Member Join Form - Performer Society of Nepal

Step 1: Basic Identity & Login Info

First Name *

Middle Name

Last Name *

Stage Name / Band / Group Name *

Date of Birth (MM/DD) *

Country of Residence

Sex *

Male

Female

Others

Blood Group

Email ID *

Contact Email ID *

Contact Number *

Manager Contact Number

Website

Upload Profile Photo * (jpg,jpeg,png only)

Upload PP Size Photo * (jpg,jpeg,png only)

Upload Signature *(jpg,jpeg,png only)

User Name *

Password *

Confirm Password *

Cancel

Step 2: Personal & Family Info

Father/Mother’s Name *

Husband/Wife Name

Grandfather’s Name *

Permanent Address *

Temporary Address

Nationality

Country of Birth

Step 3: Professional & Identity Info

Featured or Non-featured Performer Role *

Role Code / Performer Role

Instrument

Artist Count

Citizenship (Upload jpg,jpeg,png only)

Place of Issue (Citizenship)

National ID (Upload jpg,jpeg,png only)

Place of Issue (National ID)

Passport (Upload jpg,jpeg,png only)

Place of Issue (Passport)

Issue Date (Passport)

Expiry Date (Passport)

PAN/VAT Number

Bank Name

Bank Account Number

Other Occupation

Category of Work

Step 4: Nominee Details

Name *

Relation *

DOB (DD/MM/YY) *

Sex *

Male

Female

Others

Citizenship (Upload jpg,jpeg,png only)

National ID # (Upload jpg,jpeg,png only)

Passport # (Upload jpg,jpeg,png only)

Permanent Address *

Temporary Address

Contact Number *

Email ID

Bank Name

Bank Account Number

Photo (Upload jpg,jpeg,png only) *

Signature (Upload jpg,jpeg,png only) *