number :

9) E-mail Address(Compulsory):

10) What is the Highest Level of Education you have achieved,as of today?(Academic Qualification)

i) Primary School only vi University Degree


. ii)High School No Degress(SLC) vii) Some Graduate Level Courses
. iii) Vocational School( CTEVT) viii) Master degress
. iv) High School Degree(+2) ix) Some doctorate level courses
. v) Some University Courses x) Doctorate degress

11) Marital Status: Unmarried Married Widowed


. Divorced Legally Separated

12) No. of children under 21 years and unmarried

13Name, gender,date and place of birth of the applicant”s spouse and children:

Categor Full Name Gender Date of Birth Place Of Birth


y (M/F (DD/MM/YY)in AD City,Country
Spouse
Child 1
Child 2
Child 3

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