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Registration Form for NWB - XIII
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1. Full Name
2. Religion
Islam
Christian
Hinduism
Sikhism
Ahmadi
3. Sect
Sunni
Shia
Wahabi
Other
4. Gender
Male
Female
5. Marital Status
Single
Married
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
Inside Balochistan
Outside Balochistan
16. Profession
Select one
Academia
Media Person
Civil Society / Business Community / Notables
Parliamentarians (Former MPA / MNA / Senator / Political Figure)
Other
b. Academia
Select one
University Faculty
College Faculty
School Faculty
16. Profession
Select one
Academia
Media Person
Civil Society
b. Academia
Select one
University Faculty
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.
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