Embassy of Nepal Photo 2nd Neopalimovsky Per. 14/7 Moscow, Russia. Application form for Nepali Passport/ Travel DocumentI, the undersigned: apply for Passport/Travel Document with my following particulars. I will fully comply with the Passport Act. 2024 and Passport Regulations 2050.1. Applicant's full name (in English Block Letters) Mr./Mrs./Miss………………………………………………………………(in Nepali) Mr./Mrs./Miss………………………………………………………………………………………………………2. Permanent address in Nepal: Block no. ……..Ward no. …VDC/Municipality…………District………………3. Temporary address (Your address in Foreign Countries) Street:……………………Appart.no:……….City…………......State:………..Zip code: ………. Tel/Email:………4. Date of birth………………(BS)……………….(AD)'s 5. Place of Birth:……………………Country:……………6. Father's name:……………………………………Nationality:………………Address: Block no…… Ward no Tole/Gaon………………Municipality/VDC…………..District………………………7. Nationality:………………. 8 Applicant's Profession…………….9 Married/Unmarried…..10. Male/Female………11. Guardian's name:………………………………….Relations……………………………………12. Color of eyes:…………Color of hair……………Complexion:……………Height………Special Particulars……13. If you are a Nepalese government employee: Please specify position:……………………………………………14. Emergency contact address of your next of kin in Nepal: Name: Mr./Mrs./Miss…………………………Relation………………Ward no…… ………..Tole/Gaun:…………Municipality/VDC………………………….District………………………………Tel.no…………………………....15. Your Citizenship no:……………………Date of issue:………………………...District:……………………16. Your Current Passport no:…………………Date & Place of issue:……………………………………………17. Please give the following details of the minor and disabled child traveling with you: Full name: Date of birth Relation: ……………………………………………………………………………………………………………………………I solemnly declared that the information provided above is correct:Signature of the applicant……………………………….Date………………………………………………For official purpose onlyNo. of Passport/Travel Document issued……………………Type…………………. Date of issue……Valid until………………….Passport/Travel permit fee US$..................................Gratis:……………