Title / शीर्षक *
Mr.
Mrs.
Miss.
Minor
Applicant Photo / आवेदकको फोटो *
Gender / लिङ्ग *
Male
Female
Nationality / राष्ट्रीयता *
Nepali
Other
Citizen Issue District / नागरिकता जारी जिल्ला *
Birth Certificate Issue District / जन्मदर्ता प्रमाण पत्र जारी जिल्ला*
-- Select --
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Correspondence Address / पत्राचार गर्ने ठेगाना
Country / देश *
-- Select --
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States minor outlying islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
District / जिल्ला *
-- Select --
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Zone / अञ्चल *
-- Select --
Bagmati Bheri Dhawalagiri Gandaki Janakpur Karnali Koshi Lumbini Mahakali Mechi Narayani Rapti Sagarmatha Seti
Permanent Address (Write Address Same As Citizenship) / स्थाई ठेगाना (ठेगाना नागरिकता अनुसार लेख्नुहोस )
Same as Correspondence Address / पत्राचार ठेगाना जस्तै
District / जिल्ला *
-- Select --
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Zone / अञ्चल *
-- Select --
Bagmati Bheri Dhawalagiri Gandaki Janakpur Karnali Koshi Lumbini Mahakali Mechi Narayani Rapti Sagarmatha Seti
Details Of Family Members / परिवारका सदस्यहरूको विवरण
Daughter's Name / छोरीको नाम
Daughter In Law's Name / बुहारीको नाम
Details Of Occupation / पेशाको विवरण
Occupation Type / व्यवसायको प्रकार *
Agriculture Army( Low Rank) Bank Staff Chartered Accountants Conductor Corporate Sectors Staff Crane Operator Doctors Driver ( Heavy) Driver (Light) Electrician (Above 220v) Engineers Finance Staff Financial Instituion Staff Government Services Government Staff INGO Staff Insurane Staff Journalists Lawyers Lecturers None Others Paragliding PF Deductable Office Staff Pilot Police (Under Inspector) Private Office Professors Public Ltd. Company Staff Rafting Security Guard Security Guard (Weapon Carried) Self Employeed Semi Government Staff Student Teachers Teaching Trekking(Above14000 ft)
Politically Exposed Person Type / राजनीतिक दृष्टिमा व्यक्त गरिएको व्यक्तिको प्रकार
Head of states or of Govt.
Senior Politicians
Senior Govt /Judicial /Military Officers / Senior Executivs of State-owned Corporations
Important Political Party officials
Type Of Business / व्यापारको प्रकार
Manufacturing
Service Oriented
Others
Financial Details / Annual Income
Up to Rs.1,00,000
From Rs.1,00,001 to Rs.2,00,000
From Rs.2,00,001 to Rs.5,00,000
Above Rs.5,00,000
Student Details / विद्यार्थी विवरणहरू
Student ID Card / विद्यार्थी आईडी कार्ड *
Guardian Details / अभिभावक विवरण
Country / देश *
-- Select --
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States minor outlying islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
District / जिल्ला *
-- Select --
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Zone / अञ्चल *
-- Select --
Bagmati Bheri Dhawalagiri Gandaki Janakpur Karnali Koshi Lumbini Mahakali Mechi Narayani Rapti Sagarmatha Seti
Citizenship Issued District / नागरिकता जारी जिल्ला *
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Guardian Citizenship (Front) / नागरिकता (अगाडि) *
Guardian Citizenship (Back) / नागरिकता (पछाडि) *
Proof of Relationship With Applicant / आवेदकसँगको सम्बन्धको प्रमाण *
Thumb Print / थम्ब प्रिन्ट *
For Non Resident Nepalese / गैर आवासीय नेपालीहरूका लागि
Country
-- Select --
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States minor outlying islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
Bank Account Detail / बैंक खाता विवरण
Types Of Bank Account / बैंक खाताका प्रकारहरू*
-- Select --
Saving Account
Current Account
Name Of Bank / बैंकको नाम*
No Selected
Nepal Bank Ltd.
Rastriya Banijya Bank Ltd.
Agriculture Development Bank Ltd.
Global IME Capital Ltd.
Nabil Bank Ltd.
Nepal Investment Bank Ltd.
Standard Chartered Bank Nepal Ltd.
National Cooperative Bank Ltd.
Himalayan Bank Ltd.
Nepal SBI Bank Ltd.
Nepal Bangladesh Bank Ltd.
Everest Bank Ltd.
Bank of Kathmandu Lumbini Ltd.
Nepal Credit & Commerce Bank Ltd.
Lumbini Bank Ltd.
Nepal Industrial & Commercial Bank Ltd.
Machhapuchhre Bank Ltd.
Kumari Bank Ltd.
Laxmi Bank Ltd.
Siddhartha Bank Ltd.
Global IME Bank Ltd.
Citizens Bank International Ltd.
Prime Commercial Bank Ltd.
Sunrise Bank Ltd.
NIC Asia Bank Ltd.
Grand Bank Nepal Ltd.
NMB Bank Ltd.
Prabhu Bank Ltd.
Janata Bank Nepal Ltd.
Mega Bank Ltd.
Commerz and Trust Bank Nepal Ltd.
CIVIL Bank Ltd.
Century Commercial Bank Ltd.
NIDC Development Bank Ltd.
Siddhartha Development Bank Ltd.
Yeti Development Bank Ltd.
Axis Development Bank Ltd.
Supreme Development Bank Ltd.
Sanima Bank Ltd.
Bageshwori Development Bank Ltd.
Infrastructure Development Bank Ltd.
Society Development Bank Ltd.
Araniko Development Bank Ltd.
Deva Bikas Bank Ltd.
Clean Energy Development Bank Ltd.
Public Development Bank Ltd.
Ace Development Bank Ltd.
Lumbini Bikas Bank Ltd.
Professional Diyalo Bikas Bank Ltd.
Country Develpment Bank Ltd.
Kasthamandap Development Bank Ltd.
Alpine Development Bank Ltd.
Saptakoshi Development Bank Ltd.
Jyoti Bikash Bank Ltd.
International Development Bank Ltd.
Tourism Development Bank Ltd.
Sindhu Bikash Bank Ltd.
Social Development Bank Ltd.
Garima Bikas Bank Ltd.
OM Development Bank Ltd.
Kamana Sewa Bikas Bank Ltd.
Gandaki Bikas Bank Ltd.
Gandaki Bikas Bank Limited.
Paschimanchal Development Bank Ltd.
Muktinath Bikas Bank Ltd.
Shangri-la Development Bank Ltd.
Tinau Bikas Bank Ltd.
Metro Development Bank Ltd.
Excel Development Bank Ltd.
Sajha Bikas Bank Ltd.
Nepal Consumer Development Bank Ltd.
Sahayogi Vikas Bank Ltd.
Manaslu Bikas Bank Ltd.
Kankrebihar Bikash Bank Ltd.
Cosmos Development Bank Ltd.
Miteri Development Bank Ltd.
Ekata Bikas Bank Ltd.
Kabeli Bikas Bank Ltd.
Mahakali Bikas Bank Ltd.
Western Development Bank Ltd.
Hamro Bikas Bank Ltd.
Kankai Bikas Bank Ltd.
Best Finance Company Ltd.
Green Development Bank Ltd.
Nepal Infrastructure Bank Ltd.
City Express Finance Company Ltd.
Nepal Aawas Finance Co. Ltd.
Nepal Community Development Bank Ltd.
Hathway Finance Company Limited.
Janaki Finance Company Ltd.
Sahara Bikas Bank Limited.
Nepal Finance Ltd.
NIDC Capital Markets Ltd.
Narayani National Finance Ltd.
Kailash Bikas Bank Ltd.
Shine Resunga Development Bank Ltd.
Srijana Finance Ltd.
Gurkhas Finance Ltd.
Bhargav Bikash Bank Ltd.
Union Finance Ltd.
Bhrikutee Development Bank Ltd.
Pashchimanchal Finance Co. Ltd.
Business Universal Development Bank Ltd.
Goodwill Finance Ltd.
Raptiveri Bikash Bank Ltd.
Shree Investment & Finance Co. Ltd.
Lumbini Finance & Leasing Co. Ltd.
Yeti Finance Ltd.
International Leasing & Finance Co. Ltd.
Mahalaxmi Finance Ltd.
Lalitpur Finance Co. Ltd.
United Finance Ltd.
Sewa Bikas Bank Ltd.
Progressive Finance Co. Ltd.
Synergy Finance Ltd.
Nava Durga Finance Co. Ltd.
Pokhara Finance Ltd.
Central Finance Ltd.
Premier Finance Co. Ltd.
Corporate Development Bank Ltd.
Om Finance Ltd.
Triveni Bikas Bank Ltd.
World Merchant Banking & Finance Ltd.
Purnima Bikas Bank Ltd.
Innovative Development Bank Ltd.
Apex Development Bank Ltd.
Guheshwori Merchant Banking Finance Ltd.
Everest Finance Ltd.
Fewa Finance Ltd.
Prudential Finance Co. Ltd.
ICFC Finance Ltd.
Subhechha Bikas Bank Ltd.
Sagarmatha Finance Ltd.
Civil Merchant Bittiya Sanstha Ltd.
Siddhartha Finance Ltd.
Pathibhara Bikas Bank Ltd.
Nepal Express Finance Ltd.
Valley Finance Ltd.
Karnali Bikas Bank Ltd.
Reliable Development Bank Ltd.
Mahalaxmi Bikas Bank Ltd.
Biratlaxmi Bikas Bank Ltd.
Zenith Finance Ltd.
Unique Finance Ltd.
Manjushree Finance Ltd.
Mission Development Bank Ltd.
Subhalaxmi Finance Ltd.
Jebils Finance Ltd.
Reliance Finance Ltd.
Lotus Investment Finance Ltd.
Bhaktapur Finance Ltd.
Kaski Finance Ltd.
Kanchan Development Bank Ltd.
Nepal Rastra Bank.
Tinau Mission Development Bank Limited
Name Of Branch / शाखा को नाम*
No Selected
Type Of Saving Account / खाता बचत गर्ने प्रकार*
--- Slelect Saving Account Type ---
Prabhu Goodluck Saving
Prabhu Normal Savings
Prabhu Welcome Savings
Prabhu Khutruke Savings
Prabhu Salary Savings
Prabhu Smile Savings
Prabhu Special Savings
Prabhu Narnari Savings
Prabhu Online Trading Savings
Prabhu Paurakhi Bachat Khata
Prabhu Student Savings
Prabhu Ashirbad Bachat
Nominee Detail / ईच्छाईको विवरण
YES
No
Title *
Mr.
Mrs.
Miss.
Minor
Reference Document Type / कागजात प्रकार*
-- Select --
Citizenship
Passport
Birth Certificate
District / जिल्ला *
-- Select --
Achham Arghakhanchi Baglung Baitidi Bajhang Bajura Banke Bara Bardiya Bhaktapur Bhojpur Chitwan Dadeldhura Dailekh Dang Darchula Dhading Dhankuta Dhanusa Dolkha Dolpa Doti Gorkha Gulmi Humla Ilam Jajarkot Jhapa Jumla Kailali Kalikot Kanchanpur Kapilvastu Kaski Kathmandu Kavrepalanchowk Khotang Lalitpur Lamjung Mahottari Makwanpur Manang Morang Mugu Mustang Myagdi Nawalparasi Nuwakot Okhaldhunga Palpa Panchthar Parbat Parsa Pyuthan Ramechhap Rasuwa Rautahat Rolpa Rukum RUKUM PURBA Rupandehi Salyan Sankhuwasabha Saptari Sarlahi Sindhuli Sindhupalchok Siraha Solukhumbu Sunsari Surketh Syangja Tanahu Taplejung Terathum Udayapur
Zone / अञ्चल *
-- Select --
Bagmati Bheri Dhawalagiri Gandaki Janakpur Karnali Koshi Lumbini Mahakali Mechi Narayani Rapti Sagarmatha Seti
Nominee Thumb Prints / थम्ब प्रिन्ट*
Nominee Signature / हस्ताक्षर*
Birth Certificate or Citizenship (Front) / जन्म प्रमाणपत्र वा नागरिकता (अगाडि) *
Birth Certificate or Citizenship (Back) / जन्म प्रमाणपत्र वा नागरिकता (पछाडि) *
Other Document / अन्य कागजात
Citizenship Copy of Applicant (Front) / नागरिकता (अगाडि) *
Birth Certificate of Applicant (Front) / जन्मदर्ता प्रमाण (अगाडि)*
Citizenship Copy of Applicant (Back) / नागरिकता (पछाडि) *
Birth Certificate of Applicant (Back) / जन्मदर्ता प्रमाण (पछाडि) *
Location Map of Applicant Residence / आवेदकको घरको स्थानीय नक्शा *
Applicant Signature / आवेदक हस्ताक्षर *
Guardian Signature / अभिभावक हस्ताक्षर*
Applicant Thumb Print / आवेदकको ल्याप्चे *
Guardian Thumb Print / संरक्षक ल्याप्चे *
Applicant Photo With Citizenship or Birth Certificate *
Sample Image of Applicant Photo With Citizenship or Birth Certificate
Re-Verify Data
Citizenship Issue District / नागरिकता जारी जिल्ला *
Please make sure all Re-Verify feilds are correct as changing them will incur a penalty of Rs. 100 / BOID
Meroshare Registration is compulsary. Your Meroshare account will be automatically created.
Save