Department of Immigration
Ministry of Home Affairs
I hereby affirm that all particulars furnished by me are complete and correct.
I understand that providing incomplete, false or misleading information will result in rejection of my
application/cancellation of my permit/deportation, as may be applicable.Furthermore,
I also understand that I will be liable for prosecution by a court of law and/or any penalties/fines
under the Immigration Act of the Kingdom of Bhutan and any 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.