Membership Form

Member Contact Information

Full Name

Email Address

Phone

Address 1

Address 2

Town / City

Postal Code

Address in Nepal

User Image

Membership Type

Declaration

1. Photographs of KSUK members may be used in various KSUK communications incl. the newsletter and website. Group photographs taken at KSUK events may be used without identifying individual members. For individual photographs, please indicate your permission for use
Yes No

2. Have you been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974?
Yes No

Criminal Offence Details

Captha

Notice Board

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BKM Trust

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Member Contact Information

Membership Type

Membership Information

Declaration

Notice Board