Embassy of Nepal Registration

Form of Registration for people of Nepali Origin living in Canada
(For Embassy reference only)

Name First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
Personal Information
Citizenship
Father's Name First Last
Mother's Name First Last
Address in Nepal
District
VDC/Municipality
Ward No.
Post Office No.
Phone - (###) - ### ####
Qualifications and Employment (Information you do not wish to provide may be omitted)
Academic Qualifications
Employer Name
Employer Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Family Information (Information you do not wish to provide may be omitted)
Number of Family Members
Name of Spouse First Last
Dependent Names & Relationship
2 + 2 =