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Nepal Engineering Council No
(*)
Municipality Registration No.
Registration Receipt No.
(*)
Designer Name
(*)
Date Of Birth
(*)
Place Of Birth
Citizenship Number
(*)
Citizenship Issue Date
(*)
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
Nepali
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
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
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
Contact (landline no)
Mobile No
(*)
Email
(*)
PAN Number
Designer Type
(*)
-- Select --
Engineer (A-Class)
Jr Engineer (B-Class)
Architect
Sub-Engineer
Profile Photo
(*)
Nepal Engineering Council Certificate
(*)
* Please upload PDF/Image file only.
Transcript of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF/Image file only.
Character of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF/Image file only.
Citizenship
(*)
* Please upload PDF/Image file only.
Scanned Signature
(*)
* Signature must match with the Naksa signature.
Education
Equivalent Level
Subject
Institute/Country
Year of Completion
DE/Certificate
BE/Equivalent
(*)
ME/Equivalent
Ph.D/Equivalent
Experience in Engineering Field
S.No.
Project
Employer
Nature of work
Duration (Yrs.)
1
2
3
4
5
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.
Nepal Engineering Council No
(*)
Municipality Registration No.
Registration Receipt No.
(*)
Designer Name
(*)
Date Of Birth
(*)
Place Of Birth
Citizenship Number
(*)
Citizenship Issue Date
(*)
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
Nepali
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
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
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
Contact (landline no)
Mobile No
(*)
Email
(*)
PAN Number
Designer Type
(*)
-- Select --
Engineer (A-Class)
Jr Engineer (B-Class)
Architect
Sub-Engineer
Profile Photo
(*)
Nepal Engineering Council Certificate
(*)
* Please upload PDF/Image file only.
Transcript of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF/Image file only.
Character of Bachelor Degree in Civil/Architecture
(*)
* Please upload PDF/Image file only.
Citizenship
(*)
* Please upload PDF/Image file only.
Scanned Signature
(*)
* Signature must match with the Naksa signature.
Education
Equivalent Level
Subject
Institute/Country
Year of Completion
DE/Certificate
BE/Equivalent
(*)
ME/Equivalent
Ph.D/Equivalent
Experience in Engineering Field
S.No.
Project
Employer
Nature of work
Duration (Yrs.)
1
2
3
4
5
Propriotor Details And Documents
ProprieterName
ProprieterAddress
ProprieterEmail
ProprieterMobileNo
Profile Photo
(*)
Stamp
(*)
कार्यालय मालिकको नागरिक्ता Front
(*)
कार्यालय मालिकको नागरिक्ता Back
(*)
न.पा.मा व्यवसाय दर्ता गरेको प्रमाणपत्र
(*)
PAN नं दर्ता गरेको प्रमाणपत्र
(*)
कर चुक्ता कागजात
(*)
इन्जिनियर र कन्सलटेन्सी बिचको सम्जौता पत्र
(*)
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.
Nepal Engineering Council No
Municipality Registration No.
Registration Receipt No.
Designer Name
(*)
Date Of Birth
(*)
Place Of Birth
Citizenship Number
(*)
Citizenship Issue Date
(*)
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
Nepali
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
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
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
Contact (landline no)
Mobile No
(*)
Email
(*)
PAN Number
Designer Type
-- Select --
Engineer (A-Class)
Jr Engineer (B-Class)
Architect
Sub-Engineer
Profile Photo
(*)
Nepal Engineering Council Certificate
Transcript of Bachelor Degree in Civil/Architecture
Character of Bachelor Degree in Civil/Architecture
Citizenship
(*)
* Please upload PDF/Image file only.
Scanned Signature
(*)
* Signature must match with the Naksa signature.
Education
Equivalent Level
Subject
Institute/Country
Year of Completion
DE/Certificate
BE/Equivalent
ME/Equivalent
Ph.D/Equivalent
Experience in Engineering Field
S.No.
Project
Employer
Nature of work
Duration (Yrs.)
1
2
3
4
5
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.