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    Application T.M. 8

    Uploaded by

    Benjamin Medina
    This document is an application for a re-entry permit into Thailand. The applicant provides personal information such as name, nationality, date of birth, occupation, passport details, and address. They specify the purpose and dates of their intended trip outside of Thailand and return. They confirm that the information provided is true and acknowledge the application fee is non-refundable. If approved, the re-entry permit would be valid for a specified number of entries over a limited time period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application T.M. 8

    Uploaded by

    Benjamin Medina
    229 views2 pages
    This document is an application for a re-entry permit into Thailand. The applicant provides personal information such as name, nationality, date of birth, occupation, passport details, and address. They specify the purpose and dates of their intended trip outside of Thailand and return. They confirm that the information provided is true and acknowledge the application fee is non-refundable. If approved, the re-entry permit would be valid for a specified number of entries over a limited time period.

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    This document is an application for a re-entry permit into Thailand. The applicant provides personal information such as name, nationality, date of birth, occupation, passport details, and address. They specify the purpose and dates of their intended trip outside of Thailand and return. They confirm that the information provided is true and acknowledge the application fee is non-refundable. If approved, the re-entry permit would be valid for a specified number of entries over a limited time period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    229 views2 pages

    Application T.M. 8

    Uploaded by

    Benjamin Medina
    This document is an application for a re-entry permit into Thailand. The applicant provides personal information such as name, nationality, date of birth, occupation, passport details, and address. They specify the purpose and dates of their intended trip outside of Thailand and return. They confirm that the information provided is true and acknowledge the application fee is non-refundable. If approved, the re-entry permit would be valid for a specified number of entries over a limited time period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    HOI.

    TM. 8

    APPLICATION FOR RE-ENTRY PERMIT INTO THE KINGDOM


    4

    LYUUM.........................................................................

    ....m...........................................

    Written at
    " 4

    Date

    Month

    ?UM..................................LFIBU........................................................................A.PI ............................

    Year

    EUld

    ~ ~ n 4 1 U l ~ l ~ ~ l ~ ~ S ~ 1 ~ U ~ ~ l ~ ~ ~ 4

    To

    Immigration Officer
    Y l W L 1 1 ( ~ l U / ~ l 4 / ~ 1 4 f.tlQd?k3
    i l a ) .........................................................................................

    d "

    I,

    first name

    lIBFl9...........................................................................

    (Mr., Mrs., Miss) family name

    ........................................................................ I ........................... ~nnaun


    .......................................

    .tla~a4
    ..............................................................I
    middle name

    P " d

    nationality

    age
    "

    Lmau..................................................... r n.........................................a
    month

    Ye=

    "

    years date of birth

    ............................................................. dSZLnrn....................................................................

    changwat
    "

    I Y

    country

    oiqw ..................................................................................... i i ~
    .................................................
    iu~a~n
    nuu...........................................................................
    * ~ u u ~ ~ u
    U

    occupation

    present address no.

    road
    "

    "

    mlua/Llvad......................................................................Q I L ~ L Y F ...................................................................
    ~
    wuan.........................................................................
    Tarnbon/Khwaeng

    ArnphoelKhet

    Changwat

    ~ o ~ u d ~ m a a ~ ~ ~ m d o n ~ u ~ u " ~ u ~ ~ u ~ ~ . t l ~ ~ ~ ~ ~ n ~ ~ n

    ,,

    hereby apply for re-entry permit into the kingdom

    uinn<iu&nf4

    Ut.IFlt4

    single

    multiple
    6

    ~ I W L ~ I U A ~ I ~ ~ T Z ~ ~ ~ F I.........................................................................................................................................................
    I~L~~~U~I~~~~T:L~PI

    I intend to go to
    " d

    R ~ u u n o a n ~ ~ n d ~ z ~sun
    n r..........................
    n ~ n ~ ~mau
    ..............................................................................

    ~.rn
    .............................................................................

    leaving Thailand on :

    Year

    date

    month
    d

    P ~ U M I............................................................
    ~
    ~ w a l...................................................................................................................................................
    d
    by (mode of transportation)

    "

    L~azq~nau
    and shall return

    for (purpose of visit)


    4

    d ~ ~ r n r n ~ n u d ~ z u i..............................
    m

    ~mau
    ................................................. :.....................................

    A.PI .............................................................................

    to Thailand about : date

    month

    Ye=

    u"1=1~~~1?;,4,auld'~a1~u~11~u~B1anfi1~~i~~nuu~~~B~~unl491~4
    I hold the passport or travelling document of
    vd

    " d

    d~z~nrn
    .......................................................... oanluw............................................................. L ~ Y .............................................
    W
    amun...................................................

    (cou~O)

    issued at

    no.

    dated

    ra"

    L ~ Q................................................
    M
    n . ~...............................................
    i
    a~a7y13mnd9u~l
    ........................ ~mau
    ........................................................ n ........................
    ~

    month

    Year

    valid until date

    month

    Year

    ntdqm6~UhwL~i~~?un7smsaqn~ms7vl~d~aL'iu~7~ds::LnM

    ,-,

    My previous visa for Thailand is of the category of


    nua~hno7a

    viaado?

    nut'iun7.rriiu

    tourist visa

    transit visa

    non-immigrant visa

    lu7
    others
    wd

    L.

    ...............................................................................
    QvlVl~............................................................... 9MM.................................. .LmQld

    issued at

    date

    month

    A.PI ...................................................

    Yea

    " d
    4
    ~ ~ ~ W L ~ ~ L ~ U V ~ ~ ~ U9M~Vl..................................
    ~ ~ ~ S ~ L M
    LLil'P
    ilM.I..............................................................................
    ~ M U L U Q
    A.fi..................................................
    Y

    c4

    I arrived in Thailand on
    w r

    un::Imwayq7m1vla

    tc4

    yos

    date
    r

    month

    Yea

    aun.................................... ~mau
    ........................................................................................ n.~i
    ............................................................

    and have been permitted to stay up to : date/ month

    year

    ~7w~ii~o?u~adi7kna7ui7~~~6~ilu~91uq~d~nds:n~s

    I hereby certify that the above statement is true and correct

    aauwm~n97uGuFia

    Your sincerely,

    "UILil 4x6 %.U.


    4 d

    photograph
    4x6

    cm.

    c4

    "

    ~ I u u Q ~ ~ v I ~ Q ~ I U V I ..............................................................................................
    ~ L L U U Q ~ ~ ~

    fi~a

    Signature or right thumb print

    Applicant

    1. ~ ~ a q : h ~ ~ u h i b d a a a ~ q 7 m n " a u m u ~ a d
    APPLICATION MUST BE MADE IN PERSON
    2.

    t
    IMMIGRATION THAILAND
    $E-ENTRY PERMIT

    Number

    Valid Until

    Number of Persons

    u
    Number of Entries

    Length of Stay Until

    CHONBURI
    03:-

    F i i s s ~ ~ ~ i i ~ ~ ~ n i s 1.000
    ~ u ~ mn
    a a ~d.~vl?u
    q-~m
    w i d n t d unr: 3,800 Y ~ Y iI7 ~ ~ 1 ~ ~ i i u n i 7 W i d n f d
    APPLICATION FEE IS 1,000 BAHT PER SINGLE
    AND 3,800 BAHT PER MULTIPLE

    3. ~ ~ ? ~ a y q i m v l ? a ~ a i n
    q:~:lri"n~uFi7s~su~iiu~~r;i
    "m7~

    APPLICATION FEE IS NOT REFUNDABLE

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