ICS

Immigration Card Application Form

Applicant Form

Details of Foreign Spouse
Name:*

Date of Birth:*

Sex:*

Nationality:*

Passport/ID Document No.:*

Date of Issue:*

Occupation/Profession:

Permanent Address:*

Details of Bhutanese Spouse
CID:*

Name:*

Date of Birth:*

Sex:*

Dzongkhag:*

Gewog:*

Village:*

House No.

Thram No.:

Marriage Certificate No.:*

Date of Issue:*

Head of Household/Family Details
CID:*

Name:*

Present Add./Contact:

Number of Children:*

Documents

Family tree of Bhutanese Spouse(Issued By DCRC):*

Passport/Identification of Non-Bhutanese Spouse:*

Marriage Certificate:*

CID of of Bhutanese Spouse:*

Other Documents:

Declaration

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.

* I Agree.

Field marked * are Mandatory.

ཕྱི་མྱི་ནང་སྐྱོད་ལས་ཁུངས།

ནང་སྱིད་དང་ སྐྱོལ་འཛིན་ལྷན་ཁག།

Immigration Card Application Form