Dynamic : Registration

Membership Request Form

Detail of Applicant :

Name

Registration Category

Authorized Capital

Paid Up Capital

Issued Capital

Is Associate Member

Address

A)Head Office/ Corporate Office Address :

Province

District

Municipility/VDC

Tole / Ward, House No./Plot No. & Landmark

Telephone No

Email

Name of contact person

Designation

Mobile No

Whatsapp No

Website

B) Applicant Organization's Address: Same as Head Office/ Corporate Office Address

Province

District

Municipility/VDC

Tole / Ward, House No./Plot No. & Landmark

Telephone No

Email

Name of contact person

Designation

Mobile No

Whatsapp No

Website

Registration Authority of the Applicant :

SN	Registered Office	Registration No	Registration Date	Renew Date	PAN/VAT No	Registered in VAT	Action
1

Please ! Upload PAN Certificate and Business Registration Certificate:

S No	Document Type	File Name	Description	Action
1

Type of Entity

Investment Type

Name of Nation

Nature of Business

Organization's Main Aim

Detail of Proprietor/ Share holder/ Board Member / Partner :

Sn	Name	Designation	Contact No	Email	Shareholding Percentage	Photo	Citizenship	Action
1

For Correspondence / Communication

Name

Designation

Mobile No

Email Id

Address

Proposer :	Approver :
Name of Organization Member : Name of Signature Holder : Designation : Membership Id :	Name of Organization Member : Name of Signature Holder : Designation : Membership Id :

(Note : According to the rules of the association of the region in which the application is to be applied for membership, one member must be the proposer and the other member must be the approver. )

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