Janajati Registration Form

Janajati Group: *

आदिवासी जनजाति समूह :

Janajati Personal Information
First Name: *
Middle Name:
Last Name: *
नाम, थार(नेपाली):
Gender: *	Male Female Others
Father/Husband Name: *
बुबाको/पतिको नाम
Mother's Name: *
आमाको नाम:
Date of Birth:
जन्म मिति:

Janajati Sifaris Documents:
Janajati Sifaris Letter: (जनजाति सिफारिस पत्र)
Photo: (Passport Size )
Nagarikta Number
Nagarikta : ना.प्र.प
If Infant: (नाबालकको हकमा)
Birth Certificate : जन्मदर्ता
Father's Nagrikta : बुबाको ना.प्र.प
If married to Janjati: (जनजातिसँग बिहे भएमा)
Marriage Certificate : विवाह प्रमाणपत्र
Husband's Nagarikta : पतिको ना.प्र.प
Proof of payment
Application Fee (आवेदन शुल्क )
Submission Date :
Email: (This email is used for sending the safiris card when your form submission is approved)