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MYC Survey Form
Phai lama hnathawk lo let leh te tan
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* Indicates required question
Email
*
Your email
Hming
*
Your answer
Pa/Nu hming
Your answer
Gender
*
Female
Male
Date of Birth
MM
/
DD
/
YYYY
Permanent Address
Your answer
Name of District
*
Aizawl
Lunglei
Saiha
Champhai
Kolasib
Serchhip
Lawngtlai
Mamit
Hnahthial
Saitual
Khawzawl
Educational Qualification
Post Graduate
Graduate
HSSLC or Equivalent
HSSLC
Below Class X
Clear selection
Contact No. with Alternate No (If any)
*
Your answer
Email Id
Your answer
Zirna tluang pangngai baka thiamna Certificate neih
Your answer
Hnathawhna hmun
Your answer
Hnathawh hming
Your answer
Hnathawh tihtawp sak ni
MM
/
DD
/
YYYY
Hnathawh laia hlawh zat ( Approx)
Your answer
Hnathawh lai hi chhunzawm theih dawn nge dawn lo
Aw
Aih
Clear selection
Hemi chungchang a MYC lama thuneituten lo hria se tih i nei em?
Your answer
Nikum 2020 khan i hnathawhna hmun atangin ilo haw em?
*
Aw
Aih
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