| Declaration Date | 2004-02-02 |
| Venue | Bhojpur |
| Chief | Gopal Khambu |
| Deputy Chief | Tanka Ambuhang |
| Chief Secretary | Sriprasad Jagebu |
| Speaker | Bhkata Raj Kandangwa |
| Members | 1. Bashu Shakya, 2. Rajesh Sharma, 3. Mabuhang Khambu, 4. Sakuhang Khambu, 5. Gopal Giri, 6. Khadga Yogi, 7. Kiran Khambu, 8. Bhodan Kandangwa, 9. Lokendra Khambu, 11. Samita Karki, 12. Jasoda Kandangwa (Martyr), 13. Pusing Kiranti, 14. Rengliwak Limbu, 15. Shikhar Kiranti, 16. Bishnu Prasad Dahal, 17. Kabilal Rijal, 18. Lal Bahadur Tamang, 19. Man Kumari Rai, 20. Pasang Sherpa, 21. Sumaraj Sunuwar. |