| Declaration Date | 2004-01-19 |
| Venue | Jungathapachaur, Jajarkot |
| Chairman | Khadga Bahadur BK |
| Vice-Chairman | Kali Bahadur Malla |
| Members | 1. Rishi Gautam, 2. Ram Bahadur Bohora, 3. Gyanu Basnet, 4. Bishnu Bahadur BK, 5. Tek Bahadur Rawal, 6. Rajendra Mahat, 7. Thir Bahadur Karki, 8. Naina Prasad Pahadi, 9. Prem Bahadur Roka, 10. Amar Bahadur BK, 11. Kamal Thapa, 12. Nawaraj Singh, 13. Tshiring Damdul Lama, 14. Sita Nepali, 15. Saraswati Pandey, 16. Nawaraj Dhami, 17. Sonam Gyalgen Lama, 18. Naresh Bhandari, 19. Ganesh Salami. |
Note: The Committee is 25-member and four posts remain vacant.