Schedule-10
(Relating to Rule 32)
Application form for trekking permit
To,
The Director General,
Department of Immigration.
Whereas, I intend to trek in the following area of Nepal;
Now, therefore, I hereby make this application, setting out the following details. I
hereby covenant that if the permit is granted to me to trek in the area mentioned herein, I
shall trek, subject to the laws in force and the Immigration Regulation, 2051 (1994).
1. Particulars of tourist:
Name and surname: Nationality:
Date of birth: Permanent address:
Occupation: Temporary address:
Passport number: Date of issue of passport:
Place of issue of entry visa: Date of expiry of visa:
2. Object of trekking:
3. Area of trekking:
4. Route of trekking:
5. Period of trekking: (Date) From ….. … … to … … … …… . …days.
6. Place to begin trekking:
7. Place to end trekking:
8. Estimated expenditure for trekking: (Mention in convertible foreign
currency)
Date: Applicant’s signature:
Note: If the route map to the above-mentioned place is required, it has to be
submitted along herewith