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Please Indicate Type of Visa Requested Diplomatic …

Mr. Mrs. Miss _____ First Name Middle Name Family Name (in Block letters) Please attach 2 photographs taken within the last 6 months ( x cm) Please Indicate Type of visa Requested Diplomatic visa Official visa Courtesy visa Non-Immigration visa Tourist visa Transit visa Number of Entries Requested _____ APPLICATION FOR visa Royal Thai Embassy, Dhaka Former Name (if any) _____ Nationality _____ Nationality at Birth _____ Birth Place _____ Marital Status _____ Date of Birth _____ Type of Travel Document_____ No. _____ Issued at _____ Date of Issue _____ Expiry Date _____ Occupation (specify present position and name of employer) _____ Current Address _____ _____ Tel. _____ E-mail _____ Permanent Address (if different from above)_____ _____Tel. _____ Names, Dates and Places of Birth of minor children (if accompanying) _____ _____ Date of Arrival in Thailand _____ Traveling by _____ Flight No.

Transit Mr. Mrs. Miss _____ First Name Middle Name Family Name (in Block letters)

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