VISA APPLICATION FORM
Ministry of Foreign Affairs of Thailand
Please attach
Photographs
taken within
the last 6 months
front view
(3.5 x 4.5 cm)
Mr. Mrs. Master Miss
First Name Middle Name Last Name
(in BLOCK letters as appeared in the passport)
Former Name (if any)
Countries for which travel document is valid
Nationality
Nationality at Birth
Birth Place
Date of Birth
Occupation (specify present position and name of employer)
Tel.
Current Address
Issued atNo.
Names, dates and places of birth of minor children( if accompanying )
Date of Arrival in and Departure from Thailand
Date of Issue Expiry Date
Purposed address in Thailand
Name and Address of Local Guarantor
Tel./Fax.
DateSignature
Attention for Tourist and Transit Visa Applicants :
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.
DateSignature
FOR OFFICIAL USE
Transit Visa
Tourist Visa
Non-Immigrant Visa
SMART Visa
Courtesy Visa
Official Visa
Duration of Proposed Stay
Diplomatic Visa
Please Indicated Type of Visa Requested
Number of Entries Requested
Marital Status
Type of Travel Document
E-mail
Permanent Address (if differnt from above)
Tel.
Traveling by
Flight No. or Vessel's name
Date of Previous Visit to Thailand
Purpose of Visit :
Tourist Transit
Business Diplomatic/Official
Other(please specify)
REMARK : Applicant are required to pay a visa fee which is non refundable
regardless of whether the visa is approved or rejected.
Name and Address of Guarantor in Thailand
Tel./Fax.
Application/Reference No.
Visa No.
Type of Visa :
Diplomatic Visa
Non-Immigrant Visa
Official Visa Courtesy Visa
Tourist Visa Transit Visa
Category of Visa :
Number of Entries :
Single Double Multiple
Entries
Date of Issue Fee
Expiry Date
Documents Submitted
Authorized Signature and Seal
SMART Visa
