OBS! ENDAST EXEMPEL, FÅR EJ ANVÄNDAS! Please Indicate Type of Visa Requested Diplomatic Visa VÄLJ DET VISUM SAMT ANTALET Official Visa INRESOR DU VILL Courtesy Visa ANSÖKA OM Non-Immigrant Visa type _________________ Transit Visa Tourist Visa VAR VÄNLIG FYLL I PÅ ENGELSKA! BIFOGA 2 ST Please attach 2 LIKADANA photographs NYTAGNA taken within I the FOTON last 6 months STORLEKEN (3.5 x 4.5 cm) 35mm x 45mm ANVÄND EJ BLYERTSPENNA ELLER RÖD BLÄCK! APPLICATION FOR VISA Royal Thai Consulate Norra www.thaiembassy.se Hamngatan 36, 2nd floor Floragatan 3, 100 40 Box 11499 SE-404 30Stockholm Göteborg Service hours: 9.00-12.00 Phone service: 9.00-11.00 Service hours: 9.00-12.00 Phone service: 9.00-11.00 Tel: +46 (0)(0) 31-150640 Fax: +46+46 (0)31-153 240 240 Tel: +46 31-150640 Fax: (0) 31-153 Nowww.thaiconsulate.se postal service provide Number of Entries Requested 1 2 Multiple (N/A for Tourist visa) BEFORE BEFORESUBMITTING SUBMITTINGTHE THEAPPLICATION APPLICATIONPLEASE PLEASECHECK CHECKVISA VISAREGULATIONS REGULATIONSAT ATWWW.THAIEMBASSY.SE WWW.THAICONSULATE.SE Mr. Mrs. NAMN SOM STÅR I DITT PASS Miss First Name EFTERNAMN Middle Name NATIONALITET Nationality Family Name (in BLOCK letters) Proposed Address in Thailand (Please specify hotel name and address, house address, or the city in which you are planning to visit) Nationality at Birth Birth Place FÖRDELSENATIONALITET FÖRDELSEORT/LAND ADRESS I THAILAND (HOTEL/HUS) ELLER RESMÅL (STAD) Reference/contact person and address in Sweden/Home country NAMN OCH ADRESS SAMT TELEFONNR. AV PERSONEN FÖRDELSEDATUM Date of Birth (dd/mm/yyyy) SOM VI KAN TA KONTAKT MED NÄR DU ÄR I THAILAND VÄLJ DITT CIVILSTÅND Marital Marital Status Status Single Married Divorced Widow(er) Tel. /Fax. Other Passport/Travel Document No. PASSNR. Name and Address of Guarantor in Thailand (Or reference/contact Issued at UTFÄRDANDE MYNDIGHET Date of Issue UTFÄRDAT DATUM Expiry Date SISTA GILTIGHETS DAG Occupation (specify present position and name of employer) YRKE OCH ARBETSGIVARENS NAMN Current Address NUVARANDE ADRESS SOM BETALAR FÖR DIN RESA ELLER SOM DU KÄNNER (KAN LÄMNAS BLANK OM INTE DU HAR) For Attention of Applicants: I hereby confirm that the purpose of my visit to Thailand is solely as stated in this application form and all information given is correct and complete. Note: Visa fee is non-refundable even if my application has been declined. GLÖM EJ SIGNERA NAMN SAMT DATUM! POST NR. SAMT POSTORT Tel. HEM/MOBIL NR. person and address in Thailand, if any) NAMN OCH ADRESS SAMT TELEFONNR. AV PERSONEN I THAILAND Tel. /Fax Signature E-mail Date E-POSTADRESS FOR OFFICIAL USE Permanent Address (if different from above) PERMANENT ADRESS (OM OLIKA FRÅN DEN NUVARANDE ADRESS OVAN) Date of Arrival in Thailand Traveling by ANKOMST DATUM FLYGBOLAG/FORDONSNAMN Application/Reference No. FÄLTET SKALL EJ FYLLAS I Visa No. Type of Visa: Diplomatic Visa Non-Immigrant Visa (FÄLTET SKALL EJ Official Visa Tourist VisaI) FYLLAS Courtesy Visa Transit Visa Category of Visa: Number of Entries: Duration of Proposed Stay (how many) VISTELSENS LÄNGD days Purpose of Visit: VÄLJ ÄNDAMÅL MED VISTELSEN Tourism Business Other (please (please specify) specify) Other Transit Diplomatic/Official Single Double Triple Date of Issue Expiry Date Documents Submitted DATUM AV SENASTE BESÖK Date of of Previous PreviousVisit Visitto toThailand Thailand(mm/yy) (mm/yy) Date 3 Authorized Signature and Seal Multiple Fee