Courtesy Visa SMART Visa Non-Immigrant Visa …

1 Please Indicate Type of visa Requested Diplomatic visa Official visa Please attach Courtesy visa 2 photographs SMART visa taken within Non-Immigrant visa the last 6 months Tourist visa APPLICATION FOR visa Transit visa ( x cm). Royal Thai embassy , New Delhi 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 Date of Issue Expiry Date Name and Address of Guarantor in Thailand Occupation (specify present position and name of employer).

2 I hereby declare that I will not request any refund from Current Address my paid visa fee even if my application has been declined. 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 mfavisaform10092007. 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 SMART visa Category of visa : Flight No.

3 Or Vessel's name Number of Entries: Duration of Proposed Stay Single Double Multiple Entries Date of Previous Visit to Thailand Date of Issue Fee Purpose of Visit: Tourism Transit Expiry Date Business Diplomatic/Official Documents Submitted Other (please specify). REMARK: Applicants are required to pay a visa fee which is non-refundable, Authorized Signature and Seal regardless of whether the visa is approved or rejected.