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PROFESSIONAL REWAN – PERSONAL DETAILS FORM

The purpose of this form
This form is designed to assist in gathering and recording all “Kai Rewa” and “vasu” personal and professional information. The main purpose of gathering these information is to identify potential Rewans who can assist in capacity building and economic development programs within the province.

Data Privacy & Safety
All personal data in relation to individuals are collected for a specified legitimate purposes and will not be used for any other purpose other than what it was intended for. RPHCL assumes that all personal data provided has been provided freely with the intention of assisting the Rewa province in its development work. RPHCL shall maintain a Database to store all these information and individuals have the right to access their personal data. These Information is covered under RPHCL’s Data policy guidelines to protect the privacy of individuals providing this information.

 

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Personal Details

Name

Surname

Title

Date of Birth

Gender

Nationality

Home Address

Koro

Tikina

Postal Address

Phone Contact

Email

Did you receive any scholarship assistance through the Rewa Provincial Council?
NoYes

Year of Assistance

Employment and Professional Details

Name of Employer

Position

Brief description of responsibilities and achievements

Length of service

Areas of Interest if given the opportunity to contribute towards Provincial development

Technical (Engineering/Architectural, etc.)

Professional (Accounting/Law/Medical, etc.)

Others