Please Indicate Type of Visa Requested

Diplomatic Visa
Official Visa
Please attach Courtesy Visa
2 photographs SMART Visa
taken within Non-Immigrant Visa
the last 6 months Tourist Visa
APPLICATION FOR VISA Transit Visa
(3.5 x 4.5 cm)
Royal Thai Embassy, New Delhi 1
Number of Entries Requested _____

Mr. Mrs. Miss ZOHAR WILLIAMS

First Name Middle Name Family Name (in BLOCK letters)

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

Nationality INDIAN ALL

Proposed Address in Thailand 75/19 moo. 6 Kathu
Nationality at Birth INDIAN
Phuket 83120
Birth Place KANPUR Marital Status SINGLE
Date of Birth 15-06-1995 Name and Address of Local Guarantor
MRS. KANTA WILLIAMS, LAL KOTHI, VILLAGE LOHNA, BANDLA TEA
Type of Travel Document PASSPORT ESTATE, PALAMPUR, DIST. KANGRA, HP 176061

No. L3422932 Issued at BANGKOK Tel./Fax. +917807199323

Date of Issue 09-09-2016 Expiry Date 08/09/2026 Name and Address of Guarantor in Thailand
MS. KOSITA BOONYAKIAT, 75/19 moo. 6 Kathu
Occupation (specify present position and name of employer) Phuket 83120
Recently Graduated Tel./Fax. +6676335300
I hereby declare that I will not request any refund from
Current Address LAL KOTHI, VILLAGE LOHNA, BANDLA TEA my paid visa fee even if my application has been declined.

ESTATE, PALAMPUR, DIST. KANGRA, HP 176061 Signature Date 03-05-2018

Attention for Tourist and Transit Visas Applicants
Tel. +918629049280 E-mail zoharkiks@gmail.com
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 16-05-2018 Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by AIR SMART Visa
Category of Visa:
Flight No. or Vessel’s name SG 87 (SpiceJet) Number of Entries:
Duration of Proposed Stay 1 Year Single Double Multiple Entries
Date of Previous Visit to Thailand 03-11-2014 Date of Issue Fee
Purpose of Visit: Tourism Transit Expiry Date
Business Diplomatic/Official Documents Submitted
Other (please specify) Service
REMARK: Applicants are required to pay a visa fee which is non-refundable, Authorized Signature and Seal
regardless of whether the visa is approved or rejected.