Application Form
Photo
Diplomatic/Official/Tourist Visa
The Embassy of Nepal
Esplanaden 46, 2 Sal. 1263
Copenhagen, Denmark
I would like to inform that I am visiting Nepal in the near future. Therefore, I wish to request the
Embassy to kindly issue appropriate diplomatic/official/tourist visa to visit Nepal. My personal
details are as follows:
1. Familiy Name: _ _________ _
2. Given name:_____________________
3. Nationality: ___________________________
4. Place of birth:_________________________
5. Date of birth:_________________________
6. Address:_____________________________
7. Contact Details:
i. Email:________________________
ii. Tel. (Land line):________________
iii. Tel. (Mobile):__________________
8. Temporary address in Nepal:________________
9. Occupation:______________________________
10. Passport: i) No:______________ii) Date of issue:________iii) Date of Expiry:__________
11. Purpose of visit to Nepal: __________________
12. Expected date of arrival into Nepal: ___________________
13. Intended length of stay: ___________________ Days
14. Last visit to Nepal: i. Year:__________________Month______
ii. Length of Stay:_____________Day
15. Passport No. and name of the country (if you are holding a passport of a country other than the
one mentioned in item 10 above) :__________________
______________________
Signature of the applicant
Date:
For official use only
_________________________________________________________________
1. Category of visa:
2. Date of issue:
3. Visa sticker no.:
4. Reasons for gratis, if any
Visa issuing
officer