MINISTRY OF FOREIGN AFFAIRS
PROTOCOL DIVISION
THIMPHU
VISA APPLICATION FORM
(Please fill in block capital letters)

(Note: If any particulars furnished below are found to be incorrect or if any information is found to have been withheld the visa, if granted, is liable to be cancelled at any time).

1. Full name: Mr./Ms./Mrs.____________________________________

2. Permanent Address_________________________________________

3. Place of birth_________________ Date of birth _______________

4. Nationality________________________________________________

5. Nature of Passport: Diplomatic/Official/Ordinary/UN Laissez-Passer.

6. Passport Number ______________ Date of issue______________ Expiry Date ______________

7. Occupation/Profession ____________________________________

8. Period for which visa is required: From ___________ to __________

9. Point of entry/exit into Bhutan: Entry Point _____________________

Exit Point____________________________________

10. Purpose for visiting Bhutan__________________________________

11. Is this your first visit to Bhutan? YES/NO if not, give details of earlier visit _________
Place: ____________________________________

Date: ____________________________________

(Please delete which ever is not applicable)

SIGNATURE OF APPLICANT

For official use only:
Type of visa: ____________________________________
Visa number: ____________________________________
(Attach passport photo)
Date of issue: ____________________________________
Visa clearance number: ____________________________

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Fill up the form and send as an attachment to us, so that we can go ahead with the process of your visa….

Email: - tourdeBhutan@druknet.bt
or
fax us at Fax # 00975-2-332092