女士小姐
必须用大写英文字母填写)
APPLICATION FOR VISA 泰王国驻南宁总领事馆签证申请表
Former Name(if any)
曾用名(若有)Nationality国籍
Nationality at Birth 出生国
Birth Place
出生地婚姻状况Date of Birth
出生日期Type of Travel Document
旅行证件类型No.
号码签发地Date of Issue 签发日期有效期至
Occupation (specify present position and name of employer) 职业(详细的现任职务和工作单位名称)
Current Address 现地址
Tel.
联系电话电子邮件Permanent Address (if different from above )永久地址(若与上述不同)
Names, dates and places of birth of minor children (if accompanying) 使用同一护照通行子女姓名、出生日期、出生地点(若有)
Date of Arrival in Thailand抵达泰国日期Duration of Proposed Stay 拟在泰国停留时间
Date of Previous Visit to Thailand 上次赴泰国日期
Traveling by搭乘的交通工具
Flight No. or Vessel’s name
航班号或船名Purpose of Visit本次访泰目的旅游过境商务 外交/公务 (please specify) 其他(请详细填写)
Countries for which travel document is valid旅行证件适用国
Proposed Address in Thailand 拟在泰停留地址 Name and Address of Local Guarantor 本国担保人姓名和地址
Tel./Fax. 电话/传真Name and Address of Guarantor in Thailand泰国担保人姓名和地址
Tel./Fax.
电话/传真I hereby declare that I will not request any refund from my paid visa fee even if my application has been
declined本人在此声明:即使签证申请没有通过,我也不会本人在此声明:即使签证申请没有通过,我也不会要求退还签证费。 Signature 签名日期
女士小姐
必须用大写英文字母填写)
APPLICATION FOR VISA 泰王国驻南宁总领事馆签证申请表
Former Name(if any)
曾用名(若有)Nationality国籍
Nationality at Birth 出生国
Birth Place
出生地婚姻状况Date of Birth
出生日期Type of Travel Document
旅行证件类型No.
号码签发地Date of Issue 签发日期有效期至
Occupation (specify present position and name of employer) 职业(详细的现任职务和工作单位名称)
Current Address 现地址
Tel.
联系电话电子邮件Permanent Address (if different from above )永久地址(若与上述不同)
Names, dates and places of birth of minor children (if accompanying) 使用同一护照通行子女姓名、出生日期、出生地点(若有)
Date of Arrival in Thailand抵达泰国日期Duration of Proposed Stay 拟在泰国停留时间
Date of Previous Visit to Thailand 上次赴泰国日期
Traveling by搭乘的交通工具
Flight No. or Vessel’s name
航班号或船名Purpose of Visit本次访泰目的旅游过境商务 外交/公务 (please specify) 其他(请详细填写)
Countries for which travel document is valid旅行证件适用国
Proposed Address in Thailand 拟在泰停留地址 Name and Address of Local Guarantor 本国担保人姓名和地址
Tel./Fax. 电话/传真Name and Address of Guarantor in Thailand泰国担保人姓名和地址
Tel./Fax.
电话/传真I hereby declare that I will not request any refund from my paid visa fee even if my application has been
declined本人在此声明:即使签证申请没有通过,我也不会本人在此声明:即使签证申请没有通过,我也不会要求退还签证费。 Signature 签名日期