Реферат: Application form for Nepali Passport/ Travel Document

Embassy of Nepal Photo

2nd Neopalimovsky Per. 14/7 Moscow, Russia.

Application form for Nepali Passport/ Travel Document


I, the undersigned: apply for Passport/Travel Document with my following particulars. I will fully comply with the Passport Act. 2024 and Passport Regulations 2050.


1. Applicant's full name (in English Block Letters) Mr./Mrs./Miss………………………………………………………………

(in Nepali) Mr./Mrs./Miss………………………………………………………………………………………………………


2. Permanent address in Nepal: Block no. ……..Ward no. …VDC/Municipality…………District………………

3. Temporary address (Your address in Foreign Countries) Street:……………………Appart.no:……….City…………......State:………..Zip code: ………. Tel/Email:………


4. Date of birth………………(BS)……………….(AD)'s 5. Place of Birth:……………………Country:……………


6. Father's name:……………………………………Nationality:………………Address: Block no…… Ward no Tole/Gaon………………Municipality/VDC…………..District………………………


7. Nationality:………………. 8 Applicant's Profession…………….9 Married/Unmarried…..10. Male/Female………


11. Guardian's name:………………………………….Relations……………………………………


12. Color of eyes:…………Color of hair……………Complexion:……………Height………Special Particulars……


13. If you are a Nepalese government employee: Please specify position:……………………………………………


14. Emergency contact address of your next of kin in Nepal: Name: Mr./Mrs./Miss…………………………Relation………………Ward no…… ………..Tole/Gaun:…………

Municipality/VDC………………………….District………………………………Tel.no…………………………....


15. Your Citizenship no:……………………Date of issue:………………………...District:……………………


16. Your Current Passport no:…………………Date & Place of issue:……………………………………………


17. Please give the following details of the minor and disabled child traveling with you:

Full name: Date of birth Relation:

……………………………………………………………………………………………………………………………


I solemnly declared that the information provided above is correct:


Signature of the applicant……………………………….Date………………………………………………


For official purpose only

No. of Passport/Travel Document issued……………………Type…………………. Date of issue……


Valid until………………….Passport/Travel permit fee US$..................................Gratis:……………