TM.88
照片
4*6 cm.
落地签证申请表
APPLICATION FOR VISA ON ARRIVAL
小姐Miss 先生Mr.
女士Mrs.
姓Family n ame 名First nam 中间名Middle n ame
国籍Natio nality
旅行证件号码Passport or travelling document No.
签发地与日期Date and place of issue 出生日期Date of birth
有效期至Expiry date ................. 航班号Flight No：...............
职业Occupati on
永久地址Perma nent address
泰国地址Adress in Thailand
在泰国参考人姓名和地址Name and address of pers on (s) of refere nee in Thaila nd
使用同一护照通行子女姓名，出生日期，出生地点
If accompanied by minor children travelling on the same passport, please give names, dates and places of bir
签名Sig nature 一___ _______ __ ______
日期Date …… .... .... .... ...
以下由官方填写
FOR OFFICIAL USE ONLY
Visa No. Date of Issue
Fees
Sig nature...... ......... .. ............ ....
Immigrati on Officer Date . .... .......... 一…一...注意NOTICE
签证费100泰铢/人VISA FEE IS 1,000 BATH PER PERSON
只收泰铢/不能退还签证费THAI CURRENCY ONLY/ NON-REFUNDABLE
