Diplomatic, Official, Tourist Visa Application Form

To,Embassy of NepalTokyo, JapanTel: 03-3713-6241/42 Fax: 03-3719-0737

As I have to visit or would like to visit Nepal, I request for issuance of the

Diplomatic Official Tourist Entry visa. My details are as Follows:

1. Name in Full Mr./Mrs./Miss      (Block Letter)

2. Nationality :      

3. Place of Birth :      

4. Date of Birth :      

5. Permanent Address :      

6. Address in Nepal :      

7. Profession :      

8. Passport No :       Diplomatic Special or Official Ordinary

9. Date of Issue :      

10. Validity of Passport :      

11. Objectives of the visit :           

* Do you visit Lumbini, Nepal; the birth place of Lord Buddha this time? Yes No

12. Period of stay in Nepal :      

Multiple entries visa : 15 days 30 days 90 days

13. Next port of call :      

14. Means of support in Nepal :      

15. Numbers of Previous visit to Nepal :      

16. Last visit to Nepal ( Year, Month and period of stay) :      

17. If you hold a passport any country others then your own, please state the names of the country and the passport number:      

Date      Signature of Applicant

For Official Use Only1. Type of Visa :2. If gratis, reason :3. Entry visa no :4. Validity of visa :5. Date of issue :6. Visa sticker no : Visa Issuing Authority

Phone Number:      

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