□ Mr. □ Mrs. □ Miss _______________________________________________________________________________________
First Name Middle Name Family Name (in Block letters)
Please attach
2 photographs
taken within
the last 6 months
(3.5 x 4.5 cm)
Please Indicate Type of Visa Requested
□ Diplomatic Visa
□ Official Visa
□ Courtesy Visa
□ Non-Immigration Visa
□ Tourist Visa
□ Transit Visa
Number of Entries Requested _______
APPLICATION FOR VISA
Royal Thai Embassy, Dhaka
Former Name (if any) ___________________________
Nationality ____________________________________
Nationality at Birth _____________________________
Birth Place ___________ Marital Status ____________
Date of Birth __________________________________
Type of Travel Document________________________
No. ______________ Issued at ____________________
Date of Issue _____________ Expiry Date __________
Occupation (specify present position and name of employer)
_____________________________________________
_____________________________________________
Current Address _______________________________
_____________________________________________
Tel. ______________ E-mail _____________________
Permanent Address (if different from above)_____________
_____________________________Tel. ____________
Names, Dates and Places of Birth of minor children
(if accompanying) __________________________________________
__________________________________________________________
Date of Arrival in Thailand _________________________
Traveling by ____________________________________
Flight No. or Vessel Name _________________________
Duration of Proposed Stay _________________________
Date of Previous Visit to Thailand ___________________
Purpose of Visit: □ Tourism □ Transit □ Business
□ Diplomatic /Official □ Other (please specify) __________
Countries for which travel document is valid _________
_____________________________________________
Proposed Address in Thailand ____________________
_____________________________________________
Name and Address of Local Guarantor
_____________________________________________
_____________________________________________
Tel./Fax. _____________________________________
Name and Address of Guarantor in Thailand _________
_____________________________________________
_____________________________________________
Tel./Fax. _____________________________________
I hereby declare that I will not request any refund from my
paid visa fee even if my application has been declined.
Signature ___________________ 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.
Signature _________________ Date ________________
FOR OFFICIAL USE
Application/Reference No. _____________________
Visa No. _____________________________________
Type of Visa:
□ Diplomatic Visa □ Official Visa □ Courtesy Visa
□ Non-Immigration Visa □ Tourist Visa □ Transit Visa
Category of Visa: ___________________________________
Number of Entries:
□ Single □ Double □ Multiple □ ___ Entries
Date of Issue ________________ Fee __________________
Expiry Date _______________________________________
Documents Submitted _______________________________
_________________________________________________
Authorized Signature and Seal ____________________
FOR OFFICIAL USE ONLY
□UG □PP □AF □RD □ Multiple □ Other __________________________________
□GPV □CAF □STH □SES □FIT □GPT □GFL □NRR □ Other _______________
□FVP □IAF □FP □NF □OT □ECBS □ECWC □ECFL □CI □RR □FPT □SN
□HT □WP □ Other _____________________________________________________
□P □F □SR □RC □MFA □WP3 □PPP □PAF □TRC □ITV date
□A □R □VL □WL □BL
