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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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