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ROYALTHAIEMBASSY,BEIJINGAPPLICATIONFORVISA以英文填写NameCountriesforwhichpassportisvalid姓名（blockletters大写）护照适用国NationalityDateofpreviousvisitstoThailand国籍上次赴泰日期DateofBirth出生日期PurposeofvisitPlaceofBirth访问目的出生地Prefession（present）───────────────────────现职业DateofarrivalinThailandPresentaddress入泰时间现住址by（FlightNo.班机号）──────────────────────Durationofproposedstay停留时间Permanentaddress（ifdifferentfromabove）Localguarantorandaddress永久地址（如与现住址不同，请注明）本国担保人姓名及住址PassportNo.____________________________________护照号码─────────────────Referencepersonand/oraddressinThailandIssuedat泰国联系人及/或地址签发地Dateofissue签发日期ATTENEIONFORAPPLICANTExpirydateIherebydeclarethattheabovementionedinforma-有效日期至tioniscorrectandthatinnocaseshallIviolateThailawsName,datesandplaceofbirthofminorchildrenholdingandregulationswhileinthecountry.thesamepassportandifaccompanyingyou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FOROFFICIALUSE(以下由使馆填写)FEEPAIDKindofvisaandNo.ExpirydateDateofissueTR/TS-NOWORKINGPERMITSignature2寸Photo