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(Please submit the form below with your full details.)

Full name *

Date of Birth

Residential Address *

Contact number (mobile number) *

Residential Phone number (alt. mobile number)

Personal Email/Gmail/Yahoo *

Faculty/Department of the Ph.D. Subject *

Ph.D. Thesis/Decertation Title *

Completion Year (as per the Ph.D. Certificate) *

Current Occupation/Present Involvement

Name of the Institution (if you are working at present)

Address of the Institution (if you do work at present)

Office Contact Number (if you have no objection to contact)

Type of NPA Membership *

What skills, experiences, interests do you have/possess, which might be helpful to NPA

Message

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Kathmandu, Nepal

9864468002, 9851231499

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NPA Office
9851231499