Blind Youth Association Nepal (BYAN)
Sukedhara,Kathmandu
Registration Form
Please fill the form below
Full Name
*
Prefix
First Name
Last Name
Address
*
Permanent Address
Temporary Address
City
State / Province
Postal / Zip Code
Date of Birth
*
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Month
-
Day
Year
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Highest Qualification
*
Degree achieved
Name of College/ University
Percentage/ GGPA
State / Province
Postal / Zip Code
Upload Mark sheet
*
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Phone Number
*
-
Area Code
Phone Number
E-mail
*
Computer Training
*
Course title
Name of Institute/ Organisation
Duration
State / Province
Postal / Zip Code
Computer Certificate
*
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Upload Disability ID Card
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Why do you think you require the Training ?
*
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