Beruflich Dokumente
Kultur Dokumente
Diplomatic Visa
Please attach Official Visa
2 photographs Courtesy Visa
taken within Non-Immigrant Visa
the last 6 months APPLICATION FOR VISA X Tourist Visa
(3.5 x 4.5 cm) Transit Visa
Royal Thai Embassy of Kuala Lumpur
1
Number of Entries Requested _____
Former Name (if any) Countries for which travel document is valid
Nationality COLOMBIA
Proposed Address in Thailand
Nationality at Birth COLOMBIA
83/7 PRACHATHIPATAI RD, BAANTHOMCATE,
Birth Place B/MANGA Marital Status SINGLE PRANAKORN, 10200 BANGKOK
Date of Birth 10-06-1989 Name and Address of Local Guarantor
Date of Issue 31-07-2018 Expiry Date 30-07-2018 Name and Address of Guarantor in Thailand
R1 HOSTEL - 83/7 PRACHATHIPATAI RD,
Occupation (specify present position and name of employer) BAANTHOMCATE, PRANAKORN, 10200 BANGKOK
SUPPLY ANALYST - BHP BILLITON SHARED Tel./Fax. +66850585980
SHARED SERVICES MALAYSIA SDN BHD
I hereby declare that I will not request any refund from
Current Address UNIT 1-4, BLOCK 21, BANGSAR my paid visa fee even if my application has been declined.
PERMAI, 59100, KUALA LUMPUR Signature Date
Tel. 0173281012
Attention for Tourist and Transit Visas Applicants
E-mail CAANGUGO@HOTMAIL.COM
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.
UNIT 1-4, BLOCK 21, BANGSAR
Signature Date
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 07-11-2018 Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by AIR ASIA Category of Visa:
Flight No. or Vessel’s name AK 896 Number of Entries: