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Personal Detail		Emergency details
Full Name as a Passport *		Emergency contact person *
Present Address *		Relationship with this person *
Your City *		Telephone Number *
Country *		Fax Number
Telephone Number *		Email Address *
Fax Number		Skype Id or Yahoo Id
Email Address *		Insurance details
Skype ID or Yahoo ID		Your insurance company *
Passport Details		Insurance Number *
Passport Number *		Telephone Number *
Date fo Issue *		Fax Number
Expire Date *		Flight Details
Place of Birth *		Do you Travel by Plane ? *
Date of Birth *		Your Flight Number *
Occupation *		Date and Time of Arrival *
Medical Details		Date and Ttime of Departure *
Do you have any problems ?		Important information
Are you using any medicine ?		Climb any mountain ? *
Your Blog Group		How height you reach ?
Other Information		Do you visit Nepal before ?
Expedition Year (Spring) *		Attache Biodate *
Expedition Year (Autumn) *		Attache Passport copy *
Choice *		Captcha Code
Group Member *
Gender *	Male Female

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Personal Detail