Membership

Jana Samparka Membership Application

Complete the form below to apply for Jana Samparka membership of Nepali Congress Australia. This membership is administered entirely in Australia. Your application is reviewed by the membership committee, and you will be contacted by email.

1Your details
2Identity verification
3Declaration
4Review and submit

This form is for Jana Samparka membership only — for people of Nepali origin who hold Australian citizenship. If you are a Nepali citizen applying for Kriyashil membership, apply through the Nepali Congress website instead.

Application type

NewYou are joining for the first time.RenewalYou already hold a membership that is due for renewal.

Full name (required)

Full name in Nepali (optional)

Optional. The Devanagari spelling is not always a transliteration of the English one.

Father's name (required)

Profession (optional)

For example: Registered Nurse, Student, Accountant.

Date of birth (required)

Gender (optional)

Email address (required)

Mobile number (required)

Australian mobile or landline, e.g. 0400 000 000.

Street address (required)

Suburb (required)

State / Territory (required)

Postcode (required)

Profile photograph (optional)

A clear head-and-shoulders photograph. JPG, PNG or WebP, up to 8 MB.

Step 1 of 4