BIO-DATA OF THE TEAM MEMBER

Expedition Team Name:………………………………………………………………………………….

Capacity in the team (leader, member or any other.

 

 

Family Name:……………………………………………………………………………………….

Given Name:………………………………………………………………………………………...

Date & Place of Birth……………………………………………………………………………….

Nationality:…………………………………………………………………………………………..

Home Address:……………………………………………………………………………………….

Present Address:………………………………………………………………………………………

Occupation: …………………………………………………………………………………………..

Passport No.:………………………………………………………………………………………….

Previous Visit to Nepal:………………………………………………………………………………

Duration of Previous visit:……………………………………………………………………………

Mountaineering background:…………………………………………………………………………

……………………………………………………………………………………………………….....

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.... ……………………………………………………………………………………………………….

 

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