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Full Name ^*

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Email ^*

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Phone No. ^*

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Gender ^*

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D.O.B ^*

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Event ^*

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Are you a Everest summiteer?^*

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Date of Summit ^*

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Upload your current photo & certificate (At least Two)^*

Please upload at least two current photos.

Share your best expedition images (At Least Three)^*

Please upload at least three expedition images.

This photo will be uploaded on our social media handle as confirmation

Which Expedition agency helped you with the summit?

Other any notable high-altitude summits you have completed? ^*

Please share your notable high-altitude summits.

Upload your current photo & photo of passport ^*

Please upload your photo and passport photo.

Professional Background ^*

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Why are you interested in attending this event? ^*

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Select Registration Package ^*

Premium — $200

2 nights' accommodation at a 4-star hotel (May 26–27), twin sharing
Airport transfers
Full access to all summit sessions & panels
Lunch during the event
Special Delegate Kit

Standard — $100

Full access to all summit sessions & panels
Lunch during the event
Special Delegate Kit

Payment Option ^*

Pay on Arrival

Pay Now

I acknowledge the selected registration fee and agree to complete payment upon confirmation. ^*

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Payment Details

Please transfer the registration fee to the account below

Company Name	Everest Alliance Nepal
Account No	00901010090951
Swift Code	GLBBNPKA
Bank	Global IME Bank Ltd
Branch	Thamel, Kathmandu
City	Kathmandu
Country	Nepal

Note: Please include your full name as the payment reference and upload the receipt below.

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Why do you want to participate in this summit? ^*

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He Jing

He Jing

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