Status Report of the Smart Visa holder
Part A : Personal Information
1.Full English name as in passport
3.Date of issue (dd-mm-yyyy)
4.Valid until (dd-mm-yyyy)
6.Home/mobile phone number
☐ Smart T, E, S: valid until
Please complete Part B
☐ Smart I : valid until
Please complete Part C
☐ Smart O : valid until
Please complete Part D
Part B : Data of the employer or sponsor in Thailand
1. Employer in Thailand/ Organization Name
5. The applicant’s involvement in the company
Director Employee Shareholder %share Other (Please specify)
Part C: Investment in Thailand
1. List of companies in which the applicant has invested.
Amount of convertible debt (Baht)
1.Please specify the name of Smart Visa holder whom you accompany
2.Type of his/her Smart Visa
Talent Investor Executive Startup
3. Relationship with the main Smart Visa holder/applicant.
4. Are you working in Thailand? Yes No
If your answer is YES, please provide the information on your job title/ Company name/ Address
Please describe an activity you have been engaged in that resulted in technology transfer/contribution to development of science and
technology in Thailand?
I certify that above statements are true and correct
Smart Visa holders must report current status to the One Stop Service Center for Visa and Work Permit (OSS) within 30
days after the issuance date of notification letter of qualification endorsement, starting from the second year onwards.