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Please Indicate Type of Visa Requested

Please attach
2 photographs
taken within
the last 6 months
(3.5 x 4.5 cm)

Diplomatic Visa
Official Visa
Courtesy Visa
Non-Immigrant Visa
Tourist Visa
Transit Visa

APPLICATION FOR VISA


The Royal Thai Consulate General - Chennai

Number of Entries Requested _____


Mr.

Mrs.

Miss
First Name

Middle Name

Former Name (if any)

Family Name

(in BLOCK letters)

Countries for which travel document is valid

Nationality
Proposed Address in Thailand

Nationality at Birth
Birth Place

Marital Status
Name and Address of Local Guarantor

Date of Birth
Type of Travel Document
No.

Issued at

Date of Issue

Tel./Fax.

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
my paid visa fee even if my application has been declined.

Current Address

Signature
Tel.

Date

Attention for 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.

E-mail

Permanent Address (if different from above)

Signature

Date

FOR OFFICIAL USE

Tel.
Names, dates and places of birth of minor children (if accompanying)

mfavisaform10092007

Application/Reference No.
Visa No.
Type of Visa:
Diplomatic Visa
Non-Immigrant Visa

Date of Arrival in Thailand

Official Visa
Tourist Visa

Courtesy Visa
Transit Visa

Multiple

Entries

Category of Visa:
Number of Entries:

Traveling by
Flight No. or Vessels name

Single

Duration of Proposed Stay

Double

Date of Issue
Date of Previous Visit to Thailand
Purpose of Visit:
Business

Tourism

Expiry Date
Transit

Documents Submitted

Diplomatic/Official

Other (please specify)


Authorized Signature and Seal

Fee

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