GORKHALI ASSOCIATION HONG KONG 2003

MEMBERSHIP APPLICATION FORM
(Applicable in Hong Kong Only)

Name:-------------------------------------------------------------------------

Date of Birth:-------------------------------------------------------------------

HK ID NO:--------------------------------------------------------------------


PASSPORT
SIZE
PHOTO

Address:-

Hong Kong

Nepal

 

Building/House Name:--------------------------------

Flat/Room:---------------------------------------------

Street/Road:-------------------------------------------

District:------------------------------------------------

Tele phone:-

Land line:----------------- Mobile---------------------

Email:--------------------------------------------------

 

 

VDC:------------------------------

Village:-----------------------------

Ward No:---------------------------

House No:--------------------------

Post Office:-------------------------

Telphone:---------------------------

 

Signature : --------------------------------------

 

 

Date : --------------------------------------

 

Note:- Please return the completed form along with the appropirate membership fee of HK$ 50.00, to any one of our executive members, whose names and phone numbers are listed below. Please click read box.

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