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Markhor 2017 Registration Form
Markhor-Pakistan's First Wilderness Based Youth Leadership Conference, 2017 is back for fun, entertainment, and learning. In order to register for the 2017 conference, kindly answer all the relevant questions mentioned in this form. Try your best to be wise and honest with the details that your provide us with.

The data protection notice, as attached ensures that none of your provided information will be leaked out. It is the sole responsibility of Youth Impact to keep your information secure.

Kindly fill in all the required fields.

Your Name
As it appears on your passport or national identity card
Your Gender
Your CNIC or Passport Number
Your Date of Birth
All aspiring participants should be between the ages of 17 to 24 years of age by the start of Markhor i.e. your Date of Birth must be between October 1st 1993 and October 1st 2000.
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Country of Residence
Your postal address?
Your email address?
Mobile phone number
Public link of your LinkedIn profile
If from Pakistan, Province of Residence?
Your Ethnicity
Youth Impact aims to ensure ethnic diversity and inclusion in all of its programs. If, however, you are not comfortable with disclosing this information, please feel free to do so
Your mother tongue?
Youth Impact aims to ensure diversity and inclusion in all of its programs. If, however, you are not comfortable with disclosing this information, please feel free to do so
Your Religion
Youth Impact aims to ensure religious diversity and inclusion in all of its programs. If, however, you are not comfortable with disclosing this information, please feel free to do so
Academic Qualification
All the sessions at Markhor 2017 will be held in English. How would you rate your English proficiency?
Field of study (in case of undergraduate or postgraduate degree)
Current Educational Institution
Expected date of degree completion
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Do you have any physical or medical condition which you think might hinder your abilities to take part in physically challenging activities? If Yes, please specify
Have you ever attended any Conference, Leadership / Personal Development Training before? If yes, please specify details.(conference/training title, trainer, location, date etc.)
Have you ever started (or been involved in) an initiative that solves a problem for others?
As Markhor has been designed as a premier program to help bring up the next generation of Social Leaders, prior experience in social leadership projects is preferred.
Describe your leadership project (Any project in which you demonstrated your leadership skills during school, college or university)
What was your role in the project?
In case of "Other", please specify.
Duration of involvement with the project
Number of people impacted by the project
How have you calculated this number?
No more than 100 characters
What do you need to take this project further in terms of resources and skill set?
No more than 500 characters
Why you should be considered as a delegate for Markhor? (No more than 500 characters)
Give us the compelling reason for why you should be preferred on other applicants
How did you find out about Markhor?
Kindly mention the name of the Youth Impact Ambassador or Intern that you have registered through.
Data protection notice: Youth Impact will use the information you have given on this form primarily “to consider your application for the Markhor 2017”. By submitting this form you consent to our processing sensitive personal data about you where this is necessary, for the purpose above. You also agree that we may share your information among our selection committee around the world where this is necessary for the above purpose.
Youth Impact will treat all personal information in accordance with Pakistani law and its own privacy policy. Youth Impact will not sell or disclose your details to third parties for commercial reasons. Your information will be shared at this stage only with individuals selecting candidates for the event.
I understand and agree to the terms described above.
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