Application For Visa - Royal Thai Embassy, Dhaka

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Please Indicate Type of Visa Requested
Diplomatic Visa
Official Visa
Please attach
Courtesy Visa
2 photographs
Non-Immigration Visa
taken within
Tourist Visa
the last 6 months
APPLICATION FOR VISA
Transit Visa
(3.5 x 4.5 cm)
Royal Thai Embassy, Dhaka
Number of Entries Requested _______
Mr.
Mrs.
Miss _______________________________________________________________________________________
First Name
Middle Name
Family Name
(in Block letters)
Former Name (if any) ___________________________
Countries for which travel document is valid _________
Nationality ____________________________________
_____________________________________________
Nationality at Birth _____________________________
Proposed Address in Thailand ____________________
Birth Place ___________ Marital Status ____________
_____________________________________________
Date of Birth __________________________________
Name and Address of Local Guarantor
Type of Travel Document________________________
_____________________________________________
No. ______________ Issued at ____________________
_____________________________________________
Date of Issue _____________ Expiry Date __________
Tel./Fax. _____________________________________
Occupation
Name and Address of Guarantor in Thailand _________
(specify present position and name of employer)
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Current Address _______________________________
Tel./Fax. _____________________________________
_____________________________________________
I hereby declare that I will not request any refund from my
paid visa fee even if my application has been declined.
Tel. ______________ E-mail _____________________
Signature ___________________ Date _______________
Permanent Address
)_____________
(if different from above
Attention for Tourist and Transit Visas Applicants
_____________________________Tel. ____________
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
Names, Dates and Places of Birth of minor children
myself in any profession or occupation while in the country.
(
if accompanying) __________________________________________
Signature _________________ Date ________________
__________________________________________________________
Date of Arrival in Thailand _________________________
FOR OFFICIAL USE
Traveling by ____________________________________
_____________________
Application/Reference No.
Flight No. or Vessel Name _________________________
Visa No. _____________________________________
Type of Visa:
Duration of Proposed Stay _________________________
Diplomatic Visa
Official Visa
Courtesy Visa
Date of Previous Visit to Thailand ___________________
Non-Immigration Visa
Tourist Visa
Transit Visa
Purpose of Visit:
Tourism
Transit
Business
Category of Visa: ___________________________________
/
Diplomatic
Official
Other
) __________
(please specify
Number of Entries:
FOR OFFICIAL USE ONLY
Single
Double
Multiple
___ Entries
UG
PP
AF
RD
Multiple
Other __________________________________
Date of Issue ________________ Fee __________________
Expiry Date _______________________________________
GPV
CAF
STH
SES
FIT
GPT
GFL
NRR
Other _______________
Documents Submitted _______________________________
FVP
IAF
FP
NF
OT
ECBS
ECWC
ECFL
CI
RR
FPT
SN
_________________________________________________
HT
WP
Other _____________________________________________________
P
F
SR
RC
MFA
WP3
PPP
PAF
TRC
ITV date
Authorized Signature and Seal ____________________
□A □R □VL □WL □BL
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