To The General Secretary, Nepal Mountaineering Association, PO Box 1435, Kathmandu, Nepal.

Dear Sir,
In accordance with the terms of my climbing permit No ............. Dated ........... I submit the following report:
Peak climbed: .............................................
On: .........................
Duration of Climbing Period: ..................................
Result ..............................
(If not successful, why?) .......................................
Accident or any unusual occurance: ..............................
Brief report on the service of the Sirdar / Guide:
....................................................................................
Suggestion: ...................................................................
....................................................................................
....................................................................................
Description of the trek route or trail (100 words)
....................................................................................
....................................................................................
....................................................................................
....................................................................................
Name and Address:

Trekking Agency:

Contact Tel .............. Email .................... Fax ...............

Yours sincerely,

....................................................