Please Indicate Type of Visa Requested

Please attach
2 photographs
taken within
the last 6 months
(3.5 x 4.5 cm)

Diplomatic Visa
Official Visa
Courtesy Visa
Non-Immigration Visa
Tourist Visa
Transit Visa

APPLICATION FOR VISA

Royal Thai Embassy, Dhaka

Number of Entries Requested _______

Mr. Mrs. Miss _______________________________________________________________________________________

First Name

Middle Name

Family Name

(in Block letters)

Former Name (if any) ___________________________

Countries for which travel document is valid _________

Nationality ____________________________________

_____________________________________________

Nationality at Birth _____________________________

Proposed Address in Thailand ____________________

Birth Place ___________ Marital Status ____________

_____________________________________________

Date of Birth __________________________________

Name and Address of Local Guarantor

Type of Travel Document________________________

_____________________________________________

No. ______________ Issued at ____________________

_____________________________________________

Date of Issue _____________ Expiry Date __________

Tel./Fax. _____________________________________

Occupation (specify present position and name of employer)

Name and Address of Guarantor in Thailand _________

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

Current Address _______________________________

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 _______________

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 _________________________

Signature _________________ Date ________________

FOR OFFICIAL USE
Application/Reference No. _____________________
Visa No. _____________________________________
Type of Visa:

Date of Previous Visit to Thailand ___________________

Purpose of Visit: Tourism Transit Business

Diplomatic Visa
Official Visa Courtesy Visa
Non-Immigration Visa Tourist Visa Transit Visa

Diplomatic /Official Other (please specify) __________

Category of Visa: ___________________________________

Number of Entries:

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
1

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.

A R VL WL BL
6

Single Double Multiple ___ Entries

Date of Issue ________________ Fee __________________
Expiry Date _______________________________________
Documents Submitted _______________________________
_________________________________________________

Authorized Signature and Seal ____________________