Contested by 12 to 16 clubs, it operates on a system of promotion and relegation with the Martyr's Memorial B-Division League.

A new Nepal National League was created in 2011 to give a chance to compete at A level tournaments to the clubs outside Kathmandu valley.

[citation needed] Since the start of the league, 17 clubs have won the title in 45 tournaments.

[3] Martyr's Memorial A-Division clubs participated in the AFC President's Cup from its foundation in 2005 till its dissolution in 2014.

Since 2015, the winners of the Martyr's Memorial A-Division League qualify for the AFC Cup.