पिन सदस्यता दर्ता फारम Did you participate as a (Pratinidhi) in PEAN 10th Convention held in Kupondole ? (If "Yes" you do not need to fill out this form.) YesNo Name* Email* Phone Number* Date Of Birth* Blood Group ---A+A-B+B-O+O-AB+AB- Permanent Address (District+Municipal+Ward no)* Temporary Address (District+Municipal+Ward No)* Nepal Engineers' Association(NEA)No.:* UML Party's Organized Membership No./Issued Date: BE College Name/Faculty/Passed Year* ME College Name/Faculty/Passed Year PhD University/Domain/Award Year Current Work* Name of Organization* Area of Expertise (if any): Party/PEAN/Other Work Experience in Brief: Photo Upload* (Max. 300Kb, Only .jpg,.jpeg,.png) Nepal Engineering Council Certificate Upload* (Max. 300Kb, Only .jpg,.jpeg,.png) All applicants are requested to deposit NRP 300/- in the following account. And upload the voucher or Screenshot. Account Name: - Progressive Engineers' Association Nepal (PEAN) Account Number: - 0780152976400016 Bank Name :- Prabhu Bank, New Baneshwor Voucher Upload* (Max. 300Kb, Only .jpg,.jpeg,.png) Any suggestion? तपाईंको आवेदन प्रमाणित भएपछि तपाईंलाई जानकारी प्राप्त हुनेछ र तपाईंको सदस्यता कार्ड पठाईनेछ। -सदस्यता नवीकरण बार्सिकरुपमा गर्नुपर्ने छ। पिन सदस्यताका लागि यो फारम भर्नु भएकोमा तपाईलाई धन्यवाद!! -ई. प्रदीप नेपाल सचिव, तथा प्रमुख, सङ्गठन विभाग । Email:-peansangathan@gmail.com Contact :-9862831430