Member Ship

National Jirga :

Contact Karwan Spring Village, University Road Peshawar. Whatsapp Cell: 92-311-5703347

MEMBERSHIP FORM

Personal Information

First Name
Last Name
Date Of Birth
Birth Country
Birth District
Village/Union Council
Mobile
Occupation
Employment(Department Name and Address)
Experience in year
Email
Cnic
Passport #
Highest Education Level: (select one)
Major Field (example:Associate in Civil Engineering or Bachelor in Art,Sociology)
Associate of:
Master of:
Bachelor of:
Doctor of :
Certificate of:
Other:
Marital Status:
Gender

Contact Information

HOME ADDRESS (Permanent or Foreign Address for Non-Resident )
Address
Tehsil
Country:
MAILING ADDRESS(If Following address fields Same As Home Address don’t fill )...
Address
Tehsil
Country: