NEPAL FORESTERS ASSOCIATION

Membership Application Form

 

  1. Name (in Block Letters): ________________________________________________
  2. Home Address: ________________________________________
  3. Date and Place of Birth: ______________________ ________________________
  4. Nationality: ____________________
  5. Education: _____________________
  6. Employment History: _______________________
  7. Present Employment:

Position: ____________________________

Office or Organization: ___________________

Address: _____________________

Please accept my application for membership of Nepal Foresters' Association

[ ] General Member

(Entry Fee NRs. 120/-, Annual Fee NRs. 120/-)

[ ] Volunteer Member

(Entry Fee NRs. 200/-, Annual Fee NRs. 200/-)

[ ] Associate Member for Nepali Citizen

(Entry Fee NRs. 200/-, Annual Fee NRs. 120/-)

[ ] Associate Member for Non-Nepali Citizen

(Entry Fee US$. 20/-, Annual Fee US$. 20/-)

[ ] Institutional Member

(Entry Fee NRs. 4000/-, Annual Fee NRs. 4000/-)

[ ] Life Member

(Entry Fee NRs. 2500/-)

I enclose herewith my photocopy of academic transcrip and NRs._______(In words ______________________________only) or US$. _______(In words ________only) or Chque of the above amount or Bank Vouchaur of Nepal Bank Limited, Kupondole Branch, Lalitpur Saving Account No. 9085/24 as payment of my membership fee.

 

 

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Date Signature