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Existing Client ID *
First Name *
Middle Name
Last Name *
Mobile No. *
Email *
Date of Birth (in B.S.) *
Date of Birth (in A.D.) *
Gender *
Male
Female
Others
Nationality *
Nepali
Citizenship No. *
Citizenship Issued From *
Select District
Bhojpur
Dhankuta
Ilam
Jhapa
Khotang
Morang
Okhaldhunga
Panchthar
Sankhuwasabha
Solukhumbu
Sunsari
Taplejung
Terathum
Udayapur
Parsa
Bara
Rautahat
Sarlahi
Dhanusa
Siraha
Mahottari
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Ramechhap
Dolkha
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Dhading
Kathmandu
Kavrepalanchowk
Lalitpur
Nuwakot
Rasuwa
Sindhupalchok
Chitwan
Makwanpur
Baglung
Gorkha
Kaski
Lamjung
Manang
Mustang
Myagdi
Nawalparasi
Parbat
Syangja
Tanahu
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Parsa
Rupandehi
Arghakhanchi
Gulmi
Palpa
Dang
Pyuthan
Rolpa
Rukum
Banke
Bardiya
Rukum
Salyan
Dolpa
Humla
Jumla
Kalikot
Mugu
Surketh
Dailekh
Jajarkot
Kailali
Achham
Doti
Bajhang
Bajura
Kanchanpur
Dadeldhura
Baitidi
Darchula
Citizenship Issued Date (in B.S.) *
Citizenship Issued Date (in A.D.) *
Passport No.
Passport Issued From
Select District
Bhojpur
Dhankuta
Ilam
Jhapa
Khotang
Morang
Okhaldhunga
Panchthar
Sankhuwasabha
Solukhumbu
Sunsari
Taplejung
Terathum
Udayapur
Parsa
Bara
Rautahat
Sarlahi
Dhanusa
Siraha
Mahottari
Saptari
Sindhuli
Ramechhap
Dolkha
Bhaktapur
Dhading
Kathmandu
Kavrepalanchowk
Lalitpur
Nuwakot
Rasuwa
Sindhupalchok
Chitwan
Makwanpur
Baglung
Gorkha
Kaski
Lamjung
Manang
Mustang
Myagdi
Nawalparasi
Parbat
Syangja
Tanahu
Kapilvastu
Parsa
Rupandehi
Arghakhanchi
Gulmi
Palpa
Dang
Pyuthan
Rolpa
Rukum
Banke
Bardiya
Rukum
Salyan
Dolpa
Humla
Jumla
Kalikot
Mugu
Surketh
Dailekh
Jajarkot
Kailali
Achham
Doti
Bajhang
Bajura
Kanchanpur
Dadeldhura
Baitidi
Darchula
Passport Issued Date
Passport Expiry Date
Beneficiary No. *
PAN No.
Family Information
Grand Father's Name *
Father's Name *
Mother Name *
Marital Status
Married
Single
Spouse's Name *
Father-in-law Name
*
Mother-in-law Name
*
Son's Name
Daughter's Name
Is this a Minor Account?
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No
Name of Guardian *
Relationship With Guardian *
Select Relationship
Father
Mother
Self
Friend
Cousin
Aunt
Uncle
Daughter
Son
Sister in Law
Sister
Brother in Law
Brother
Mother in Law
Father in Law
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Husband
Grand Mother
Grand Father
Donee
Air Ticket
Family
Employee
Employer
Business Partner
Uncle/ Auntie
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Children
Parents
Daughter in Law
Others
Guardian Contact No. *
Guardian Email *