Registration Form for NWB - XIII

1. Full Name

2. Religion

3. Sect

4. Gender

5. Marital Status

6. CNIC No

7. Father/ HusbandName

8. Date of Birth

9. Place of Birth

10. Caste

11. Sub-Cast

12. Domicile

13. District

14. Education details a. Matriculation

Education institution attended

Year

Score

b. Intermediate

Education institution attended

Year

Score

c. Bachelors

Education institution attended

Year

Score

d. Masters/ M.Phil

Education institution attended

Year

Score

e. Doctorate

Education institution attended

Year

Score

15. Location

16. Profession

b. Academia

16. Profession

b. Academia

PART 2 - PERSONEL CONTACT / ADDRESS DETAILS

17. Present Residential Address

18. Permanent Residential Address

19. Contact Details

a. Mobile Number

b. Office Number

c. Email Address

20. Social Media Account and Followers

a. Facebook ID

b. Instagram ID

c. Twitter ID

PART 3 - PROFESSION DETAILS

21. Department/ University

22. Appointment / Designation Held (Job Title)

23. Qualification

24. Experience in Working with any Government Department

25. Experience in Working with NGO / INGO

26. Previous experience of NWB, NSW or any other Workshop

27. Reason of Recommendation (Relevance / Potential for Uplift of Balochistan in next 3-5 Years)

28. Remarks

29. Upload Picture (only jpg or png format - max size 5 MB) I swear by Almighty God / Solemnly affirm in the presence of Almighty God that the information given in this Data Form is true and correct to the best of my knowledge and belief. I fully understand that my false statement or material omission / suppression of any fact shall render me liable to disciplinary action.