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Gov.

Reg 37/2060

FACE Nepal
Application for Volunteer Registration
This form is for an application from individuals who wish to participate in one of our volunteer
programs. Once you have filled this in, please send it to us at info@facenepal.org. We will then
reply to you as soon as possible to confirm your program. The next steps will be for you to send
your flight details and a photo to us (so we recognize you at the airport!).
This form has been designed in WordPad (rtf) in the aim that this will enable as many people as
possible to edit it on their computer. If you have any problems using this form please contact us.
A. Basic Details
1. Full Name: .......................................................................................
2. Date of Birth: DD/MM/YY
3. Sex: Male/Female
4. Nationality: .......................................................................................
5. Passport Number: .......................................................................................
B. Current Contact Details
6. Full Postal Address .......................................................................................
7. Email Address .......................................................................................
8. Contact Telephone Number .......................................................................................
C. Emergency Contact Details
9. Name of Contact .......................................................................................
10. Relationship to volunteer .......................................................................................
11. Email Address .......................................................................................
12. Contact Telephone Number .......................................................................................
D. Your Program and motivation
13. Please indicate which program(s) you wish to be involved in, or if you wish to create your own
program, please outline the details
here. ..................................................................................................................................................
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14. Please outline your educational background and any relevant experience.
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15. What is your primary motivation for participating in our volunteer program
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16. Please specify your desired timeframes for program commencement and completion
a. Start Date .......................................................................................
b. End Date .......................................................................................
E. Special Requirements
17. Do you have any medical considerations or needs that need to be considered? If yes, please
specify.
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18. If you have any scheduled excursions or additional interests you would like incorporated
into your itinerary, please specify them here (with dates if known)
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F. Other Questions
19. If you have any additional questions please note them here.
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20. How did you hear about FACE Nepal? (If online please specify the website)
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By signing here, I acknowledge that the above details are true and correct. I have thoroughly read
the information provided on the Registration and FAQ pages of the FACE Nepal Website and am
comfortable with the conditions implicit in these pages.
Full Name: ............................................................................................................................
Date: ............................................................................................................................
Signature .....................................................................................................................

* Please submit this application form electronically. You may leave the signatory area blank.
You will be asked to sign a copy of this form upon program registration in Nepal.

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