Thailand Visa Firm

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Please Indicate Type of Visa Requested

Diplomatic Visa
Please attach
Official Visa
2 photographs
Courtesy Visa
taken within
Non-Immigrant Visa
the last 6 months APPLICATION FOR VISA Tourist Visa
(3.5 x 4.5 cm)
Royal Thai Embassy of Kuala Lumpur Transit Visa
Number of Entries Requested

Mr. Mrs. Miss


First Name Middle Name Family Name (in BLOCK letters)

Former Name (if any) Countries for which travel document is valid

Nationality
Proposed Address in Thailand
Nationality at Birth

Birth Place Marital Status

Date of Birth Name and Address of Local Guarantor

Type of Travel Document

No. Issued at Tel./Fax.


Name and Address of Guarantor in Thailand
Date of Issue Expiry Date
Occupation (specify present position and name of employer)
Tel./Fax.
I hereby declare that I will not request any refund from
my paid visa fee even if my application has been declined.
Current Address
Signature Date
Attention for Tourist and Transit Visas Applicants
Tel. E-mail 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
Permanent Address (if different from above)
myself in any profession or occupation while in the country.
Signature Date

Tel. FOR OFFICIAL USE mfavisaform10092


007

Names, dates and places of birth of minor children (if accompanying) Application/Reference No.
Visa No.
Type of Visa:
Diplomatic Visa Official Visa Courtesy Visa
Date of Arrival in Thailand Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by Category of Visa:
Flight No. or Vessel’s name Number of Entries:
Single Double Multiple Entries
Duration of Proposed Stay
Date of Issue Fee
Date of Previous Visit to Thailand
Expiry Date
Purpose of Visit: Tourism Transit Documents Submitted
Business Diplomatic/Official
Other (please specify)
Authorized Signature and Seal

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