To register please complete the following steps                                          Download Form

  • Read and complete all sections of this registration form, then sign and date it.
  • Return this form, together with two passport sized photographs (with your name on the back) and your R.F US$100.00 registration fee to: Global Partnership, G.P.O. Box: 20124, Nagpokhari Road-212, Kathmandu, Nepal. Please make the Cheque/Bank Draft Payable to Global Partnership. The registration fee is non-refundable.
  • Once we receive your form, we will forward your process as soon as possible.
PLEASE FILL NAME ACCORDING TO YOUR PASSPORT WHICH DETAILS WILL BE USED ON YOUR FLIGHT TICKET
Surname: Forename(s): Address:
Telephone No.:  E-mail:    
PASSPORT DETAILS
Date of birth: Country: Passport number: Date of expiry:
EMERGENCY CONTACT PERSON ACADEMIC QUALIFICATION
Name: Address:
Phone: Relationship:

PROGRAMS:
Date Prefer: From To
Program Prefer (Tik as Appropriate)
INTERNATIONAL WORK CAMPS Program Period
  15 Days
Development Projects Education Projects Others
 
SHORT TERM VOLUNTEER PROGRAMS Program Period
  6 Weeks
 
LONG TERM VOLUNTER PROGRAM Program Period
2 Months  3 Months 4 Months 5 Months
 
VOLUNTEER EXCHANGE PROGRAMS Program Period
3 Months
 

INTERNSHIP Program Period
2 1/2 Months
 

ROOM SHARING AND GROUPING
Accommodation will be shared. Please give the name(s) of anyone with whom you specifically wish to share.
Name(s):
It may be necessary to divide the party into groups. If you wish to involve in the same group as a friend, or friends, please give their name(s).
Name(s):
SPECIAL DIETARY REQUIREMENTS
other (please specify)
On a program of this nature it is not always possible to accommodate special dietary requirement
PERSONAL CASUAL
T-shirt (please tick): Cap Colour:
 
DETAILS OF COMPANY/ORGANIZATION SPONSORSHIP
Are you representing or being sponsored by a company or organization ?
If yes, please give details:
Company/Organization name: Address: Position held:
Type of business: Tel no.: Contact Person: Email:
How did you find out about the Global Partnership?
Please list below details of any friends who you think would like to know about the Global Partnership
Name: Address:
Past volunteering Experience/General Skills, if any (indicate the country and year, or type of work).
MEDICAL HISTORY AND FITNESS CONFORMATION

You should be fit and in good health to participate in the Global Partnership. If you have any medical conditions you will need to submit a medical certificate completed by your doctor. If you are over 65 years old or have a medical condition which could be adversely affected by exercise, particularly a heart condition, or if you are in any doubt about your health, please also send a letter from your doctor confirming your fitness to take part.

Please note that the information in this pack was correct at the time of going to print. Where relevant, you should check the current situation prior to departure.
DECLARATION

I declare that the information contains in this form is correct and I understand that it will be used in relation to the volunteer programs organized by Global Partnership. I understand that the information I have provided will be used for the purpose of assessing my suitability as a volunteer. The Global Partnership will retain a record of my personal details with very confidential.
Date: