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PICS NEPAL - Psychotherapy and Integrated
Counseling Services Nepal

Together, We Can Make A Difference!

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PICS Nepal – Training Enquiry Form

Feeling low, sad or just need a talk-We’re here for you. Fill this form, we’ll get back to you.

Full Name

Date of Birth

Gender

Male Female Other

Contact

Email

Permanent Address

Current Address

Current Occupation/ Organization (if any)

Educational Qualification

SLC +2 Bachelor's Other

Why are you interested in this training? (Briefly describe your motivation.)

Do you have any prior experience or training in psychology, social work, or related fields?

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Preferred Mode of Training:

In-person Online Hybrid

How did you hear about this training?

Facebook Website Friend/College Other

Would you like to receive updates about similar programs in the future?

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Train to Become a Skilled Psychosocial Counselor and Trainer with PICS Nepal

Be the Changemaker to Support Mental Wellness

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