Schedule- 1
(Relating to Sub- rule (3) of Rule 4, Sub- rule (2) of Rule 5 and Sub- rule (5) of Rule 6)
Application form for diplomatic visa, official visa and tourist visa
To,
The Excellency Ambassador/Consul/Consul General
Director General/Immigration Officer.
Whereas, I need to visit or would like to visit Nepal;
Now, therefore, I request for the issuance of the diplomatic visa/ official visa/ tourist
entry visa. My details are as follows:
1. Name and surname:
2. Nationality:
3. Place of birth:
4. Date of birth:
5. Permanent address:
6. Temporary address in Nepal:
7. Occupation:
8. Passport number:
9. Date of issue of passport:
Photograph
10. Validity period of passport:
11. Purpose of visit to Nepal:
12. Period of stay in Nepal: …. Day……Week ………Month
13. Country to be departed to:
14. Source of expenditure to be incurred during stay in Nepal (state amount in foreign
currency:
15. Number of previous visits to Nepal:
16. Year and month of the last visit to and period of stay in Nepal:
17. If you are holding a passport of another country issued in your name, passport
number and country:
Date: Applicant’s signature:
For official use only
1. Category of visa:
2. Reasons for gratis, if any:
3. Entry visa number:
4. Date of expiry of visa:
5. Date of issue of visa:
6. Visa sticker number:
Visa issuing authority:
Also mention the immigration code number, if
it is issued at the entry point.