Schedule – 5
(Related to Sub-rule (1) of Rule 24)
Government of Nepal
……………………. National Park
Slip to obtain (take) Wood, Firewood (Timber)
1. S. N. :–
2. The area allowed to take, wood, firewood within the park :–
3. Type and quantity of wood, firewood :–
4. Details of the Seal Mark (Tancha) if required to be marked:–
5. Valid period for the slip :–
6. Fees required to take (obtain) the wood, firewood (Timber):–
7. Slip receiving person’s :
Name, Surname :– …………………………
Signature :– ………………………………….
Citizenship :– ……………………………….
Address :
Permanent :– ………………………..
Temporary :– ……………………….
Date: ……………………………………………..
Slip issuing officer’s,–
Name :– ………………………………….
Signature : – ……………………………
Designation :– …………………………
Date :– ……………………………………
Office Seal :– ………………………….