Leo Club of Chautari Pokhara

Membership Application

Leo Club of Chautari Pokhara — LDC 325 J, Nepal. Your answers are sent only to the club committee.

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Let's start with some basic information about you.

Email * — your email address will be included with your membership application, so our team can contact you about next steps.

Full Name *

Your Email *

Membership ID

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Date of Birth (AD) *

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Current Address *

Permanent Address *

Phone Number *

+977

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A few additional details for your membership profile.

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Blood Group *

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