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Application Form for

Diplomatic/Official/Tourist Visa

Photo

To,
The Excellency Ambassador/Consul/Consul General/Director General/
Immigration Officer.
As I have to visit or would like to visit Nepal, I request for issuance of the diplomatic /
official / tourist / entry visa My details are as follows:
1. Name, surname:
2. Nationality: .
3. Place of birth:
4. Date of birth:
5. Permanent address: ..
6. Temporary address in Nepal: ..
7. Occupation: .
8. Passport No.: ..
9. Date of issue of passport:
10. Date of expiry of passport: .
11. Purpose of visit in Nepal:
12. Length of stay in Nepal: . day/ week/ month
13. Country to be departed to: ..
14. Source of expenditure to be incurred in staying in Nepal (state amount in foreign
currency) :
15. Times of previous visit in Nepal:
16. Year and month of last visit and period of stay in Nepal: ..
17. Passport No. and country (if you are holding a passport of any other country issued in
your
name):
Date: - Signature of the applicant
For official use only

1. Type of visa: ..
2. Reasons for gratis, if any:
3. Entry visa No.: .
4. Date of visa validity: ..
5. Visa issued on: .
6. Visa sticker No.: ..

.................................
Visa issuing officer
Mention code No, too
If issued at the entry poi

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