2008 November

Redg. No.

Date:

Embassy of Nepal

81, Rue de la Servette, 1202,

Geneva, Switzerland

Telephone: 0227332600 Fax: 0227332722

Email:

Application Form for the Travel Document

Photo

Particulars of the Applicant:-

1-Name of the applicant in block letters:-………………………………………

2-Permanent address of the applicant in Nepal, a) District:-….…………………………

b) V.D.C./Municipality……………………..c)Ward No:-……….d) Phone No.:-………..

e) Fax No:-………………………………….f) Email:-……………………………………..

3-Place of birth:-……………………………………………………………………

4-Date of birth:-a) in B.S:-………………………b) in A.D.:-…………………………….

5-Sex:-……………………6) Profession:-……………………………………………

7- a)Old passport No:-………………………..b) Date of issue of old passport:-………….

c) Place of issue of old passport ……………………………………..

8) Present address of the applicant:- ………………………………………………….

Marital Status:-

9- Marital status:-Unmarried  Married  Divorced  Widow (please tick as appropriate)

10- If married name of the spouse:-………………………………………………………..

11- Nationality of the spouse……………………………………………………………….

Particulars of the Applicant's Father and Mother:-

12- Father's name:-…………………….13- Mother's Name:-…………………..

14- Address:-……………………………………………

15-Nationality:-………………………..

Next of Kin of the Applicant:-

16- Name and address of the next of kin of the applicant in case of emergency:

17- Name:-…………………………………18- Relationship:-…………………………..

19- Address:-…………………………………………..20- Telephone No:-………………

If Accompanied by Children

21-NameAgeRelationshipDate of birth

a)

b)

c)

I declare that the information provided above is true and correct to the best of my knowledge. I understand that any false or fraudulent information will lead to ineligibility to obtain passport.

Date:-…………………………..Signature of the applicant:-……………………………….

Required Documents

  1. Old Passport,
  2. Citizenship Certificate,
  3. Three passport size photographs (photographs should be taken front in face with two ears clearly visible.)
  4. Copy of resident permit of the country of residence
  5. Original Birth certificate and two auto size photographs of the child for photograph endorsement in parent's passport, if applicable.

Fees and Methods of Payment

  1. Fees: Swiss Frank 130.00 for a new passport and Travel Document, andSwiss Frank 25.00 per child for endorsement of a child in parent's passport. Please also read the application and delivery options below.
  2. Fee may be paid in cash at the Embassy or may be paid at the following account of the Embassy:

Post Finance Swiss Post

Postal Account No:-17-316926-8

IBAN: - CH61 0900 0000 1731 6926 8

BIC: - POFICHBEXXX

Embassy of Nepal

81, rue de la Servette

1202, Geneva, Switzerland

  1. Please enclose the original receipt of the payment with your application.

Application and Delivery Options

  1. Application may be forwarded by post.

For applicants living in Switzerland

  1. Applicant can collect passport and original documents in person form the Embassy. If the applicant wishes to receive passport by post, a postage paid self- addressed registered return envelope should be provided with theapplication.
  2. The Embassy is not liable for any damage or loses of the passport or documents in the post and non-delivery of it due to inaccurate/incomplete address or insufficient postage paid.

For applicants living in Italyand Croatia

  1. Applicant can collect passport and original documents in person form the Embassy.
  2. If the applicant wishes to receive passport by post, please pay additional postage charge of CHF 12.00 (Swiss Frank Twelve) and enclose a self- addressed return envelope with the application.Thus, an applicant living in Italy andCroatia has to pay by bank transfer to the account of the Embassy an amount of CHF 142.00 (CHF 130.00 as passport fee +CHF 12.00 as postage charge). The Embassy uses regular registered post and this does not include the charge for express post.
  3. The Embassy is not liable for any damage or loses of the passport or documents in the post and non-delivery of it due to inaccurate/incomplete address or insufficient postage paid.

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