Nepali Society Of Northern Tasmania

You are applying for a new General Membership

Title

Your First Name*

Your last Name*

DOB (optional)

Gender

Address*

Address (Nepal)*

Email Address*

Contact No*

Marital Status

Spouse Name

Emergency Contact

Emergency Contact (Nepal)

Residency Status

Student

Temporary

Permanent

Citizen

Rather not to say

Remarks/Comments (If any)

I hereby agree to abide Nepali Society of Northern Tasmania (NSNT)’s terms and conditions of memberships and promise to uphold the spirit of community as a responsible member. I have deposited required membership fees for this purpose.

A membership Fee of $10 is now payable to society’s cheque account as

Account Name : Nepali Society of Northern Tasmania
BSB : 067-601
Account Number : 1046 1205
Please write “Membership Fee” in description. A bank deposit screenshot must be provided for payment verification.

Upload Your Receipt *

Your membership application is subject to verification process. After a successful registration, we will provide you a digital membership card with a valid date of your membership. The membership is subject to renewal in every 1 years. We encourage you to provide as much information as possible in this form. The information provided will help us to plan, program by the targeting the particular groups.