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Please Indicate Type of Visa Requested

Diplomatic Visa
Official Visa
Please attach Courtesy Visa
2 photographs Non-Immigrant Visa
Tourist Visa
the last 6 months Royal Thai Consulate-General Transit Visa
(3.5 x 4.5 cm) 87 Annerley Road, South Brisbane, QLD 4102
Tel. +617 3846 7771 Fax. +617 3846 7772 Number of Entries Requested _____
Email : admin@thaiconsulate.org

Mr. Mrs. Miss

First Name Middle Name Family Name (in BLOCK letters)

Former Name (if any) Countries for which travel document is valid

Proposed Address in Thailand
Nationality at Birth

Birth Place Marital Status

Date of Birth Name and Address of Local Guarantor

Type of Travel Document

No. Issued at Tel./Fax.

Date of Issue Expiry Date Name and Address of Guarantor in Thailand

Occupation (specify present position and name of

I hereby declare that I will not request any refund from
Current Address my paid visa fee even if my application has been declined.
Signature Date
Attention for Tourist and Transit Visas Applicants
Tel. E-mail
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
Permanent Address (if different from above)
myself in any profession or occupation while in the country.
Signature ____________________ Date____________

FOR OFFICIAL USE mfavisaform10092007

Names, dates and places of birth of minor children (if accompanying) Application/Reference No.__________________
Visa No. _____________________
Type of Visa:
Diplomatic Visa Official Visa Courtesy Visa
Date of Arrival in Thailand Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by Category of Visa:
Flight No. or Vessel’s name Number of Entries:
Single Double Multiple Entries
Duration of Proposed Stay
Date of Issue_______________ Fee
Date of Previous Visit to Thailand
Expiry Date________________
Documents Submitted
Purpose ______________________________
of Visit:
Tourism Transit
Diplomatic/ Authorized Signature and Seal _______________________
Business Official
(please specify)