Youth Pulse Registration Form Name CNIC No Date of Birth Specialty (Any handicap) Select a valueNillautiamdeaf-blindnessdeafnessemotional disturbancehearing impairmentintellectual disabilitiesmultiple disabilitiesorthopedic impairmentother health impairmentspecific learning disabilityspeech or language impairmenttraumatic brain injuryvisual impairment (including blindness) Parent's Profession Educational Qualification Select a valueNillMiddle School CertificateMatriculation / O LevelsFA / FSC / A Levels (12 Years of Education)Bachelors (2 Years) (14 Years of Education)Bachelors (4 Years) (16 Years of Education)Master's Degree (16 Years of Education)MBBS (5 Years)MPhil / MS (18 Years of Education)DoctoratePost DoctorateProfessional (CA,ACCA,ACMA)Shahadatul Sanvia AamaShahadatul Sanvia KhasaShahadatul AliaShahadatul Almiya Technical Qualification Select a valueVocational CertificateTechnical Diploma (After Matric)Technical Diploma (After FA/ FSC)Diploma of Associate Engineering (DAE 3 Years)B.Sc TechnologyPG CertificatePG Diploma GenderMaleFemaleTransgender Religion MuslimNon-muslim Domocile/ Province of Birth Select a valuePunjabSindhKPKBalochistanGilgit-BaltistanAJKFederal Domocile/ Distt of Birth Select a value Type of Your Living Area UrbanRural Feedback for the improvement of Kamyab Mustaqbil Sugestion What do you do? What do you do?Select a valueStudentEmployeeUn-EmployedSelf-EmployedHousewifeSports PlayerFine ArtistPerformerLandlordShowbizOthers DetailsSelect a valueStudentEmployeeUn-EmployedSelf-EmployedHousewifeSports PlayerFine ArtistPerformerLandlordShowbizOthers What do you want? What do you want to do in future?Select a valueEducationEmploymentBusiness / StartupsCounseling / MentorshipScholarship / Financial AssistanceSportsFine ArtistShowbiz / ProfessionOthers DetailsSelect a valueStudentEmployeeUn-EmployedSelf-EmployedHousewifeSports PlayerFine ArtistPerformerLandlordShowbizOthers Required Loan Amount? Loan Amount What are your Socio Economic interests? Socio Economic Interests?Select a valueProfessional CounselingMentoringClean and Green PakistanTourismCommunity/Social DevelopmentPolitical AwarenessHealthSportsMediaYouth Empowerment
