United Sherpa Association Inc. (Sherpa Kyidug)
Dear informant, the Sherpa Kyidug is collecting and updating demographic data of Sherpa people living in USA.  This data will be used only for the planning purposes of the association in order to contribute its greater mission of building a prosperous and united Sherpa community in USA. Please contact the Kyidug for any inquiries.  Your cooperation is highly appreciated.

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Title: *
Select only one option
Data Collection Form
Please fill out a separate form for each member in the family.
Name: *
Write your full-name
Clan (Ru): *
In case of other ethnicity or clan, Select N/A or Other and mention in next question.
Other ethnicity or clan:
Please write or specify your Ethnicity and or Ru here if you have selected N/A or Other in the above list.  
Age: *
Select your age range
Marital Status: *
Select one option
Cell phone: *
If not available, please give your family member's or relative's number. Please do not use other characters including space.
E-mail:
If you don't have one,  please give your family member's e-mail. You will receive our community related functions or events through the e-mail.
Current Address
Apt./house number and street/avenue: *
City: *
Please write full city
State *
Zip Code: *
Place of origin
Village/Ward No.:
Write N/A or leave blank if  not applicable.
Village Development Committee/Municipality/Metropolitan City/City: *
Please write N/A if not applicable
District/State: *
Please write the District or State as applicable.
Zip Code:
Write the Zip Code only if applicable .
Country: *
Education: *
Please select one option
Occupation: *
Affiliation to the Sherpa Kyidug: *
Which membership do you have?
Status in USA *
Comment:
You can leave a short comment or suggestion about the data collection, but it's optional!
Please fill out the same form again for your children and other family members.
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