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**all fields are mandatory
Trip Name
Departure Date
Full Name
Sex
Date Of Birth
Passport Number
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Date Of Issue
Place Of Issue
Expiry
Home Address
Phone Number
Occupation (optional)
Next to kin
Relationship
Tel Number

All participants must be protected by their own insurance that covers accidents, health, emergency evacuation and loss and damage to personal effects. If you do not have the necessary insurance, by signing this form, you agree to accept full responsibility to cover all medical expenses incurred, including transportation cost to a medical facility.

Insurance Company
Policy Number
   
Good health/physical conditions are required for all trips. If you have any medical conditions we should know about (example, diabetes, epilepsy, allergies and other condition), it is very important that you list them.
   
Medical Conditions
Dietary Requirements & any specific foods that you cannot eat or are allergic to?
Additional Arrangements or Extensions *if required

Type the value you read from the black box.
 

   
 
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Nepal Tourism Year 2011 Naturally Nepal
News & Updates

Manang to Lumbini - A new trail to enjoy the joys of trekking

The government is preparing to develop a trekking trail linking Lumbini in Tarai with the Himalayan district of Manang and focus on the upcoming Visit Lumbini Year-2012. The trail is being developed as a sub-trail of Great Himalayan Trail unveiled this year on the occasion of Nepal Tourism Year-2011.

Visit Lumbini Year - 2012 officially announced on 14th Jan. To lure hundreds of thousands of tourist and pilgrims this year has been declared as Visit lumbini Year where Lord Buddha was born some 2,555 years ago. Buddha was born in Lumbini as Prince Sidhartha. Followers believe he left his family and kingdom and meditated in the jungles of Nepal and India before achieving enlightenment.