Diplomatic, Official, Tourist Visa Application Form To, Embassy of Nepal Tokyo, Japan Tel: 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 Only 1. 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: Paste Photo Here 4.5 X 3.5 cm