Visa Application Form - Royal Thai Embassy Of Kuala Lumpur
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1Please Indicate Type of Visa Requested
Diplomatic Visa
Please attach
Official Visa
2 photographs
Courtesy Visa
taken within
Non-Immigrant Visa
the last 6 months
APPLICATION FOR VISA
Tourist Visa
(3.5 x 4.5 cm)
Transit Visa
Royal Thai Embassy of Kuala Lumpur
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
No.
Issued at
Tel./Fax.
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
Tel.
E-mail
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.
Signature
Date
FOR OFFICIAL USE
mfavisaform10092007
Tel.
Application/Reference No.
Names, dates and places of birth of minor children
(if accompanying)
Visa No.
Type of Visa:
Diplomatic Visa
Official Visa
Courtesy Visa
Date of Arrival in Thailand
Non-Immigrant Visa
Tourist Visa
Transit Visa
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
Date of Previous Visit to Thailand
Expiry Date
Documents Submitted
Purpose of Visit:
Tourism
Transit
Business
Diplomatic/Official
Other
(please specify)
and Seal
Authorized Signature
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