Personal Information In Passport

Family Name *

First Name*

Passport Number*

Nationality *

Personal Information

Date of Birth (DD/MM/YYYY) *

Occupation *

Gender *

Male

Female

Undefined

Country of Residence *

City/State of Residence*

What is your phone number? *

Email Address *

Re-Enter-Email*

Arrival Information

Date of Arrival *

Country/Territory where you Boarded *

Purpose of Travel *

Other Purpose of Travel

Mode of Travel *

AIR

Land

Sea

Mode of Transport*

Flight No./Vehicle No.*

Departure Information

Leaving date from Thailand *

Mode of Travel *

AIR

Land

Sea

Mode of Transport*

Flight No./Vehicle No.*

Accommodation Information

I am a transit passenger, I don't stay in Thailand.

Type of Accommodation in Thailand *

Address *

Health Declaration

Please list the name of the countries/territories where you stayed within two weeks before arrival. *

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Thai Digital Arrival