Two Passport-
Visa Section
size Photographs
Royal Thai Embassy
2300 Kalorama Road, N.W.
Washington, D.C. 20008
Photographs must have a light
color background with a full- face
Email :
Tel (202) 684-8493 Fax (202) 459-9536
view of the person without
wearing a hat or dark glasses.
Photos must be taken within
VISA APPLICATION
6 months.
Please check appropriate box for visa type requested.
Non-Immigrant Visa
Diplomatic Visa
1
Tourist Visa*
Official Visa
Number of entries requested .................. entry
(ies)
Transit Visa*
Courtesy Visa
Mr.
Mrs.
Miss
Last Name
First Name
Middle Name
Date of Birth .............................……..…….... Nationality ..….…..................................... Nationality at Birth ...….....…..................................
2
Place of Birth ..........................................………..……….….............. Occupation .......................................................…............................…
Present Address ..........................................................................................................………..... City .…….................................……………
State .....….... Zip code.............. Home phone (.......) ........................ Office phone (........) ...................... Cell phone (........) ......................
E-mail..................................….......................................………............................................................…………..................................……….
Permanent address
.…........……..........................................................…………...................................................………
(if different from above)
Current Passport No. .......................…..........................…………........... Issued at ..............…...................….....................….....…..........…
3
Date of Issue .......................................…...............................….………. Date of Expiry ……....................…..................….......................…
Permanent Resident Card (Green card) No. ………….....……................ Date of Expiry .......…......................................….......................…
Purpose of visit .......................................…………........... Date of arrival in Thailand .............……............ Length of stay .……..….............
Traveling by .........................................……..…..…..……. Date of previous visits to Thailand ..................…………...….....……...................
4
( Air, Train, or Ship)
Place to stay in Thailand ..........................................................................................................................……………...............………...........
Tel :.........……….....................................................................................................................................................…….....……………..….....
Reference person and address in U.S.A. ..……................................................................................................……................……..………..
...........................................….......................................………............................................................….….........................................………
Tel :........................................…...........………………. .....Email ................................…................................………....................................
5
Reference person and address in Thailand .....……...................................................................................................…..............……………
...........................................….......................................………............................................................………......................................………
Tel :........................................…...........………………. .....Email ................................….......................................…....................................
6
Signature of Applicant
Date
*
: You declare that the purpose of your visit to Thailand is for pleasure only and
ATTENTION FOR TOURISTS AND TRANSIT VISA APPLICANTS ONLY
that in no case shall you engage yourself in any profession or occupation while in the country.
FOR OFFICIAL USE
Type of visa and No. ...........................................................……….……
Classification ...............................................………….....................
Date of Issue .......................................................................……..….….
Fees .................................................................…....…………..…..
Expiry Date ..........................................................................…………...
Signature ............................................................
Secretary of the Embassy
NOTICE : To process your application, this application form must be fully completed and accompanied by all the required documents.