Damauli Khabar Staff Information - Damauli FM 94.2 MHz

Name Of the staff ( कर्मचारी को नाम) *

Staff Phone Number ( कर्मचारी को फोन नम्बर ) *

Email (कर्मचारी को इमेल)

Blood Group of staff ( कर्मचारी को रगत समूह )

Address (ठेगाना ) *

Name of the Village or City with street and house number (सडक र घर नम्बरको साथ गाउँ वा शहर को नाम)

citizenship number ( नागरिकता नम्बर)

Ward No (वार्ड नं ) *

Na Pa/ Ga Pa ( न. पा / गा. पा ) *

District (जिल्ला ) *

State (प्रदेश ) *

Name of parents( अभिभावकको नाम) *

Emergency contact person Name ( आपतकालिन सम्पर्क व्यक्तिको नाम) *

Do you agree that the information you have provided above is correct? *

Yes,I certify that the information submitted in this application is true and correct to the best of my knowledge