The Immigration Officer Date : ...
Immigration Office, TIA (dd/mm/yy)
I would like to travel to Nepal, please kindly issue me Diplomatic/ Official/ Tourist visa for entry. My details are as follows:-
1. Name:
2. Nationality : 3. Place of birth :
4. Date of birth :
5. Permanent Address : ... 6. Temporary Address in Nepal : ... 7. Occupation : ... 8. Particulars of Passport :
(a) Passport No : ... (b) Date of Issue: ... (c) Date of Expiry : ...
9. Objective of the journey Official/ Trekking/ Expedition/ Business/ Pilgrimage/ Holiday Pleasure/ Conference/ Rafting/ Others ...
10. Intended length of stay : ... day/ week/ month. Arrival Date : ... ... ... Flight No : ...
11. Means of support in Nepal (State amount in foreign Currency) : ... 12. Particulars of Previous visits (if any) :
(a) Numbers of Visits : ... (b) Date of Visit : ... (c) Duration of last visit : ... 13. If you are holding more than one passport please mention :
(i) Country : ... (ii) Passport No : ...
1. Types of visa granted : ... 2. Reason for gratis : ... 3. Visa Sticker No : ... 4. Validity : ... 5. Date of issue : ...
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FOR OFFICIAL USE ONLY
Appendix 1
[Related to rule 4 (3), 5 (2) & 6 (5)]
Application For Diplomatic/
Official/Tourist Visa
Code No : ... Date : ... (dd/mm/yy)
Visa Issuing Officer ...
For Further Assistance -
Nepal Tourism Board at +977-1-4442555, Tourist Police at +977-1-4247041
Wishing You Happy Stay In Nepal
DD MM YY
DD
SURNAME FORE NAME MIDDLE NAME
MM YY
www.welcomenepal.com
Photograph
Signature ...
(Tear here)