You seem to tired with all this bull shit in Nepal.The sticker is a must.You will not be allowed to board the plane.I was also thinking the same,but after consulting with my friend in a airline company,I knew I have to have the sticker no matter what. A helper at the office was after me and was asking me Rs. 3000 for the whole process,but i did it myself.The actual fee for US/Europe is Rs. 1500.Do not do insurance from RBS,beacuase you are not going to use it anyway.I had insurance from RBS for 1 year for a fee of Rs 250.I had a doctor friend who gave me a free medical report and that worked.It was a report on the hospital's letterhead stating that he/she has checked you thoroughly and found that you are in a perfect physical health.Doctor has to have a registered physician.However,They did not accept my insurance from RBS,beacuase they want insurance for 2 years.I had to get another insurance from a broker just outside the office for only around rs. 85.They will just prepare your insurance paper within 2 minutes.I just wasted Rs 250 for doing it from RBS.You can do the whole thing on ur own within Rs. 1600 if you can get a free medical report.Otherwise you add that cost too.I even had an argument with hakim there ,telling him that we have our full insurance from our company in the US. He understands the problem,but can not do anything,beacuase it's the rule.Took about 2 hours for the entire process. ---------------------- When you enter the immigration section,there is small counter where they check your sticker.I deliberatley skipped that section and went straight to immigration.The guy at the immigration checked my passport and sent me back to that that section again to have my sticker checked.Thank god I had the sticker.Even though, it does not make sense,but i got do do it. i hope this helps Khuitte