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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Signature