महाधिबेशन प्रतिनिधि दर्ता 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 Image Upload (Max. 300Kb, Only .jpg,.jpeg,.png) All are requested to deposit NRP 1500/-(pratinidhi Fee) in the following account. And Upload the voucher. Progressive Engineers' Association Nepal(PEAN) 0780152976400016 Prabhu bank, New Baneshower Phone Pay Direct:9841752191 Voucher Upload (Max. 300Kb, Only .jpg,.jpeg,.png)
