MINISTRY OF FOREIGN AFFAIRS
PROTOCOL DIVISION
ROYAL GOVERNMENT OF BHUTAN
THIMPHU
APPLICATION FOR A VISA TO VISIT BHUTAN


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


1.  Full name in Capitals: __________________________

2.  Permanent address: ______________________________

3.  Place and date of birth: ________________________

4.  Nationality: ____________________________________

5.  Passport number: _____________________ 
	Date of issue:______________________

6.  Occupation: _____________________________________

7.  Period for which visa is required: ______________

8.  Reason for visiting Bhutan:   ___________________

9.  Location of visitin Bhutan:   ___________________