Registration Form

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Membership Plan* :
Full Name* :
D.O.B* :
Clear (dd/mm/yyyy)
Contact* :
Gender* :
Email* :
NMC No* :
Permanent address* :
Passport Size Image* :
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NMC Certificate Image* :
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Voucher Image (RB Bank/E-Sewa/Khalti)* :
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Highest Education Qualification :
University/Institute :
Graduated year :
Working or Worked Organization :
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