*Given Name (Capital letter)

Middle Name (If any)

*Last Name (Capital letter)

Date of birth

Main Email

Second Email

*Home address

Address in Thailand

*Contact person in your country                    


*Phone number

Phone no. in Thailand (If available)

*Passport No.
*Expiry Date
*Issued by

*Category of Thai visa you are holding


*Expiry Date

*Issued by

*Your Country

*Your Nationality

*Your Home University

*Your Study Major

Port of entry (Firstly arrival)

Arrived by airline

When do you expect to leave Thailand?

Are you currently holding an international/Thai insurance that covers the period of your study at Thammasat University ?
Yes No