2012 Visa Application Form - 泰國觀光局

1 NameSex No. Passport No. Date of Issue ( dd / mmm / yyyy )Date of Expiry Issued by Place of Birth Date of Birth Mobile phone No. Emergency phone No. Permanent address Purpose of visit to Thailand Tourist MFProposed duration of stay in Thailand _____ day(s) Date of arrival in Thailand Business-Multiple entriesBusiness-Single entryTransit _____ entry(ies) Other _____ ( )Place of stay in Thailand I hereby declare that all the information I have furnished above is true and understand that the possession of visa does not entitle the bearer to enter Thailandupon arrival at port of entry if being found otherwise inadmissable or if the visa wasfraudulently obtained. I also understand that the Government of Thailand reservesthe right to disclose the reason for the disapproval of visa :- visa Application fee is not It is against Thai law for Tourist and Transit visa bearer to work in Thailand.

2 Signature of applicant Date FOR OFFICIAL USE ONLYVisa Classification .. Ref : Letter / Telegram No.. Date of issue .. Valid until .. Consular Occupation ( dd / mmm / yyyy )( dd / mmm / yyyy ) visa NO. ( )( dd / mmm / yyyy ) ..ROYAL THAI EMBASSYMANILAAPPLICATION FORM FOR VISAP lease print or typewrite in EnglishSignature of applicant s agent Date