APPLICATION FORM FOR WORK PERMIT
(PLEASE TYPE or WRITE IN CAPITAL LETTERS IN BLUE OR BLACK INK)
I. Details of the applicant
1. Name as in passport/voter card
Recent passport
2. Date of birth (dd/mm/yy) 3. Nationality 4. Sex: Male Female
size photo
5. Marital status: Married Single 6. Father’s name
7. Occupation 8. Qualification
II. Identity Document Details
9. Passport/Voter Card No. 10. Place of issue 11. Date of issue (dd/mm/yy) 12. Valid till (dd/mm/yy)
13. Visa/Entry Permit No. 14. Date of Issue (dd/mm/yy) 15. Valid till (dd/mm/yy)
III. Permanent Address 19. Contact no.
16. City/District 17. State 18. Pin code no.
IV. Employment Details
20. Name of the employer/agency 21. Approved application ID no.
22. Job category 23. Work location/site 24. Dzongkhag
Declaration:
I hereby solemnly affirm and declare that all documents submitted by me for processing Work Permit are genuine
and truthful in all aspects. I understand that providing incomplete, false or misleading information will result in
rejection/cancellation of Work Permit. Furthermore, I also understand that I will be liable for prosecution by a court
of law and/or any fines/penalties under the Immigration Act of the Kingdom of Bhutan and other laws, rules and
regulations as may be applicable, for submission of false, fabricated or misleading information or for indulging in
any other activities other than the stated.
Place:
Date:
Signature of the Employer Signature of the applicant
For official use only
Approved/Rejected __________________________________________________________________________
Signature of approving officer:___________________________________________________________________