You are on page 1of 1

Please Indicate Type of Visa Requested

□ Diplomatic Visa
□ Official Visa
Please attach
2 photographs
□ Courtesy Visa
taken within
□ Non-Immigration Visa
the last 6 months □ Tourist Visa
APPLICATION FOR VISA □ Transit Visa
(3.5 x 4.5 cm)
Royal Thai Embassy, Dhaka Number of Entries Requested _______

□ Mr. □ Mrs. □ Miss _______________________________________________________________________________________


Abdullah khan raju
First Name Middle Name Family Name (in Block letters)

Former Name (if any) ___________________________ Countries for which travel document is valid _________
Bangladeshi
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 (specify present position and name of employer) Name and Address of Guarantor in Thailand _________
_____________________________________________ _____________________________________________
_____________________________________________ _____________________________________________
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
Names, Dates and Places of Birth of minor children is for pleasure or transit only and that in no case shall I engage
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. _____________________________________
Duration of Proposed Stay _________________________ Type of Visa:
Date of Previous Visit to Thailand ___________________ □ Diplomatic Visa □ Official Visa □ Courtesy Visa
Purpose of Visit: □ Tourism □ Transit □ Business □ Non-Immigration Visa □ Tourist Visa □ Transit Visa
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 __________________
□GPV □CAF □STH □SES □FIT □GPT □GFL □NRR □ Other _______________ Expiry Date _______________________________________
□FVP □IAF □FP □NF □OT □ECBS □ECWC □ECFL □CI □RR □FPT □SN Documents Submitted _______________________________
□HT □WP □ Other _____________________________________________________ _________________________________________________
□P □F □SR □RC □MFA □WP3 □PPP □PAF □TRC □ITV date
□A □R □VL □WL □BL Authorized Signature and Seal ____________________
1 2 3 4 5 6

You might also like