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Name (As per CNIC) *

Father/Husband Name (As per CNIC) *

CNIC Number (Format: 00000-0000000-0) *

Date of Birth *

Email Address *

Email Address 2 (Optional)

Contact Number *

Domicile as per CNIC *

Current Address *

Can you manage to attend the training on campus in Peshawar for Two Months? *

Do You have any disability? *

In case of any disability, please specify

Highest Qualification Degree *

Did you get OR ever enrolled in any training under USAID/UNDP programs? *

Employment Status *

If Employed, please mention your Employment Department

Please select the courses below in order of your preference (1st, 2nd, and 3rd priority): *
Courses *

1st Priority *

2nd Priority *

3rd Priority *

How will the training help you to enhance your skills and knowledge? *

How will you utilize the training for your livelihood/employability? *

Do you have your own laptop to utilize in Print and Digital Media Designing & 2D Animation Trainings *

Do you have your own smart phone to utilize in Digital and Green Journalism *

Your preferred timings for attend the training *

Do you agree that you will attend 100% of the classes of this course? *

Will you fully participate in activities/ mentoring/ Boot camp? *

Do you have a personal bank/mobile account where you can receive money related to travel expenses. *

Please specify the Name of your Bank/Mobile Account *

If Bank is selected, mention the name of bank only.

From where you have heard about this Program *

Empowering Women through Digital Innovation for Green Employment Opportunities in Khyber Pakhtunkhwa