Schedule – 8
(Relating to Rule 27)
Application form for extending validity period of visa
To,
The Director General,
Department of Immigration.
The Chief of Protocol,
Ministry of Foreign Affairs.
I hereby request that the validity period of my visa be extended gratis or by collecting the
chargeable visa fees. 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. (a) Passport number: (b) Date of issue: (c) Date of expiry:
(d) If you hold a passport of any other country, passport number and name of
the country:
Photograph

9. ( a) Place of issue of entry visa : (b) Date:
10. (a) Date of expiry of last visa: (b) Visa sticker number:
11. Total period of stay in Nepal this year:
12. Category of visa requested:
13. Duration of visa requested: Date : ……………From ………..To …….. Days
14. Please specify if single entry, double entry or multiple entry visa is requested:
15. Reasons for extending the validity of visa:
16. Amount set aside for stay in Nepal (in foreign currency):
17. Date of departure from Nepal:
18. Point of departure:
19. Next port of call:
20. Whether return air/bus ticket is confirmed or not:
21. Attached documents:
(a)
(b)
(c)
Date: Applicant’s signature