Schedule-11  (Relating to Rule 33)
The Government of Nepal
Ministry of Home Affairs
Department of Immigration
Trekking permit
Pursuant to Rule 33 of the Immigration Regulation, 2051 (1994), this permit is hereby
issued to the following tourist(s) to trek in the following area (except the restricted places
in that area) from……….to ………… (date).
1. Name and surname:
2. Nationality:
3. Permanent address:
4. Temporary address in Nepal:
5. Passport number:
6. Validity of Nepalese visa (mention the date):
7. Area permitted for trekking:
8. Route specified for trekking:
9. Place to begin trekking:
10. Place to end trekking:
11. Name of a trekking agency, if trekking is made through the agency:
12. Trekking permit number:
Date: Immigration Officer:
Code number
Note:
(1) Trekking in any area or along any route except the specified area or route shall be deemed to be a violation of law.
(2) The trekking permit has to be kept along with the trekker while trekking.
(3) The trekking permit has to be shown to the immigration employees or  police if they so require.