VISA REQUEST (GRIA 01)

International Affairs and Corporate Communications and Special Mission Section

Faculty of Graduate Studies, Mahidol University

I am Mr. / Mrs./ Miss/...........................................................................................................................

Student ID /

Degree

Graduate Diploma Master’s degree Higher Graduate Diploma

Doctorate degree Exchange Student or others ……………………….

Program .................................................................................................................................................................................................................................

Fac./Int./College………....................................................................................................................................................................................................

Email..................................................................................................... Tel. …............................................................................................

LINE ID ………………………………………………

I am submitting this form to issue:

A letter requesting Non ED visa (for entry to Thailand) ..………………….................……………….……………

(Please specify the Royal Thai Embassy / Thai Consular)

A letter requesting to extend Non ED visa (in Thailand) until ……….. /…………./…………..

(Please specify D/M/Y)

Other ……………………..…………………………………..........…………………........................................................……………..……

Please submit a scanned copy of your passport and a COVID-19 vaccination certificate.

Signature................................................................................................Date....................................

Comment of the Program Director

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...............................................................................................................................................................................................................................

Signature...........................................................................................Date...........................................

Comment of the FGS Officer

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Signature............................................................................................Date...........................................

Note: Students will receive the result of this consideration in 5 working days after submitting this form. (Version: November 5, 2021)