Member Registration Form || श्री संकल्प बहुउद्देश्यीय सहकारी संस्था लिमिटेड.

Shree Sankalpa Multipurpose Cooperative Society Ltd. Bardghat-4, Nawalparasi

Online Member Application Form

Shree Sankalpa Multipurpose Cooperative Members Form

Personal Details

Full Name

Birth Date* [as per Citizenship Card ID]

Permanent Address*

Province

District

Municipality

Ward No.

Area

House No.

Phone No.

Mobile No.

Email

Temporary Address*

Copy Permanent Address

Province

District

Municipality

Ward No.

Area

House No.

Phone No.

Mobile No.

Email

Citizenship Card [Front and Back]

Upload Front Id

Upload Back Id

Sex

Male Female Other

Profession

Total estimated annual income

Relation

Family details of the applicant

Fillup any of them below:

Relation

Grandfather Father in Law Father Mother Husband Wife

Nominee

Nominee details of the applicant

Fillup any of them below:

Nominee

Full Name

Address

Contact No

Email

Citizen Number

Citizen Issued Date

Upload Front Citizenship

Upload Back Citizenship

सहकारी प्यान नम्बर: ६०७३६५१९१

दर्ता नम्बर: ३२५/०६५/०६६

सहकारी प्यान नम्बर: ६०७३६५१९१

दर्ता नम्बर: ३२५/०६५/०६६

Personal Details

Family details of the applicant

Nominee details of the applicant

Quick लिङ्क

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