Sir Sasdsqr: Visa Application Form

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sirSasdSqr

VISA APPLICATION FORM


Royal Thai Consulate- General
PHOTO PHOTO
Savannakhet
Lao P.D.R.
Please check appropriate boxfor requestedvisa type
I f] Tourist Visa I Transit Visa I Non-Immigrant Visa
f] Mr I lvlrs. ! Miss
lJ"lUS:nU/ Last Name

fl z FirstName
qnl3 / Middle Name

Slarn / Nationalitv #r:erneffn / Nationalitvat Birth


SueffguEeffn
/ Dateof Birth fieffnu Placeof Bith
s"tEuu Profession
2 s:!rurnaufrc / MaritalStatus
[] Isn / Single I an33ru,/ Married I dr6rf / Divoiced I $uf / Others
ffejrj:qriu(c1c)/ Present (Lao
Address P.D.R.)
ffe]lrcou ,/ PermanentAddress(If it is different from the above)-.---.-.

$ flu efrat Beffnua:a:qrufieftnao3efi'nfianru


/ Names,Datesof Birth,andPlacesof Birth of theAccompanying
Children

U Q O O _ C)sci , -
dJHeiiumr3randr'
/ Passport
No. - - - . _ . - . . _ - . . 9[ 9
OnU/] I s s u e calt _ _ -
.|
J 5uffsgn / Dateof Issue dudung'l€J/ Date of Expirv
d:eurnfidl3eftunrr?H]fi/ Countriesfor whichthePassport
is Valid
qnrJ:Sgrffq:efflurg
i Pumoseof Visit
5u eftsuB ffq;efir.rurrr
/ Dateof Arrival in Thailand
q:eftrmr3lnuurrr?n/ Travelinsbv
4 5rj effauB fie$ilrnfrgfigr5a/ Dateof a PreviousVisrt to Thaiiand
qrunel4nfi/ Durationof Proposed Stav
fiffneflrel?urJ:e
nn'Iur/ Placeof Stayin Thailand
fl rffelaa:lna:SupslffSutJ:fi'udcrc / Name,AddressandTelephone
No. of a Guarantor
in Lao PDR.

5
f;,rffeJ
aa:eBlna:#uas3ff5ud:fi'uehrn
/ Name,AddressandTelephone
No. of a Guarantorin Thailand

aka"un1yd5q,]k eru sc sat 6et ffi uef1iu


dtuil4tdfusatitnturfrunnrS"t;twqzetate-nlnsrruriantyutsluscrrt")iy, ttK)t?ua:ndtsfr'st?se/?ytl*nnlndtu:rFt
t u - H ttuu a o, - ;< ,!"v , ao a
qt0rsnaJn. nndtu:r4tdldsuntuncnatntS4t, d'tusr4te:ud{untu"tvsuffuowaunufl3au?nalnilts""t#nc"yyileo.
6 ATTENTIONFOR TOUMSTSAND TRANSITVISAAPPPLICATIONS ONLY:
dedarehat myvisittothailandisforfl'restatedpurpose
I hereby myselfinanyprofession
only,andthatI shallnotengage orocorpation
whilebeingin
Thailand.
lfvisaisnotissued
tome,I shallnotrequest anyrefundofthevisafeepaidtotheRoyal ThaiConsulate- General,
Savannakhel
alusHuBefiunls / Sisnature
of Aoolicant
u o odci
/ Dateof Application
JutfieuUuiuunlSeS

FOR OFFICIAL USE / (s:tu"l:t6"1fi"1fi) BankNoteNo


No Fees
Type of vis a..___._
_....._._.__.
_..
Dateof issue..._.._..
Remarks Sienature

NOTE. All feespaid are not reJundabte


/ 1iivrivntnkusuamtiatfr
Thisapplicationform i.snotfor satet nhSstfruatusnn?frpta
SUMMARYOF VISA REGULATIONS
ACT B.E.2522(1979A,D.)AND RELEVANTTEXTS
IMMIGRATION

1. for EVERY
A validVISAOF ENTRYis necessary ALIENwho wlshesto enterthe Kingdomof Thailand,
except

for certainrestricted
cases,detailsof whichcan be obtainedfromthe ConsulqrSection.

2. All typesof visaare issuedaccordingto the statedPURPOSE


OF VISITwhichmustbe CLEARLY
STATED

in tne application.Failureto do so shallinevitably


incurdelays.

3. Thevisaswhichare issuedby the Embassyor the Consulate


entitiesvisaapplicantsto ENTERThailandand

mustbe usedwithin3 monthsfromthe date of issue.Onceuponarrivalin Thailand,


THEACTUALLENGTH

OF STAY(startingfromthe date of entry)shallbe determined.


and grantedat the discretion
of lmmigration
Officers

accordingto the type and categoryof the visasin possession:


TouristVisanot exceeding60 Days;TransltVisa

Visanotexceeding90 Days.
notexceeding30 days;and Non-lmmigrant

4. HOWTO APPLYFORVISA

form.
4.1 Completeand sign ONEapplication

4.2 Submitwiththe dulycompletedform:


-YourpassporVtravel
documentswhichshouldbe validfor at leastSIXMONTHS

fromthe date of application;


- A photocopy of your Passport,

- TWOrecentphotographs,

fees (See5).
Appropriate

4 3 FOROTHERPURPOSES pleasesubmitEVIDENCE
THANTOURISM,

YOURPURPOSE
SUBSTANTIATING OF STAY.Examplesof suchevidenceare: in

caseof a transit,a confirmedtraveldocument(airticketetc.)showingThailandas

a pointof transit;in caseof a businesstrip,a letterfromyouremployeeand/orbusiness

ln Thailand;in caseof workin Thailand,a letlerof employment


counterpart from

yourprospective
employer,suchdocumentsshouldbe addressedto the RoyalThai-Consulate,

Lao P.D.R.
Savannakhet.
. 5. VISAFEES

Visafeesmustbe paidin cash in ThaiBahtCurrency.Theapplicablefeesas from26 August2003are as follows:

TouristVisa : Baht1.000per entryper person

TransitVisa : Baht 800 per entryper person

Visa : Baht2,000 for a singleentry/Baht5,000for multipleentries.


Non lmmigrant

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