Please Indicated Type of Visa Requested

Please attach
one (01) Diplomatic Visa
Official Visa
Photograph
Courtesy Visa
taken within VISA APPLICATION FORM Non-Immigrant Visa
the last 6 months Tourist Visa
front view Transit Visa
(3.5 x 4.5 cm) Royal Thai Embassy, Hanoi Gratis Visa
Number of Entries Requested

Mr. Mrs. Master Miss

First Name Middle Name Last Name
(in BLOCK letters as appeared in the passport)
Former Name (if any)
Countries for which travel document is valid
Nationality
Nationality at Birth
Purposed address in Thailand
Birth Place Marital Status
Date of Birth
Type of Travel Document
Name and Address of Local Guarantor
No. Issued at
Date of Issue Expiry Date
Occupation (specify present position and name of employer)
Tel./Fax.
Name and Address of Guarantor in Thailand

Current Address

Tel./Fax.
Tel. E-mail
Permanent Address (if differnt from above) Signature Date
Attention for Tourist and Transit Visa Applicants:
I hereby declare that the purpose of my visit to thailand is for pleasure or transit
Tel. only and that in no case shall I engage myself in any profession or occupation
while in the country.
Names, dates and places of birth of minor children( if accompanying )
Signature Date

FOR OFFICIAL USE

Application/Reference No.
Date of Arrival in and Departure from Thailand Visa No.
Type of Visa :
Diplomatic Visa Official Visa Courtesy Visa
Traveling by Non-Immigrant Visa Tourist Visa Transit Visa
Flight No. or Vessel's name Category of Visa :
Duration of Proposed Stay Number of Entries :
Date of Previous Visit to Thailand Single Double Multiple Entries
Purpose of Visit : Tourist Transit Date of Issue Fee
Business Diplomatic/Official Expiry Date
Other(please specify) Documents Submitted

REMARK : Applicant are required to pay a visa fee which is non refundable Authorized Signature and Seal
regardless of whether the visa is approved or rejected.