Thailand Tourist visa Application for citizens of Togo living in Manitoba

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1 Thailand Tourist visa Application for citizens of Togo living in Manitoba Please enter your contact information Name: Tel: Mobile: The latest date you need your passport returned in time for your travel: Thailand tourist visa checklist Filled out and signed Thailand tourist visa application form. The form is enclosed. Original Passport. Passport must have at least 6 months remaining validity and have at least 1 visa page. 2 Photographs. Standard passport photographs 2x2 inches on a white background. Payment. Credit Card Authorization form, Certified Check, or Money Order payable to VisaHQ.ca. Return mailer. Prepaid self-addressed return label or payment for FedEx. If you wish to prepay return shipping, please add the shipping fee to the total and provide return address: FedEx 2nd day delivery - From $33 FedEx Priority Overnight - From $34 FedEx First Overnight - From $54 FedEx Saturday delivery - From $62 Prepaid self addressed mailer - $0 Local pick up in Ottawa - $0 Name: Company: Address: City: State: Zip: * Actual prices may vary based on location per FedEx.com.

2 Proof of Status. Copy of the front and back of valid Permanent Resident Card or other proof of legal status in Canada (such as study permit, work permit, refugee/protected person status document) Bank Statement. Applicants applying for Multiple entry visa must provide a copy of their bank statement showing a deposit of the amount equal to no less than $7500.

3 Thailand tourist visa fees for citizens of Togo living in Manitoba Type of visa Validity Processing time Embassy fee Service fee Money order Fee HST Total Single entry up to 90 days 2-3 business days $0.00 $59.00 $10.00 $2.95 $71.95 Multiple entry up to 180 days 3 business days $ $59.00 $10.00 $2.95 $ This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

4 Credit card authorization form By signing this form i accept VisaHQ.ca Terms of Service and authorize to charge my credit card for the amount of $ Name on the Credit Card: Credit card number: Exp. date: / CVC: Credit Card Billing Address: Signature: Comments: Thank you! We accept all major credit cards.

5 Please attach Official 1 photo Visa taken within 6 months ( 2x2 ) Non-Immigrant Format passeport Application For Visa / F ormulaire de demande de visa Royal Thai Embassy 180 Island Park Drive, Ottawa, Ontario K1Y 0A2 Tel. (613) Fax (613) Visa processing fee is non refundable. Cash or Money Order only. Frais consulaires non remboursables. Argent comptant ou mandats seulement Please indicate Type of visa required Veuillez cocher le type de visa demandé Diplomatic/Diplomatique Official/Officiel Courtesy/Courtoisie Non-Immigrant/Non immigrant Tourist/Touristique Transit/Transit Please answer all questions and sign this application form. Failure to do so may result in delay or refusal of visa. Veuillez répondre à toutes les questions et signer le formulaire, à défaut de quoi il pourrait y avoir des délais dans le traitement de votre demande ou encore l on pourrait vous refuser la délivrance de votre visa. Mr. Mrs. Miss Monsieur Madame Mademoiselle First name/prénom (s) Family name /Nom de famille (s) (in Block Letters) Former name (if any) Nom anterieurs (s il y a lieu) Nationality Nationalité Nationality at birth Nationalité à la naissance Birth place Marital Status Lieu de naissance Etat civil Date of birth Date de naissance Type of travel document Types de documents de voyage Passport data/ données du passeport Number / numéro Date of issue / date de délivrance Place of issue / lieu de délivrance Expiry date / date d expiration Present occupation and address Profession et addresse Current address : Adresse et numéro de téléphone du domicile Tel. Countries for which passport is valid Pays pour lesquels votre passeport est valide Purpose of visit But de la visite Duration of stay in Thailand Durée de votre séjour en Thaïlande Number of entries requested Nombre d entrées demandé Date of departure from Canada Date de départ du Canada Date of arrival in Thailand Date d arrivée en Thaïlande Traveling by /airlines/flight number Companie aérienne et numéro de vol Names and relationship of person(s) accompanying you Nom et lien avec la(les) personne(s) voyageant avec vous, s il y a lieu Applicant s signature Signature du demandeur Date Tourist Visa Applicant: I hereby declare that the purpose of my visit is for pleasure only and in no case shall I engage myself in any profession or occupation while in Thailand. Demandeur de visa touristique: Je declare par la présente que le but de ma visite est seulement pour loisirs et qu en aucuns cas je ne m engagerai dans une profession ou occupation quelconque pendant mon séjour en Thaïlande. Guarantor (relative or friend) and address and phone# in Canada Nom du garant (parent ou ami) et adresse et téléphone au Canada Place of stay in Thailand Addresse prevu en Thailande For Official Use Type of visa and number Date of issue Expiry date Fees Tourist visa applicant s signature Signature du demandeur The embassy requires 2 working days to process your visa. Visa Hours: 9:30-11:30 a.m. and 1:30-3:00 p.m. Monday to Friday. L'ambassade a besoin 2 jours pour faire le visa. Veuillez verifier avec notre agent le délai néccesaire de traitement de votre demande. Nos heures d ouverture sont les lundis aux vendredis entre a.m. et p.m. Reservee a l Administration Remarks Authorized officer s signature and seal

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