VISA REFERENCE NUMBER: _____________________________

Please Indicate Type of Visa Requested

☐ TOURIST
☐ Single entry (AUD 60)
Please attach ☐ Multiple entries (AUD 300)
1 photograph ☐ TRANSIT
☐ Single entry (AUD 50)
(3.5 x 4.5 cm) ☐ Double entries (AUD 100)
Taken within ☐ NON-IMMIGRANT
the last 6 months VISA APPLICATION FORM ☐ Single entry (AUD 120)
Royal Thai Consulate-General, Sydney ☐ Multiple entries (AUD 300)
☐ Multiple entries - Retirement O-A (AUD 300)
Level 8, 131 Macquarie St. Sydney NSW 2000 ☐ Multiple entries - Retirement O-X (AUD 600)
☐ DIPLOMATIC/ OFFICIAL/ COURTESY VISIT
☐ LTR

☐ Mr. ☐ Mrs. ☐ Miss

First Name Middle Name ☐ Family Name

(First Entry)
Marital Status ☐ Single ☐ Married ☐ other _______________ Date of Arrival in Thailand _____________Flight No. ________
☐
Date of Departure from Thailand _________ Flight No. _______
Nationality at present _______________________________
(Second Entry (For double – entries visas only)
☐ NON-IMMIGRANT
Nationality at Birth _________________________________
Date of Arrival in Thailand _____________Flight No. ________
Birth Place________________ ____________________ Date of Departure from☐ Thailand _________ Flight No. _______
City Country
Duration of Proposed Stay _______ days
Date of Birth (DD/MM/YYYY) ______________________

Type of Travel Document ___________________________

Signature ____________________ Date ______________
No. ___________________ Issue at ____________________

Date of Issue ________________ Expiry Date ____________
Occupation (specify present position and name of employer)
_________________________________________________
Attention to Tourist and Transit Visas Applicants
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 myself
in any profession or occupation while in the country.

_________________________________________________ Signature _____________________ Date _____________

Current Address ___________________________________

FOR OFFICIAL USE
_________________________________________________ Application/Reference No. _____________________________
Tel. _____________________ Email: __________________ Visa No. ____________________________________________

Permanent Address if different from above)

Type of Visa:
_________________________________________________ ☐ Tourist ☐ Transit ☐ Non-Immigrant
☐ Diplomatic ☐ Official ☐ Courtesy
_________________________________________________
Category Visa:
Proposed Address in Thailand _________________________ ☐ TR ☐ MT ☐ TS
_________________________________________________ ☐S ☐D ☐ F (OFFICIAL)
☐C ☐ Non-B ☐ Non-ED-A
Full names and dates of birth of minor children (if accompanying) ☐ Non-B-A ☐ Non-ED ☐ Non-O
☐ Non-F ☐ Non-M ☐ Non-O-X
_________________________________________________ ☐ Non-O (VOLINTEER/NGO) ☐ Non-O-A ☐ Non-RS
_________________________________________________ ☐ Non-R ☐ Non-R-A ☐ Non-EX
☐ LTR
Purpose of Visit: ☐ Tourism ☐ Transit MART VISA Category of Visa ☐ T ☐I
☐ Business ☐ Diplomatic/Official Number of Entries:
☐ Single ☐ Double ☐ Multiple
☐ other (please specify) ______________

REMARK: Applicants are required to pay a visa fee which is non-refundable, Date of Issue ________________________ Fee _______________
regardless of whether the visa is approved or rejected. Monday-Friday
(except public holidays) Expiry Date _________________________(CHQ / CASH / CARD)
Opening hours : 09.30 - 12.30 hrs.

Email: visa@thaiconsulatesydney.org Authorised Signature and Seal _________________________________