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MINISTRY OF
FOREIGN AFFAIRS VISA APPLICATION
FORM NOTE: If any particulars furnished are found to be incorrect or if information is found to have been withheld, the visa if granted is liable to be cancelled any time.
Full Name: Mr./Ms./Mrs
:
Permanent Address
:
Place of Birth
:
Date of Birth:
Nationality
:
Nature of Passport
:
Diplomatic/Official/Ordinary/UN Laissez Passer
Passport Number
:
Date of Issue
:
Place of Issue
:
Date of Expiry :
Occupation/Profession
:
Period for which Visa is required
: From:
To:
Point of entry/exit into Bhutan:
Entry Point
:
Purpose for visiting Bhutan
:
Is this your first visit to Bhutan ?
:
YES / NO
If NO, give details of earlier visit
Place
:
Date
:
Signature of applicant
(Attach passport size photograph)
................................................................
(Please delete whichever is not applicable) For official use only:
Type of visa :
________________________
Visa number : ____________________________
Date of issue :
________________________
Visa clearance number: ____________________ |