APPLICATIONFORVISA
英文填写
NameMrMrsMs姓名（大写字母）_________________________________Natio
ality国籍__________________________________________DateofBirth出生日期______________________________________PlaceofBirth出生地________________________________________Professio
prese
t现职业________________________________________MaritalStatus婚姻状况______________________________________Prese
taddress
Cou
triesforwhichpassportisvalid护照适用国_____________________________________DateofpreviousvisitstoThaila
d上次赴泰日期___________________________________Purposeofvisit访问目的_______________________________________Dateofarrivali
Thaila
d入泰时间_______________________________________ByFlightNo班机号_________________________________________Duratio
ofproposedstay停留时间_______________________________________Localguara
tora
daddress
现住址________________________________________本国担保人姓名及地址___________________________
_______________________________________________Perma
e
taddressifdiffere
tfromabove永久地址（如与现住址不同，请注明）
________________________________________________Refere
ceperso
a
doraddressi
Thaila
d泰国联系人及或地址
_______________________________________________________________________________________________
_______________________________________________________________________________________________
PassportNo
Namedatesa
dplacesofbirthofmi
orchildre

护照号码______________________________________holdi
gthesamepassporta
difaccompa
yi
gyou
Issuedat
有否用本护照儿童随行，如有请填写姓名出生地
签发地________________________________________及出生日期_____________________________________
Dateofissue
________________________________________________
签发日期______________________________________
Sig
ature
Expirydate
签名______________________________________
有效日期至____________________________________
Date
日期______________________________________
ATTENTIONFORAPPLICANTIherebydeclarethattheaboveme
tio
edi
formatio
iscorrecta
dthat
i
ocaseshallIviolateThailawsa
dregulatio
i
thecou
try在此我声明所填内容属实，并保证不违反
泰国的法规
_____________________________________________________________________________________________________
FOROFFICIALUSE（以下由使馆填写）
FEEPAID
Typeofvisaa
dNo______________________Expirydate___________________________
Dateofissue____________________________Sig
ature____________________________

fr