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Visa Application Form For Kingdom of Bhutan: (Surname) (Day) (Month) (Year)
Visa Application Form For Kingdom of Bhutan: (Surname) (Day) (Month) (Year)
2.
Male
(Month)
Female
(Year)
3.
Sex :
Marital Status:
Married
Single
4.
Nationality : ____________________________________________
5.
Attach passport
size Photograph
(3.5 x 4.5 cm)
(DD MMYYYY)
6.
Nature of Passport:
Diplomatic
Official
Ordinary
UN Laissez Passer
7.
8.
Occupation/Profession: ________________________________________________________________
9.
(DDMMYYYY)
10.
11.
12.
Yes
No
____________________________________________________________________________________
____________________________________________________________________________________
I hereby declare that the statement given above is true and correct. I fully understand not to indulge in any
activity which, are inconsistent with the purpose for which I have stated above. I understand that the period of
stay to be granted is decided by the Bhutanese Immigration Authorities upon my arrival.
Date : __________________
Place: _________________
:____________________________
Visa Number
:____________________________
Date of Issue
: ___________________________