Schedule – 4
(Relating to Sub- rule (4) of Rule 11)
Application form for residential visa
To,
The Excellency Ambassador/Consul General/Consul/
Director General.
Whereas, I am desirous of spending life in Nepal;
Now, therefore, I hereby request for the issuance of residential visa to me. My details are
as follows:
1. Name and surname:
2. Nationality:
3. Place of birth:
4. Permanent address:
5. Address in Nepal:
6. Occupation:
7. (a) Passport number: (b) Date of issue:
8. Date of expiry of previous visa (if already entered into Nepal):
9. (a) Total period of previous stay in Nepal:
(b) Area involved in while staying in Nepal:
10. Grounds for requesting for residential visa:
(a) If reputation has been earned, area thereof:
(b) To which field do you intend to render contribution in Nepal:
(c) Whether investment of more than one million US dollars has been made at
a time:
Others:
(i)
(ii)
(iii)
11. Number of family members:
12. Other matters, if any, required to be set out:
13. Documents attached:
(a)
(b)
(c)
Date: Applicant’s signature: