Annexe A

Demande d'autorisation

Toute demande d'autorisation pour le Pakistan doit être adressée à l'Ambasse du Pakistan, 18 rue Lord-Byron, 75008 Paris, en langue anglaise, suivant l'Application Form for Mountaineering Expedition dont le texte suit.

Application form for Mountaineering expeditions

  1. Country of expedition's origin :   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  2. Name of expedition :  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  3. Name of leader :  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  4. Nature of expedition (tick applicable) :
    [  ] Sports
    [  ] Sports-cum-scientific
    [  ] Exclusively scientific

  5. If sports ans sports-cum-svientific, tick applicable :
    [  ] Mountaineering
    [  ] Mountaineering-cum-scientific
    Note n° 1 : Explanatory, if any, may be added in the form of annesures

  6. If exclusively scientific, tick applicable :
    [  ] Geological
    [  ] Geographical
    [  ] Zoological
    [  ] Botanical
    [  ] Medical
    [  ] Any othe (specify) :  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  7. Particulars about arrival/departure :
    Approximate date of entry into Pakistan  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Name of points entry :  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Approximate date of arrival at Rawalpindi/Islamabad  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Approximate date of return to Rawalpindi from mountains  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  8. Total number :
    Members including leader  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Reserve  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Note n°2 : Attach particulars of each member, including leader and reserves in annexure B

  9. Transport/porters (required)
    Jeeps (number)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Trailer (number)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Animals (number)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Low altitude porters (number)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    High altitude porters (number)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  10. Particulars of peak(s) to be climbed :
    List at least four peaks in order of preference.
    For identification attach :
    Area map         -         route map (please identify important village/places)

    Preference n°1 :
    a) Name of peak
    b) height
    c) Latitude
    d) Longitude
    e) Distance from Pakistan border
    f) Route to be adopted (identify important villages/places)
    g) location of base camp
    h) is the peak virgin ? Yes / No
    i) if no, enclose a resume of all the parties that have conquerred it. Also identify the years and names of persons conquerring it.

    Note n°3 : Applicants asking for allotment of peaks in Karakorum Range may identify as an alternative choice one peak from Hindu Range

    Preference n°2 to 4 :
    List items (a) to (i) above in respect each peak.

  11. is it a foreign-cum-Pakistan expedition  [ Yes ] [ No ] 

  12. If yes, indicate the following :
    a) Total of Pakistan members including Deputy leader
    b) Reserve
    c) Total

  13. Is it a Pakistan-cum-foreign expedition ? [ Yes ]  [ No ]

  14. If yes, indicate the following :
    a) Total of foreign members including Deputy leader
    b) Reserve
    c) Total

    Note n°5 :
    Attach particulars of foreign members, including a Deputy leader and reserve, in proforma at Annexure B

    Note n°6 :
    Before out such colmns, as are not applicable. (colmns 11-14)

  15. a) Do you propose shooting a film ? [ Yes ]  [ No ]
    b) If yes, whether it is a commercial film or a film of academic interest ?
    Size of film :
    Approximate length of film :

  16. I hereby declare that the information given by me is true to the best of my knowledge. I further declare taht I shall abide by the current terms and conditions, laid now by the Government of Pakistan for climbing peak, wich I have read carefully.

Signature of leader : 

Name in block letter

Date 


Counter-signature
by Embassy of Pakistan,  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (place)