Application For Visa - Royal Thai Embassy, Pretoria

Please Indicate Type of Visa Requested

Please attach

Diplomatic Visa

2 photographs

Official Visa

taken within

Courtesy Visa

the last 6 months

Non-Immigrant Visa

(3.5 x 4.5 cm)

APPLICATION FOR VISA

Tourist Visa

Transit Visa

Royal Thai Embassy, Pretoria.

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

Proposed Address in Thailand

Nationality at Birth

Birth Place

Marital Status

Name and Address of Local Guarantor

Date of Birth

Type of Travel Document

Tel./Fax.

No.

Issued at

Name and Address of Guarantor in Thailand

Date of Issue

Expiry Date

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

Date

Attention for Tourist and Transit Visas Applicants

I hereby declare that the purpose of my visit to Thailand

Tel.

E-mail

is for pleasure or transit only and that in no case shall I engage

myself in any profession or occupation while in the country.

Permanent Address

(if different from above)

Signature

Date

FOR OFFICIAL USE

mfavisaform10092007

Application/Reference No.

Tel.

Visa No.

Names, dates and places of birth of minor children

(if accompanying)

Type of Visa:

Diplomatic Visa

Official Visa

Courtesy Visa

Non-Immigrant Visa

Tourist Visa

Transit Visa

Date of Arrival in Thailand

Category of Visa:

Traveling by

Number of Entries:

Flight No. or Vessel’s name

Single

Double

Multiple

Entries

Duration of Proposed Stay

Date of Issue

Fee

Expiry Date

Date of Previous Visit to Thailand

Documents Submitted

Purpose of Visit:

Tourism

Transit

Business

Diplomatic/Official

Other

(please specify)

Authorized Signature and Seal

Applicants of the following countries need to have a yellow fever vaccination certificate: Angola, Benin, Bolivia, Brazil, Burkina, Burundi, Cameroon, Central African Republic, Chad , Colombia, DRC and Republic of the

Congo , Cote d’ Ivore, Ecuador , Equatorial Guinea, Ethiopia, French-Guiana, Gabon, Gambia, Ghana, Guinea-Bissau, Guinea, Guyana, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Panama, Peru, Rwanda, Sao Tome &

Principe, Senegal , Sierra Leone, Somalia, Sudan, Suriname, Tanzania , Togo, Uganda, Venezuela