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5 x 4. 5 cm Diplomatic Visa Official Visa Courtesy Visa Non-Immigrant Visa Tourist Visa Transit Visa Gratis Visa VISA APPLICATION FORM Ministry of Foreign Affairs of Thailand Number of Entries Requested Mr. Please Indicated Type of Visa Requested Please attach Photographs taken within the last 6 months front view 3. Master Miss First Name Former Name if any Middle Name in BLOCK letters as appeared in the passport Last Name Countries for which travel document is valid Nationality Birth Place Marital Status Purposed address in Thailand Date of Birth Type of Travel Document No* Name and Address of Local Guarantor Issued at Date of Issue Expiry Date Occupation specify present position and name of employer Tel*/Fax. Current Address Tel* E-mail Permanent Address if differnt from above Signature Date Attention for Tourist and Transit Visa Applicants Names dates and places of birth of minor children if accompanying I hereby declare that the purpose of my visit to thailand is for pleasure or transit only and that in no case shall I engage myself in any profession or occupation while in the country. FOR OFFICIAL USE Application/Reference No* Date of Arrival in and Departure from Thailand Visa No* Type of Visa Traveling by Flight No* or Vessel s name Category of Visa Duration of Proposed Stay Date of Previous Visit to Thailand Purpose of Visit Business Tourist Single Transit Diplomatic/Official Other please specify Double Multiple Documents Submitted REMARK Applicant are required to pay a visa fee which is non refundable regardless of whether the visa is approved or rejected* Authorized Signature and Seal Fee Entries. Master Miss First Name Former Name if any Middle Name in BLOCK letters as appeared in the passport Last Name Countries for which travel document is valid Nationality Birth Place Marital Status Purposed address in Thailand Date of Birth Type of Travel Document No* Name and Address of Local Guarantor Issued at Date of Issue Expiry Date Occupation specify present position and name of employer Tel*/Fax. Current Address Tel* E-mail Permanent Address if differnt from above Signature Date Attention for Tourist and Transit Visa Applicants Names dates and places of birth of minor children if accompanying I hereby declare that the purpose of my visit to thailand is for pleasure or transit only and that in no case shall I engage myself in any profession or occupation while in the country. Current Address Tel* E-mail Permanent Address if differnt from above Signature Date Attention for Tourist and Transit Visa Applicants Names dates and places of birth of minor children if accompanying I hereby declare that the purpose of my visit to thailand is for pleasure or transit only and that in no case shall I engage myself in any profession or occupation while in the country. FOR OFFICIAL USE Application/Reference No* Date of Arrival in and Departure from Thailand Visa No* Type of Visa Traveling by Flight No* or Vessel s name Category of Visa Duration of Proposed Stay Date of Previous Visit to Thailand Purpose of Visit Business Tourist Single Transit Diplomatic/Official Other please specify Double Multiple Documents Submitted REMARK Applicant are required to pay a visa fee which is non refundable regardless of whether the visa is approved or rejected* Authorized Signature and Seal Fee Entries.

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