THE EMBASSY OF NEPAL VISA APPLICATION FORM
Villa 2397, Road 2437, Area 324
Juffair, Manama, Kingdom of Bahrain
Tel: +973-17725583
FULL NAME ……………………………………………………………………………………………
NATIONALITY ……………………………………………………………………………
DATE OF BIRTH (DD-MM-YYYY) ………………………………………………….
PLACE OF BIRTH ……………………………………………………………………… Attach Photo
PASSPORT NUMBER ………………………………………………………………… 3.5cm X 4.5 cm
DATE OF ISSUE (DD-MM-YYYY)………………………………………………………..
DATE OF EXPIRY (DD-MM-YYYY)……………………………………………………………
OCCUPATION … ……………………………………………………………………….
TEL …… ……… …… …………… … ……E-mail …………………………………………………………….
PERMANENT ADDRESS: ADDRESS IN NEPAL (IF KNOWN)
PURPOSE OF VISIT TO NEPAL: PREVIOUS VISITS TO NEPAL (IF ANY):
ENTRY DATE (YYYY-MM-DD) DAYS
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15 Days 30 Days 90 Days PLANNED DURATION OF STAY: ☐☐☐ DAYS
TOURIST ☐ ☐ ☐
DIPLOMATIC N/A ☐ N/A
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OFFICIAL N/A ☐ N/A
Signature of Applicant
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TYPE OF VISA ENTRY VISA NO _
REASON FOR GRATIS (IF ANY) DATE OF VALIDITY
VISA ISSUED ON VISA STICKER NO
VISA ISSUING OFFICER