Test form

Foreign National Information From - Michael

  • No.________________ For the purpose of__________


  • Foreign National Information From

          This Form shall be used for making record of information of every alien entering and staying in the Kingdom of Thailand and shall be submit with Notification of Residence for Aliens (section 37, 38 of Immigration Act, BE 2522), or 90-days Notification, or Extension of Stays (all purpose), or Re-Entry, or in all cases involving alien labors.
    (if any item does not apply, please write "-")
          Providing false information to an officer, shall be punished under the Penal Code.
  • 1.To be Completed by Recording Person

  • Recording Agency
  • This is a tool tip
  • Recording Person Code
  • Recording Date
  • Name and Position of Recording Person (Official or Private)
  • Name-Surname
  • Position
  • Agency
  • Telephone
  • 2. Foreign National Information (Please Use Gregorian Calendar Format Day/Month/Year)

  • 2.1 Name
  • Middle Name
  • Surname
  • Nationality
  • Date of Birth
  • Age
  • years old
  • Passport Number
  • Father's Name/Surname
  • Mother's Name/Surname
  • 2.2 Foreign National's Home Address
  • Address No.
  • Village No.
  • Soi, Lane
  • Road
  • Subdistrict
  • District, City
  • Region, Province, State
  • Country
  • Home Telephone Number
  • Mobile Phone Number
  • Information of Community Leader (for national of Lao PDR, Cambodia, Myanmar, and Vietnam)
  • Name
  • Middle Name
  • Surname
  • Occupation
  • Address No.
  • Village No.
  • Soi, Lane
  • Road
  • Subdistrict
  • District, City
  • Region, Province, State
  • Country
  • Home Telephone Number
  • Mobile Phone Number
  • 2.3 Address in Thailand
  • 2.3.1 Address No.
  • Village No.
  • Soi, Lane
  • Road
  • Subdistrict
  • District, City
  • Province
  • Telephone Number
  • Mobile Phone Number
  • 2.3.2 Workplace
  • Workplace
  • Village No.
  • Road
  • Subdistrict
  • District, City
  • Province
  • Telephone Number
  • Mobile Phone Number
  • 2.4 Frequently used Social Media (OPTIONAL - This will be used as additional means of communication from offical)
  • 2.4.1 Facebook ID
  • 2.4.2 Line ID
  • 2.4.3 Others
  • 2.4.4 Email Address
  • 2.5 Vehicle
  • Car/Motorcycle's Brand
  • Model
  • Color
  • License Plate Number
  • Place of License Plate Issued
  • 2.6 Frequently Visited Places or Premises (Such as Club, Restaurant, Shop, Hospital, etc.)
  • Place of Recording
  • Date
  • Additional information, I, MR./Mrs./Ms.
  • nationality, was born on (Day/Month/Year)
  • years old holding passport number
  • , issued
  • would like to add additional information that
  • I hereby declare that the above statement is true
  • Signed_________________Alien
             (_________________)
    Signed_________________Interviewer/Recording Person
             (_________________)
    Position___________________
          _______/_______/_______
  • Note: Providing false information to an officer, shall be punished under Penal Code.
  • This field is for validation purposes and should be left unchanged.