Welcome - Nepal Mounatineering Association

Date:

Name of expedition:

Note:If you have scaled Everest more than once please attach details as per above format

Please send a copy of Everest Climbing Certificate along with this Registration Form. (.jpg, .jpeg, .png only)* (size < 2 MB)*

Passport size photograph - 1 (.jpg, .jpeg, .png only)* (size < 2 MB)*

Auto size photograph - 1 (.jpg, .jpeg, .png only)* (size < 2 MB)*

Foreigner *

Nepalese Citizen *

Date of arrival at Kathmandu:

Flight No. :

Flight Time :

Date of departure:

Flight No. :

Flight Time :

Are you being accompanied by anyone? If so give details.

P.O. Box. 1435, Nagpokhari, Naxal, Kathmandu, Nepal / Tel.: 977-1-4534525/4535442

Nepal Mountaineering Association Mt. Everest Platinum Jubilee Celebration Summiteers' Summit