Membership Registration
Become an official member of Laxminiya Yuwa Club.
Required Documents (Max 2MB per image)
Profile Photo
*
Citizenship (Front)
*
Citizenship (Back)
*
Personal Details
Full Name
*
Mobile Number
*
Email Address
*
Gender
*
Select Gender
Male
Female
Other
Age (in years)
*
Address Details
District
*
Palika / Municipality
*
Select Palika
Biratnagar Metropolitan City
Belbari Municipality
Letang Municipality
Pathari Shanishchare Municipality
Rangeli Municipality
Ratuwamai Municipality
Sunawarshi Municipality
Sundar Haraicha Municipality
Urlabari Municipality
Budhiganga Rural Municipality
Dhanpalthan Rural Municipality
Gramthan Rural Municipality
Jahada Rural Municipality
Kanepokhari Rural Municipality
Katahari Rural Municipality
Kerabari Rural Municipality
Miklajung Rural Municipality
Ward No
*
Tole Name
*
Remarks / Motivation
Submit Membership Form