Membership Application

Welcome to the Nepalese Engagement and Professionals' Association Inc. Complete all steps below to submit your application.

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Step 1 of 7 Applicant Details

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Applicant Details

Fields marked * are required

Please enter your full name.

Date of birth is required.

Please select your gender.

Click to upload photo

JPG, PNG · max 5 MB

Profile photo is required.

2

Contact Information

How we reach you

Valid email address is required.

Mobile number is required.

Residential address is required.

Required.

Required.

4-digit postcode required.

Address in Nepal (optional)

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Background Information

Tell us a little about yourself

I am: *

Please select your background.

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Membership Type *

Choose the tier that suits you

Bank Transfer Details

Transfer your fee first, then upload your receipt below.

Account Name

Nepalese Engagement and Professionals' Association Inc.

BSB

085005

Account No.

5770372273

Bank

NAB — National Australia Bank

Payment QR Code

Click to upload receipt / screenshot

JPG, PNG, PDF · max 10 MB

Please upload your payment proof.

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Areas of Interest

Select all that apply — optional but helpful

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Skills & Emergency Contact

All fields optional

Emergency Contact

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Declaration & Consent

Please read carefully before submitting

I apply for membership of NEPA Inc. and confirm that:

  • The information provided in this form is accurate and complete.
  • I support the objectives and values of the organisation.
  • I agree to comply with the Constitution and policies of NEPA Inc.
  • I consent to my information being collected, stored, and used for legitimate organisational purposes in accordance with Australian privacy laws.

You must agree to the declaration to submit.

Please print your name.