|
Schedule
–1
(Relating to sub rule (1)
of Rule 3)
Application
to be submitted for mountaineering expedition
To,
The Ministry of Culture, Tourism and Civil Aviation
I hereby submit an application
for permit including following details with a desire to climb the ………..
Mountain, having height of .. ………. situated in the kingdom of Nepal, from
20………… to ………,-
1.
Name of the mountaineering expedition team:
2.
Name, number and passport
number of the mountaineering expedition team:
3.
Leader of the mountaineering expedition team:
4.
Mother- tongue of the team members of the mountaineering expedition
team:
5.
Name of the country of the member of the mountaineering expedition
team:
6.
Sponsor of the mountaineering expedition:
7.
Purpose of the mountaineering expedition:
8.
Name and height of the mountain to be climbed:
9.
Caravan route for the mountaineering expedition:
10.
Route of mountaineering expedition:
11.
Time and duration of the mountaineering expedition:
12.
Tentative number of headman, mountain Guide, high altitude worker,
base camp worker and local worker:
13.
Number of worker and other people going beyond the base camp:
14.
Estimated expenditure and financial source of such mountaineering
expedition:
15.
Approximate weight of the equipment to be used and their number:
16. Medium of contact in Kathmandu:
17. Name and address of the Trekking Agency making necessary
arrangement for the mountaineering expedition:
18. Means of transport for the mountaineering expedition equipment,-
(a)
Outside the Kingdom of Nepal:
(b)
Within the Kingdom of Nepal:
19.
Nature of means of communication to be used and their number:
18
Other Necessary details:
| |
Applicant's
Signature:-
Name:-
Address:-
Mailing Address:-
Office:- (Phone no., Fax, E-mail)
Residence (Phone no., Fax E mail)
Address for correspondence:
Date: |
Ministry
of Culture, Tourism and Civil Aviation
Tourism Industry Division
Bhrikutimandap, Kathmandu
Nepal
Bio-Data
of Team Leader / Member
| S.No.
|
|
| Expedition
Team Name |
|
| Capacity
in Team |
|
| Family
Name |
|
| Given
Name |
|
| Date
of Birth |
|
| Age
|
|
| Birth
Place |
|
| Passport
No. |
|
| Nationality
|
|
| Occupation
|
|
| Home
Address |
|
| Present
Address |
|
| Telephone
No |
Country
Code City
Code
Area Code |
| E-mail
Address |
|
| Fax
No. |
|
| Place
|
|
| City
|
|
| Country
|
|
| Previous
Visit in Nepal |
If
yes How many times |
| Duration
of previous Visit in Nepal |
|
| Mountaineering
Background |
|
_____________________
Date: |
Signature |
|
