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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: ____________________ |