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Application For Visa: Ministry of Foreign Affairs of Thailand

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Please Indicate Type of Visa Requested Please attach 2 photographs taken within the last 6 months (3.5 x 4.

5 cm)
Diplomatic Visa Official Visa Courtesy Visa Non-Immigrant Visa Tourist Visa Transit Visa
SINGLE Number of Entries Requested _____

APPLICATION FOR VISA


Ministry of Foreign Affairs of Thailand
Miss SUNDEEP First Name
BOBBA

Mr.

Mrs.

Middle Name

Family Name

(in BLOCK letters)

Former Name (if any) Nationality INDIA Nationality at Birth INDIA Birth Place VIJAYAWADA Date of Birth 20/03/1985 Type of Travel Document PASSPORT No. G3821947 Date of Issue 22/06/2007
SYSTEM ADMINISTRATOR RAMBOLL INDIA PRIVATE LIMITED

Countries for which travel document is valid


ALL

Proposed Address in Thailand 244 MOO 2, AO NANG,


244 MOO 2, AO NANG,

Marital Status MARRIED

KRABI 81000

Name and Address of Local Guarantor


HIGH SCHOOL ROAD, PATAMATA VIJAYAWADA 520010

RANGA RAO BOBBA SF-1 SAI SARASWATHI TOWERS, YV RAO STRE

Issued at ANDHRA PRADESH Expiry Date 21/06/2017

Tel./Fax. 91 9885067867 Name and Address of Guarantor in Thailand


VOGUE RESORT 244 MOO 2, AO NANG KRABI 81000

Occupation (specify present position and name of employer)

Tel./Fax. 66 7563 7635 I hereby declare that I will not request any refund from Date 27/04/2013

Current Address

SF-1 SAI SARASWATHI TOWERS, YV RAO STREET my paid visa fee even if my application has been declined.

Signature YV RAO STREET, HIGH SCHOOOL ROAD, PATAMATA VIJAYAWADA 520010 Tel. 9885596182 E-mail
[email protected]

Permanent Address (if different from above)

Attention for Tourist and Transit Visas Applicants 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 myself in any profession or occupation while in the country. Signature Date 27/04/2013

Tel. Names, dates and places of birth of minor children (if accompanying) Visa No. Type of Visa: Date of Arrival in Thailand 06/06/2013 Traveling by AIR ASIA Flight No. or Vessels name FD2654 Duration of Proposed Stay 5 DAYS Date of Previous Visit to Thailand Purpose of Visit: Tourism Transit Business Diplomatic/Official Other (please specify)

FOR OFFICIAL USE


Application/Reference No.

mfavisaform10092007

Diplomatic Visa Non-Immigrant Visa

Official Visa Tourist Visa

Courtesy Visa Transit Visa

Category of Visa: Number of Entries: Single Date of Issue Expiry Date Documents Submitted Double Multiple Fee Entries

Authorized Signature and Seal

Referance No: THYD0000507

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