NEPAL ENGINEERS’ ASSOCIATION

DESIGN COMPETITION FOR RURAL HOUSING, 2015

REGISTRATION FORM

Registration Number: NEA, DCRH -072/….

For Individual,

NAME SURNAME FIRST NAME

Contact Address
Email Address
Contact Number

Designation: Architect Engineer I Institution

Designation: Final year student Architecture Civil

For Institution and Firm/Consultancy

Firm's Name

Firm's Address

Contact Number
Email Address

For Students,

Student’s Name
Student's Address
And College
Contact Number
Email Address

For Professional / Firm Consultancy

Nepal Engineering Council Number
Nepal Engineer’s Association Number

Signature: ……………………………………………………… Date: …………………………………………..

Official Use:
Name - Coordinator Sign -

Date of Registration - Verify by participant -