泰国签证申请表

ROY AL THAI EMBASSY, BEIJING

APPLICA TION FOR VISA

以英文填写

Name Countries for which passport is valid

姓名（block letters 大写）护照适用国

Nationality Date of previous visits to Thailand

国籍上次赴泰日期

Date of Birth

出生日期Purpose of visit

Place of Birth 访问目的

出生地

Prefession（present）───────────────────────现职业Date of arrival in Thailand

Present address 入泰时间

现住址by （Flight No.班机号）

──────────────────────Duration of proposed stay

停留时间

Permanent address （if different from above）Local guarantor and address

永久地址（如与现住址不同，请注明）本国担保人姓名及住址

Passport No. ____________________________________

护照号码───────────────── Reference person and/or address in Thailand Issued at 泰国联系人及/或地址

签发地

Date of issue

签发日期ATTENEION FOR APPLICANT

Expiry date I hereby declare that the above mentioned informa- 有效日期至tion is correct and that in no case shall I violate Thai laws Name, dates and place of birth of minor children holding and regulations while in the country.

the same passport and if accompanying you 在此我声明所填内容属实,并保证不违反泰国的法律: 有否用同本护照的儿童随行,如有请填写姓名

出生地及出生日期Signature

签名

─────────────────────── Date────────────────────

日期

FOR OFFICIAL USE (以下由使馆填写) FEE PAID

Kind of visa and No. Expiry date Date of issue

TR/TS-NO WORKING PERMIT Signature