Personal Info
First Name :
*
Middle Name :
*
Last Name :
*
Father First Name :
*
Father Middle Name :
*
Father Last Name :
*
Date of Birth [YYYY-MM-DD] in BS:
Highest Education :
*
Masters
Bachelor
Diploma
+2
SLC
Short Description :
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Gender :
*
Male
Female
Contact Details
Email Address :
*
Contact Number :
Alternate Contact Number :
Permanent Address
Select Province :
*
Select Province
Province No 1
Province No 2
Province No 3
Province No 4
Province No 5
Province No 6
Province No 7
Select District :
*
Select District
Select Local Level :
*
Select Locallevel
Ward Number :
*
Tole Name :
*
Temporary Address
Province :
*
Province No 2
Select District :
*
Select District
पर्सा
बारा
रौतहट
सर्लाही
धनुषा
सप्तरी
सिरहा
महोत्तरी
Ward Number :
*
Tole Name :
*
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