Fillable Form 53: 69 65 3 2

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Form 53: 69 65 3 2

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1.

. . . . . . . . . . . . . . . .
2. 
. . . . . . . . . . . . . .
3.

. . . . . . . . . . . . . . . . .
4.
2. + 3.)
. . . . . . . . .


..............................................................................................

 ..............................................................................................)

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
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
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
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


..........
 (หน่วยงาน) :
.....................................................................................................................................................................................

...................................... ........... ................................................
..........................................................................................................................
............................................................................................................................................
.........................................................................................................................................

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
53

369
 65  



สาขาที่
 

 
53 ..........................
.........................


 ..........................
.........................
.......................................................................
................................................
ประทับตรา
นิติบุคคล
(ถ้ามี)
 
1161

“
”“ ”
 ...............
1
4
7
10
2
5
8
11)

3
6
9
12

1 
3 
2
65 
3
69 

53

ล้างข้อมูล

2560
1. 
1.1

40
500 1.0

53


1.2 หรือ0

(1) 40 (2)(3)


 3.0
0(
47(7) () 10.0
(2) 0
40 (5) ()(


 5.0

 1.0
0(
 10.0
(3) 406


 3.0
0(ไม่รวมถึง
 10.0
(4) 
(
 3.0

0
 3.0
(5) 
 2.0
(6)
  

 0.75
0(


 0.75

(7) 40 (8)
(4) (5) (9)(10) (


(
 3.0
(8) 

(


 3.0
(9) 0

 1.0
(10)
 (


0(
 1.0
1.3


40 (4) ()

(1) (

 1.0
(
2)
(

 10.0
1.4 00(

1.340 (4) ()
 


1.0
1.5  (

1.340 (4) ()






(
1) 
(

1.0
(2) 0(

10.0
1.6
0

(

40 (4) ()





(0
25


10.0
1.7
หรือ


 (
1) 40 (8)


5.0
(2) 


5.0
1.8
 1.21.7

1,000 

1,000 
 

2. 
53

7  


3. 
3.1





54
3.2 

2. 1.5



1
27 
 
2.  2,000  35


3.3


 200,000 
37

   
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