Institutional Membership

Quality Circle in Education for Students’ Personality Development

Institutional Membership Form

QUEST-Nepal

 

 

Name of Institute (In block letter): ­­­­­­­­­­­­­­­­­­­­­­­       ___________________      ______________________   __________________  

Authorized Person:_________________   ___________________   ___________________   _________________   _____

Address:_________________   ___________________   ___________________   _________________   __________

                ___________________         _____________________      ____________________      _________________     _________

                 _____________________    ____________  _____________          ________________________    _______________

Telephone: Landline-                (R)                                         (O)                                          Mobile-

e-mail:

Identification (Registration)No.: ____________________

Purpose:           _______________________________________

 

 

 

                                                          ____________________

                            

                                                                                                                                                        Authorized Signature  

                                      Date:

             

 

         Official Seal



For official use, only

Membership  to _________­­­­­­­­­­­­­____________________________________________________ is awarded with

Membership Number _____________.       

 

                                                                                                                                               

Recommended by:                                                                                                              Awarded by:

Signature:                                                                                                                           Signature:

Date:                                                                                                                                   Date: