Regd. No. 464/2066/67
SWC Affiliation #28619
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Association of Nepal-New Zealand Alumni
(ANNZA.Nepal) ,Chabahil
P.O. Box: 10245, Kathmandu-7, NEPAL
Tel: (977 1) 2073639, 9808456488
Email: annza.nepal@gmail.com
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Membership Application
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Membership type (Please√)
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a) New Member
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b) Renewed Member
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c) Life Member
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Name (Mr/Ms/Dr): ...............................................................................................................
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Address: .....................................................................................................................................
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PO Box..............................
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Tel/Cell # : ...........................
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Email: ......................................
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Date of birth (dd/mm/yy):.................................... Nationality: ...............................................
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Profession:...........................
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Education: .........................
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Designation:........................
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Organisation: ...........................................................................................................................
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For Official Use only:
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Membership No.
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Issued date:
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Period:
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