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Nepal Enginering Council
Consultancy Firm
Nepal Engineering Council No
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(*)
Registration Receipt No.
(*)
Designer Name
(*)
Citizenship No.
Citizenship Issue Place
Bhaktapur
Dhading
Kathmandu
Kavrepalanchok
Lalitpur
Nuwakot
Rasuwa
Sindhupalchok
Bardiya
Dailekh
Jajarkot
Surkhet
Baglung
Mustang
Myagdi
Parbat
Gorkha
Kaski
Lamjung
Manang
Syangja
Tanahu
Dhanusa
Dolakha
Mahottari
Ramechhap
Sarlahi
Sindhuli
Dolpa
Humla
Jumla
Kalikot
Mugu
Bhojpur
Dhankuta
Morang
Sankhuwasabha
Sunsari
Terhathum
Arghakhanchi
Gulmi
Kapilvastu
Nawalparasi
Palpa
Rupandehi
Baitadi
Dadeldhura
Darchula
Kanchanpur
Ilam
Jhapa
Panchthar
Taplejung
Bara
Chitwan
Makwanpur
Parsa
Rautahat
Dang
Pyuthan
Rolpa
Rukum
Salyan
Khotang
Okhaldhunga
Saptari
Siraha
Solukhumbu
Udayapur
Achham
Bajhang
Bajura
Doti
Kailali
Other
Banke
Nationality
Nepalese
Indian
American
British
Permanent Address
Bhaktapur
Dhading
Kathmandu
Kavrepalanchok
Lalitpur
Nuwakot
Rasuwa
Sindhupalchok
Bardiya
Dailekh
Jajarkot
Surkhet
Baglung
Mustang
Myagdi
Parbat
Gorkha
Kaski
Lamjung
Manang
Syangja
Tanahu
Dhanusa
Dolakha
Mahottari
Ramechhap
Sarlahi
Sindhuli
Dolpa
Humla
Jumla
Kalikot
Mugu
Bhojpur
Dhankuta
Morang
Sankhuwasabha
Sunsari
Terhathum
Arghakhanchi
Gulmi
Kapilvastu
Nawalparasi
Palpa
Rupandehi
Baitadi
Dadeldhura
Darchula
Kanchanpur
Ilam
Jhapa
Panchthar
Taplejung
Bara
Chitwan
Makwanpur
Parsa
Rautahat
Dang
Pyuthan
Rolpa
Rukum
Salyan
Khotang
Okhaldhunga
Saptari
Siraha
Solukhumbu
Udayapur
Achham
Bajhang
Bajura
Doti
Kailali
Other
Banke
1
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5
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7
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15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Temporary Address
Bhaktapur
Dhading
Kathmandu
Kavrepalanchok
Lalitpur
Nuwakot
Rasuwa
Sindhupalchok
Bardiya
Dailekh
Jajarkot
Surkhet
Baglung
Mustang
Myagdi
Parbat
Gorkha
Kaski
Lamjung
Manang
Syangja
Tanahu
Dhanusa
Dolakha
Mahottari
Ramechhap
Sarlahi
Sindhuli
Dolpa
Humla
Jumla
Kalikot
Mugu
Bhojpur
Dhankuta
Morang
Sankhuwasabha
Sunsari
Terhathum
Arghakhanchi
Gulmi
Kapilvastu
Nawalparasi
Palpa
Rupandehi
Baitadi
Dadeldhura
Darchula
Kanchanpur
Ilam
Jhapa
Panchthar
Taplejung
Bara
Chitwan
Makwanpur
Parsa
Rautahat
Dang
Pyuthan
Rolpa
Rukum
Salyan
Khotang
Okhaldhunga
Saptari
Siraha
Solukhumbu
Udayapur
Achham
Bajhang
Bajura
Doti
Kailali
Other
Banke
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Telephone No.
Mobile No
(*)
Email
(*)
PAN Number
Designer Type
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Engineer (A-Class)
Jr Engineer (B-Class)
Architect
Consultancy Firm Name
(*)
Profile Photo
(*)
Nepal Engineering Council Certificate
(*)
Company Registration Certificate
(*)
Transcript of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF file only.
* File must be less than 2MB.
Character of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF file only.
* File must be less than 2MB.
Transcript of Master's Degree in Civil/Architecture
* Please upload PDF file only.
* File must be less than 2MB.
Character of Master's Degree in Civil/Architecture
* Please upload PDF file only.
* File must be less than 2MB.
Citizenship Front Side
(*)
* Please upload PDF file only.
* File must be less than 2MB.
Citizenship Back Side
(*)
* Please upload PDF file only.
* File must be less than 2MB.
Scanned Signature
(*)
* Signature must match with the Naksa signature.
* File must be less than 2MB.
Education
Equivalent Level
Subject
Institute/Country
Year of Completion
DE/Certificate
BE/Equivalent
(*)
ME/Equivalent
Ph.D/Equivalent
I understand all and all submitted details and documents are true and if they are not true i will be liable for any legal consequences.