Please Indicate Type of Visa Requested

Diplomatic Visa
Please attach Official Visa
1 photograph Courtesy Visa
taken within Non-Immigrant Visa
the last 6 months ■
Tourist Visa
(3.5 x 4.5 cm)
APPLICATION FOR VISA
Transit Visa
Royal Thai Consulate, Kiev
Number of Entries Requested _____

Mr. Mrs. Miss

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

Nationality
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 employer)

Tel./Fax.
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

Tel. 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
Purpose of Visit: ■
Tourism Transit Documents Submitted
Business Diplomatic/Official
Other (please specify)
Authorized Signature and Seal