CPAN - Membership Form

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NCCS-CPAN CRICKET AWARDS: Honouring the Star Cricket Performers
NCCS-CPAN CRICKET AWARDS 2022 set for September 9
Sipradi Trading Supports Arrif Seikh & Sunil Dhamala
Fourth Annual General Meeting Report 2019
CPAN 2nd AGM

Membership Form

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General Information

Note : Field with * are mandatory.

First Name *

Last Name *

Email Address *

Date of Birth *

Nationality *

Last Education *

Mobile No *

Photo

Citizenship No

Citizenship Issued Date

Citizenship Issued Place

Father Name

Grand Father Name

Spouse Name

Professional Detail

Profession *

Organization

Playing Detail

Highest Level of Game Played *

Last Played Game *

Membership Type

Voucher No.

Notice: Membership Fee
New Member Joining Fee : NPR 500.00 (One Time)
Ordinary Member Fee : NPR 2,500.00 Per Year
Life Member Fee : NPR 25,000.00 (One Time)
Please deposit the amount in Century Commercial Bank Ltd. Putalisadak, Kathmandu and email the deposit slip to info@thecpan.com
Account Number: 010002529CA (Cricket Players' Association Nepal)

DECLERATION: I HEREBY DECLARE THAT ALL THE INFORMATION PROVIDED ABOVE ARE TRUE AND CORRECT AND IF FOUND FALSE,
I SHALL BE EXECUTED AS PER THE PREVAILING LAW OF NEPAL.