Schedule – 3
(Relating to Sub- rule (3) of Rule 10)
Application form for transit visa
To,
The Excellency Ambassador / Consul General / Consul /
The Director General/ Immigration Officer.
Whereas, I need the transit visa;
Now, therefore, I hereby request for the issuance of transit visa by collecting the
chargeable fees. My details are as follows:
1. Name and surname:
2. Nationality:
3. Place of birth:
4. Date of birth:
5. Permanent address:
6. Occupation:
7. Passport number:
8. Date of issue of passport:
9. Date of expiry of passport:
10. Reasons for making request for transit visa:
11. Name of country to visit via Nepal:
12. Address of Nepal in transition period:
13. Attached documents (if any):
(a)
(b)
14. Period of transit visa requested: Date from …… to …… (….days)
Date: Applicant’s signature:
For official use only
1. Period of transit visa:
2. Visa number:
3. Visa sticker number:
4. Non-gratis /gratis:
5. Reasons for gratis, if it is gratis:
6. Date of issue of visa:
Visa issuing authority:
Also specify the immigration code number, if it
is issued at the entry point.