Visa Application Form

INFORMATION OF THE APPLICANT

Thailand Visa Application Centre

Salutation

First Name *

Middle Name

Last Name *

Former Name

Nationality *

Nationality at birth *

Place of birth *

Maritial Status *

Date of birth *

PASSPORT DETAILS

Type of travel document *

Passport number *

Issued at *

Date of Issue *

Expiry date *

Passport expiry not valid

Passport expiry date should be min, 180 Days from date of Application date.

VISA DETAILS

Visa category *

Visa type *

OCCUPATION

Present position(Occupation) *

Name of Employer *

APPLICANT ADDRESS

Current Address 1 *

Current Address 2 *

Current City *

Current Pincode *

Current Tel number *

Email Address *

Same as Current Address

Permanent address 1 *

Permanent address 2 *

Permanent city *

Permanent Pincode *

Permanent Tel number *

MINOR DETAILS

Minor Name

Minor place of birth

INFORMATION OF TRAVEL AND TRAVELLING HISTORY

Arrival Date *

Travelling by *

Flight no. or Vessel’s name *

Duration of the proposed Stay *

Date of Previous visit to Thailand

Countries for which travel document is valid

Purpose of visit *

This field is required.

Proposed Address in Thailand *

Proposed City *

Proposed Pincode *

LOCAL GUARANTOR DETAILS

Name of Local Guarantor *

Address 1 *

Address 2 *

City *

Pincode *

Tel/Fax number *