Appendix - 1

|Related to rule 4 (3), 5 (2) & 6 (5)|

Application Form For Diplomatic /	Photo

Official / Tourist Visa

(For Entry)

To.

The Immigration Officer

Immigration Office T.I.A.

I would like to travel Nepal, Please kindly Issue me Diplomatic / Official / Tourist

visa for entry. My biodata and other details are follows.

1st	2nd	3rd

1.	Name: _________	____________	______________

2.	Nationality: Republic of Korea

3.	Place of birth : _________________	.            4. Date of birth __________________________

5.	Permanent Address :   _______________________________________________________________________

6.	Temporary Address in Nepal : ________________________________________________

7.	Occupation :  ________________________________________

8.	Particulars of Passport :-

(a)        Passport No. : _______________________________

(b)       Date of issue :   _____________________________________

(c)       Date of Expiry : ____________________________________

9.	Object of Journey Official  / Trekking / Expedition / Business / Pilgrimage /

Holiday / Pleasure / Conference / Rafting / Others.

10.	Intended length of stay : ______________________day / week / month

11.	Next port of call  ____________________________________

12.	Means of support in Nepal (State amount in foreign currency):

13.	Particulars of previous visit, If any:

(a)        How many time: _________________________

(b)       Year and month of last visit : ______________________

(c)        Stay period of last visit : __________________________

14.	Passport No. and country (if you are holding more than one passport of any other

country)   ________________________________________

____________________

Signature of Applicant

FOR OFFICIAL USE ONLY :-

1.	Types of visa granted: __________  Flight No _______ _

2.	Reasons for gratis (if granted): __________

Arrival Date ______________________

3.         Entry visa No. : _________________________

4.	Date of visa validity : _________________________

5.         Visa issued on : ________________

6.         Visa sticker No. :_________________

Visa issung officer

7.         Visa issued at :________________

Code No ________________

(If issued at the entry Point)