Please Indicate Type of Visa Requested

Please attach  Diplomatic Visa

1 photographs  Official Visa
taken within  Courtesy Visa
the last 6 months  Non-Immigrant Visa
(3.5 x 4.5 cm)  Tourist Visa
APPLICATION FOR VISA  Transit Visa
 SMART Visa
Royal Thai Consulate - General
Ho Chi Minh City 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
Tel./Fax.
Date of Issue Expiry Date Name and Address of Guarantor in Thailand
Occupation (specify present position and name of employer)

Tel./Fax.
I hereby declare that I will not request any refund from
Current Address my paid visa fee even if my application has been declined.
Signature Date
Tel. E-mail Attention for Tourist and Transit Visas Applicants
I hereby declare that the purpose of my visit to Thailand
Permanent Address (if different from above) is for pleasure or transit only and that in no case shall I engage
myself in any profession or occupation while in the country.
Signature Date

Tel. FOR OFFICIAL USE mfavisaform10092007

Names, dates and places of birth of minor children (if Application/Reference No.
accompanying)
Visa No.
Type of Visa:
Diplomatic Visa Official Visa Courtesy Visa
Date of Arrival in Thailand Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by Category of Visa:
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
Purpose of Visit: Tourism Transit Documents Submitted
Business Diplomatic/Official
Other (please specify)
Authorized Signature and Seal