Schedule 5
(Relating to Rule I5)
Format of application to be made by person intending to go for foreign
employment
To,
The Director,
…………………………..
Sir,
As I intend to go for foreign employment, I have submitted this
application, accompanied by the following details, in accordance with the
Fore ign Employment Act, 2064(2007) and the Fore ign Employment
Regulation, 2064(2008).
(l) Name of employer institution:
(2) Country where the applicant intends to go:
(3) Classification of post in which the applicant intends to work: Highly
skilled/skilled/semi-skille d/ unskilled
(4) Name of post in which the applicant intends to work:
(5) Name of newspaper in which the public notice has been published, and
date thereof:
(6) Name of institution from which orientation training has been taken:
(7) Minimum monthly remuneration to be received by worker as set forth in
the public notice :
(8) Personal details of worker:
(a) Name, surname of worker:
(b) Name, surname of father/mother:
(c) Address:
(a) Permanent
District:

VDC/Munic ipa lity:
Ward No.:
Telephone :
Email:
(b) Temporary:
District:
VDC/Munic ipa lity:
Ward No.:
Telephone :
Email:
(d) Date of birth:
(e) Re ligion:
(f) Citizenship/ passport number:
(g) Height: Feet Inch Weight: K G
(h) If married, name and age of husband or wife :
(i) Number of children:
(j) Language which the applicant can speak and write:
(l)
(2)
(3)
(k) Any other special knowledge or skill;
(9) Details of educational qua lification:
Degree received Name and address of educationa l institute
(a)
(b)
(c)
(d)
(10) Details relating to training:

Subject of training Name and address of institution providing
training taken
(a)
(b)
(c)
(d)
(11) Experience:
(12) Name, address and contact number of nearest person to contact in the
event of accident:
(13) Nominee’s:
(a) Name and surname:
(b) Address:
(c) Relationship:
The above matters are true and correct, if they are proved false, I shall bear
and pay according to law.
Applicant’s:
Signature:
Name
Date: