PERSONAL INFORMATIONAgency Name :*Agent/AM Code :*Mobile No. : *Permanent Address :*DOB (BS) & (AD) :*Gender :*Please selectMaleFemaleOtherMarital Status :*Please selectUnmarriedMarriedOtherEmail id :Father’s Name :*Mother's Name :*Grand Father's Name :Spouse (Husband/Wife) :ACADEMIC PROFILELevel :*Please selectSLC/SEEBoard/University :*Please selectNepal Board-SLC/NEBDivision :*Please selectFirst-1stSecond-2ndThird-3rdABCDEPASSYear :*Level :Please selectAgriculture+2/PCLBachelorBHMDiplomaEducationEngineeringForestHumanitiesLawManagementMasterMedicalSanskritScienceOtherBoard/University :Please selectH.S.E.B.-10+2Tribbuvan UniversityPokhara University-BHMPurbanchal UniversityKathmandu UniversityAgriculture and Forestry UniversityJawaharla Neru UniversityBharathiar UniversitySaitama UniversityPanjab Technical UniversityShree Jana Jyoti Higher Secondary School PhosretarBoard of High School & Itermediate Examination, U.P. University of Kerala Mid Westren UniversityOther UniversityDivision :Please selectFirst-1stSecond-2ndThird-3rdABCDEPASSRunningYear :Level :Please selectAgriculture+2/PCLBachelorBHMDiplomaEducationEngineeringForestHumanitiesLawManagementMasterMedicalSanskritScienceOtherBoard/University :Please selectH.S.E.B.-10+2Tribbuvan UniversityPokhara University-BHMPurbanchal UniversityKathmandu UniversityAgriculture and Forestry UniversityJawaharla Neru UniversityBharathiar UniversitySaitama UniversityPanjab Technical UniversityShree Jana Jyoti Higher Secondary School PhosretarBoard of High School & Itermediate Examination, U.P. University of Kerala Mid Westren UniversityOther UniversityDivision :Please selectFirst-1stSecond-2ndThird-3rdABCDEPASSRunningYear :WORK EXPERIENCENote: Upload Size-max.500KBAgency PhotoSendThis field should be left blank