पूरा नाम (Full Name)*लिङ्ग (Gender)*MaleFemaleAge*Email* Enter Email Confirm Email मोबाईल नम्बर (Mobile number)*प्रदेश नम्वर (Province Number)*1234567जन्म स्थान (Birth Place)*हालको ठेगाना (Current Location)*शैक्षिक योग्यता (Current Education Level)*SEE+2BachelorMastersसहभागी सङ्ख्या (Number of Participants sharing same screen)*शैक्षिक संस्था (Affiliated Education Institution)*ID Card or Any Document to prove you are a student*कार्यक्रमको बारेमा कसरी जानकारी पाउनु भयो? (How did you know about the program?)*Write the name of the person, if referred by someone.तपाईंले ईच्छाएको योगदान रकम (Amount you intend to contribute)*1500
