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ON FOR VISA or 5cm x 5cm Royal Thai Consulate General Toronto Number of Entries Requested 17 Isabella St. Suite #100 Toronto, Ontario M4Y 1M7 Phone: 416-850-0110 Fax: 416-850-1431 Mr. Mrs. Miss First Name Middle Name Former Name (if any) Family Name Countries for which Passport/Travel Document is valid. Nationality Proposed Address in Thailand Nationality at Birth Birth Place Marital Status Name and Address of Guarantor in Thailand (Non-Immigrant visa only) Date of Birth Pas.

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