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MYC Survey Form
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* Indicates required question
Option 1
Clear selection
Hming
*
Your answer
Pa/Nu hming
*
Your answer
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
Contact No with Alternate No (if any)
*
Your answer
Email id.
Your answer
Zirna tluang panngai baka thiamna Certificate neih.
Your answer
Hnathawhna hmun
*
Your answer
Hnathawh hming
Your answer
Hna thawh tihtawp sak ni.
*
MM
/
DD
/
YYYY
Hnathawh laia thlatina hlawh zat (Approx)
Your answer
Hnathawh lai hi thawhzawm theih a ni dawn leh dawn loh.
*
Your answer
Hemi chungchanga MYC lama thuneituten lo hria se tih duh i nei em?
Your answer
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