MINISTRY OF FOREIGN  AFFAIRS  
PROTOCOL DIVISION  
THIMPHU VISA APPLICATION FORM 

1. Full name : Mr./Ms
2. Permanent address:
3. Place of birth:
4. Date of birth:
5. Nationality:
6. Nature of Passport: Diplomatic/ official/ Ordinary/ UN Laissez-Passer
7. Passport number:
8. Date of issue:
9. Place of issue:
10. Date of expire:
11. Occupation/Profession:
12. Period for which visa is required:
From:
To:
13. Point of entry / exit into Bhutan :
Entry Point: ___________________________
Exit Point: ___________________________
14. Purpose for visiting Bhutan:
15. Is this your first visit to Bhutan ? Yes/ No. If not give details of earlier
Visit:
Place:
Date:

____________________________(Please delete whichever : is not applicable )

Signature of applicant
For official use only :
Type of visa__________________________________
Visa number_________________________________
Date of issue_________________________________
(Attach passport size Photograph )
Visa clearance number_________________________