Visa Application Form - Embassy Of Nepal, Dhaka

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Embassy of Nepal

Photo

Dhaka, Bangladesh

VISA APPLICATION FORM

Embassy of Nepal

Baridhara, Dhaka, Bangladesh.

I request you to issue diplomatic /official /tourist visa for me as I am interested to visit Nepal.

My details are as under :

1. Name (in Block) : Mr./Mrs./Miss :

............................................................................................................................................

(First)

(Middle)

(Surname)

2. Father’s / Husband’s Name :

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3. Nationality :

4. Place of Birth :

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.......................................................................

5. Date of Birth :

6. Occupation :

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7. Permanent Address :

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Tel No. :

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8. Present Address :

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Tel No. :

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9. Passport No. :

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10. Date of Issue :

11. Date of Expiry :

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12. Address in Nepal :

Tel No. :

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13. Purpose of Visit to Nepal : (a) Tourism

(b) Official

(c) Others :

14. Probable date of arrival in Nepal :

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15. Duration of stay in Nepal : (a)

day. (b)

Week. (c)

Month

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....................

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16. Expenses in Nepal to be borne by : (a) Self

(b) Sponsor by

(c) Other :

..............................

..................................

17. Date & duration of stay during the previous visit to Nepal (if any) :

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18. Name and the date of birth of member(s) of the family if endorsed in the same Passport :

Name

Date of Birth

a.

…………………………………………….

…………………………………………………….

b.

…………………………………………….

…………………………………………………….

Date :

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Signature of the Applicant

N.B. : Please visit Embassy website " for details.

FOR OFFICIAL USE ONLY

1. Visa type :

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2. Visa sticker number :

…………………………………………….

3. Validity of Visa :

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4. Date of Issue :

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5. Visa fee : Tk.

…………………….................……………………….

…………………………………..

Date :

Signature of the Officer