Application

Appendix 1

To,
Honorable Ambassador / Consulate General / The Director General / Immigration Officer

I would like to travel Nepal. Please kindly issue me Diplomatic/Official/Tourist visa for entry. My biodata and other details are follow:

1. Name : Mr/Mrs/Miss ______________________________________

2. Nationality :_______________

3. Place of Birth _____________________    4. Date of birth :________________________

5 Parmanent Address :_______________________________________________________

6. Temporary Address in Nepal :_______________________________________________

7. Occupation :_____________________________

8. Passport No. :____________________________

9. Passport Issue date:___/___/______

10. Passport Expire date:___/___/_____

11. Purpose of visit in Nepal ( Official / Trekking / Expedition / Business /Pilgrimage/ Holiday/ Pleasure/ Conference /Rafting/ Others.)

12. Intended length of stay :__________________ day/week/month

13. Next port of call :_________________________

14. Means of support in Nepal (State amount in foreign currency) :________________________

15. Particulars of previous visit in , if any :____________________________

• How many time :______________

• Year and month of last visit :________________

• Stay period of last visit :__________________

16. Passport No. and Country (if you are holding more than one passport of any other country)

Date : ___________________

_________________
Signature of Applicant

_____________________________________________________________________________

1. Types of visa granted :_______________   Flight No.:__________

2. Reasons for gratis (if granted) :________________ Arrival Date :_____________

3. Entry visa No. :____________________

4. Date of visa validity :____________________

5. Visa issued on :______________________

6. Visa sticker No. : _______________________

7. Visa issued at :________________

_______________
Visa issuing officer
Code No.  
(If issued at the entry point)