Below: please fill out all applicable sections regarding yourself and your family.

Your Information Spouse Information
First Name
Middle Name
Last Name
Date of Birth
Present Home Address
Office Address
School/College/ University address
Home Phone
Cell Phone
Office Phone
Email address(1)
Email address(2)
Education Level
Address in Nepal (only City and District)
Emergency Contact in US (please mention tel. number)
Emergency contact in Nepal
First Name
Middle Name
Last Name
Date of Birth
Present Home Address
Office Address
School/College/ University address
Home Phone
Cell Phone
Office Phone
Email address(1)
Email address(2)
Education Level
Address in Nepal (only City and District)
Emergency Contact in US (please mention tel. number)
Emergency contact in Nepal

 

Children's information
First Name

Middle Name

Last Name

Date of Birth

Education
Level (Grade)

Gender

           
First Name

Middle Name

Last Name

Date of Birth

Education
Level (Grade)

Gender

           
First Name

Middle Name

Last Name

Date of Birth

Education
Level (Grade)

Gender

           
First Name

Middle Name

Last Name

Date of Birth

Education
Level (Grade)

Gender