Schedule -5
(Related to Rule 24)
Government of Nepal
Ministry of Forest and Soil Conservation
…………………….. Office
Hunting License
1. License No. …………………………..
2. Type of the License ……………………………….
3. The person obtaining the License (Licensee) :
(a) Name, surname : …………………….
(b) Address : Permanent : …………………………..
Temporary : ………………………….
(c) Citizenship : ………………………………………..

5. The Validity period of the License …………………….. up to …………………..
6. The Hunting Region …………………. Block ……………………………….
7. Type of the weapon (arms and ammunition), Bore and Company
…………………………. License (Ijajatpatra) No:- …………………
Photograph
of the person
obtaining the
License
8. Type and number vehicles to be used during the hunting……………….
Vehicle (Registration) number ……………………
9. Name and number of accompanying persons: ……………………
(a)
(b)
10. Fee Received for the License ……………………………….
11. Fee Received for the wildlife (for complimentary hunting license) ……….
Signature of the person
receiving the license (Licensee)
……………….
Date : …………………………….
Signature of the officer issuing the license
…………………………
Name : …………………………………
Designation : ………………………..
Date : …………………………………..

Note : The licensee shall play the hunting under the Act and National Park and
Wildlife Conservation Rules, 2030.