Application for Trekking
Peak Climbing Permit
To
The General Secretary,
Nepal Mountaineering Association
Post Box No. 1435,
Kathmandu.
1. Name of the Peak .................................. Height.......................
.
2. Period for which permit is desired: ..............................................
.
3. Trekking Route : ........................................................................
.
4. Climbing Route : ........................................................................
.
5. Name, Nationality and address of the Leader of the team:
Full Name : ..........................................
.
Nationality: ..........................................
.
Passport No : .......................................
.
Home address: ....................................
.
Local Address in Kathmandu:
................................... .
6. Name, Nationality and
passport No. of other members in the team :
Name : .......................................................
Nationality ........................... P.P. No .................... .
Name : .......................................................
Nationality ........................... P.P. No .................... .
Name : .......................................................
Nationality ........................... P.P. No .................... .
Name : .......................................................
Nationality ........................... P.P. No .................... .
Name : .......................................................
Nationality ........................... P.P. No .................... .
7. Appointed Representative
in Kathmandu : ......................
8. Name and organization or address of Sirder/Guide to be employed.
Name : ...........................................................
. Book No :.................................. .
Address : ........................................................
.
Organization : .................................................
.
9. Fee : Climbing permit
fee of US$ ..................... is attached
Number of persons .................. .
Dear Sir,
I understand the rules
of Nepal Mountaineering Association and agree to comply with the rules.
Nepal Mountaineering Association will not be responsible for
any loss of life, accident or damage to the team members during the
course of the expedition. I have the necessary trekking permit issued
by the Immigration Department for this trip.
Date : ............................
Signature of Group leader,
....................................... |