पिन सदस्यता दर्ता फारम Name* Email* Phone Number* Date Of Birth* Blood Group ---A+A-B+B-O+O-AB+AB- Permanent Address* District ---BhojpurDhankutaIlamJhapaKhotangMorangOkhaldhungaPanchtharSankhuwasabhaSolukhumbuSunsariTaplejungTerhathumUdayapurBaraDhanusaMahottariParsaRautahatSaptariSarlahiSirahaBhaktapurChitwanDhadingDolakhaKathmanduKavrepalanchokLalitpurMakwanpurNuwakotRamechhapRasuwaSindhuliSindhupalchokBaglungGorkhaKaskiLamjungManangMustangMyagdiNawalpurParbatSyangjaTanahunArghakhanchiBankeBardiyaDangEastern RukumGulmiKapilvastuPalpaParasiPyuthanRolpaRupandehiDailekhDolpaHumlaJajarkotJumlaKalikotMuguSalyanSurkhetWestern RukumAchhamBaitadiBajhangBajuraDadeldhuraDarchulaDotiKailaliKanchanpur Rural/Municipality Ward No. Temporary Address* District ---BhojpurDhankutaIlamJhapaKhotangMorangOkhaldhungaPanchtharSankhuwasabhaSolukhumbuSunsariTaplejungTerhathumUdayapurBaraDhanusaMahottariParsaRautahatSaptariSarlahiSirahaBhaktapurChitwanDhadingDolakhaKathmanduKavrepalanchokLalitpurMakwanpurNuwakotRamechhapRasuwaSindhuliSindhupalchokBaglungGorkhaKaskiLamjungManangMustangMyagdiNawalpurParbatSyangjaTanahunArghakhanchiBankeBardiyaDangEastern RukumGulmiKapilvastuPalpaParasiPyuthanRolpaRupandehiDailekhDolpaHumlaJajarkotJumlaKalikotMuguSalyanSurkhetWestern RukumAchhamBaitadiBajhangBajuraDadeldhuraDarchulaDotiKailaliKanchanpur Rural/Municipality Ward No. Nepal Engineers' Association No.*: Party's Organized Membership No./Issued Date*: (Please mention"PUP" for those who are from Party united process.) BE College Name/Faculty/Passed Year* ME College Name/Faculty/Passed Year PhD University/Domain/Award Year Current Work Position/Organization/Year of Experiance Party Work Experience in Brief Reference Name* Reference Name 1* Phone Number 1* Reference Name 2* Phone Number 2* Image Upload* (Max. 300Kb, Only .jpg,.jpeg,.png) All members are requested to deposit NRP 500/- in the following account. And Upload the voucher. Progressive Engineers' Association Nepal(PEAN) 0780152976400016 Prabhu bank, New Baneshower Voucher Upload* (Max. 300Kb, Only .jpg,.jpeg,.png)
