SOTEN

1. Society of Transport Engineers, Nepal (SOTEN)
A Professional Society for Knowledge Dissemination and Experience Sharing
Membership Application Form
SOTEN/Application form 1
Date: 2019/ / /
Please fill the form in block letters.
1. Name
First Name Middle Surname
2. Date of Birth
DD/MM/YY
3. Address
District Municipality Ward/Street
4. E-mail/Contact
E-Mail Telephone (Residence) Mobile phone
5. Professional affiliation
Designation Office name Working duration (years)
From: -
To:-
Years:-
From: -
To:-
Years:-
From: -
To:-
Years:-
PHOTO

2. Society of Transport Engineers, Nepal (SOTEN)
A Professional Society for Knowledge Dissemination and Experience Sharing
Membership Application Form
SOTEN/Application form 2
6. Academic Qualifications
University/Campus Degree/Specialization Year of completion
7. Nepal Engineering Council Registration
Registration No.
8. Membership Type (Mark the desired membership type)
GENERAL MEMBER LIFE MEMBER ASSOCIATE MEMBER
9. Certification
I, the undersigned, certify that information provided in this form is correct. I understand that any
misstatement described herein may lead to cancellation of my membership.
Signature: ……………………… Date: …………………..
____________________________ SOTEN Decision on Membership _________________________
Date: ……………………………..
Mr./Mrs. ……………………………………………… has registered as General/Life/Associate member of
SOTEN. His Registration No. is ………………………… Seal of SOTEN
Authorized Signature: