ཕྱི་མི་ནང་སྐྱོད་ལས་ཁུངས།
ནང་སྲིད་ལྷན་ཁག།
DEPARTMENT OF IMMIGRATION
MINISTRY OF HOME AFFAIRS
ROYAL GOVERNMENT OF BHUTAN
I hereby affirm that all information furnished by me is complete and correct. I understand that I will be liable for prosecution by a court of law and/or any penalties 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.