Please Indicated Type of Visa Requested

Please attach
Photographs Diplomatic Visa
Official Visa
taken within
the last 6 months VISA APPLICATION FORM Courtesy Visa
SMART Visa
front view
(3.5 x 4.5 cm) Ministry of Foreign Affairs of Thailand Non-Immigrant Visa
Tourist Visa
Transit Visa
Number of Entries Requested

Mr. Mrs. Master Miss

First Name Middle Name Last Name
(in BLOCK letters as appeared in the passport)
Former Name (if any)
Countries for which travel document is valid
Nationality
Nationality at Birth
Purposed address in Thailand
Birth Place Marital Status
Date of Birth
Type of Travel Document
Name and Address of Local Guarantor
No. Issued at
Date of Issue Expiry Date
Occupation (specify present position and name of employer)
Tel./Fax.
Name and Address of Guarantor in Thailand

Current Address

Tel./Fax.
Tel. E-mail
Permanent Address (if differnt from above) Signature Date
Attention for Tourist and Transit Visa Applicants :
I hereby declare that the purpose of my visit to thailand is for pleasure or transit
Tel. only and that in no case shall I engage myself in any profession or occupation
while in the country.
Names, dates and places of birth of minor children( if accompanying )
Signature Date

FOR OFFICIAL USE

Application/Reference No.
Date of Arrival in and Departure from Thailand Visa No.
Type of Visa :
Diplomatic Visa Official Visa Courtesy Visa
Traveling by Non-Immigrant Visa Tourist Visa Transit Visa
Flight No. or Vessel's name SMART Visa
Duration of Proposed Stay Category of Visa :
Date of Previous Visit to Thailand Number of Entries :
Purpose of Visit : Tourist Transit Single Double Multiple Entries
Business Diplomatic/Official Date of Issue Fee
Other(please specify) Expiry Date
Documents Submitted

REMARK : Applicant are required to pay a visa fee which is non refundable
regardless of whether the visa is approved or rejected. Authorized Signature and Seal