Please attach
2 photographs taken within the last 6 months
(3.5 x 4.5 cm)
Diplomatic Visa
Official Visa
Courtesy Visa
Non-Immigrant Visa
Tourist Visa
Transit Visa
APPLICATION FOR VISA
Ministry of Foreign Affairs of Thailand
Number of Entries Requested _____
Mr.
Mrs.
Miss
First Name
Middle Name
Former Name (if any)
Family Name
(in BLOCK letters)
Countries for which travel document is valid
Nationality
Proposed Address in Thailand
Nationality at Birth
Birth Place
Marital Status
Name and Address of Local Guarantor
Date of Birth
Type of Travel Document
No.
Issued at
Date of Issue
Expiry Date
Tel./Fax.
Name and Address of Guarantor in Thailand
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
Tel.
Permanent Address (if different from above)
Date
Attention for Tourist and Transit Visas Applicants
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 myself in any profession or occupation while in the country.
Signature
Date
FOR OFFICIAL USE
Tel.
Names, dates and places of birth of minor children (if accompanying)
mfavisaform10092007
Application/Reference No.
Visa No.
Type of Visa:
Date of Arrival in Thailand
Traveling by
Flight No. or Vessel’s name
Duration of Proposed Stay
Diplomatic Visa
Non-Immigrant Visa
Official Visa
Tourist Visa
Courtesy Visa
Transit Visa
Multiple
Entries
Category of Visa:
Number of Entries:
Single
Double
Date of Issue
Date of Previous Visit to Thailand
Purpose of Visit:
Tourism
Transit
Business
Diplomatic/Official
Other (please specify)
Expiry Date
Documents Submitted
Authorized Signature and Seal
Fee