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VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT Center for International Affairs (CIA) of Walailak University (Updated on 16 February 2018)

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Page 1: VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT...International student has to be aware of all immigration procedures regulated by the Thai Immigration Bureau, for example, obtaining

VISA AND IMMIGRATION

FOR INTERNATIONAL STUDENT

Center for International Affairs (CIA) of Walailak University

(Updated on 16 February 2018)

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Table of Contents

Visa and Immigration Guideline ............................................................................................... 2

1. Obtaining a Non-Immigrant Visa (Category "ED") ....................................................... 3

2. Notification of Residence .............................................................................................. 3

3. Visa Extension ................................................................................................................ 4

4. Notification of Staying in the Kingdom Over 90 Days ................................................. 5

5. Re-entry Permit to Return into the Kingdom of Thailand ........................................... 6

Contact Address ........................................................................................................................ 7

Appendixes ................................................................................................................................ 8

1. Sample of arrival-departure card .................................................................................. 9

2. Sample of visa extension forms .................................................................................... 9

3. Sample of Notify of Staying Longer Than 90 Days Form ...........................................17

4. Sample of Re-entry Permit Form ................................................................................ 19

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International Student Visa CIA of Walailak University

VISA AND IMMIGRATION FOR INTERNATIONAL STUDENTS

Center for International Affairs (CIA) of Walailak University

Visa and Immigration Guideline

International student has to be aware of all immigration procedures regulated by the Thai

Immigration Bureau, for example, obtaining a Non-Immigrant Visa (Category "ED"), notification of

residence, visa extension, notification of staying over 90 days, re-entry permit, and etc.

To determine which immigration procedures you have to follow, first identify your

student status whether you are an international student in a degree program or in a short-term

study program.

1) Student in a degree program such as a Bachelor’s Degree student, a Master’s

Degree student and a Ph.D. student

2) Student in a short-term study program such as an exchange student, an

internship student, a research student

Next, check the table below to see which immigration procedures you have to follow. For

more detail of each procedure, please kindly see an instruction on next pages.

Type of International Student Immigration Procedures

Obtain an ED visa

Residency Report

Visa Extension

90 Days Report

Re-entry permit

1. Student in a degree program

2. Student in a short-term study program with a study duration;

1) over 6 months

2) not over 6 months

3) not over 3 months

3. Student with a plan to travel outside Thailand and return

Importance!

1) Tourist visa is unacceptable and cannot be changed to a Non-Immigrant Visa

(Category "ED") which is for educational purposes. The Non-Immigrant Visa can

be obtained only from a Royal Thai Embassy or a Royal Thai Consulate-General

outside of Thailand.

2) The international student holding the Non-Immigrant Visa (Category “ED”) is not

permitted to work.

3) After you complete your study program, your Non-Immigrant Visa (Category "ED")

will be terminated, even though the period of stay is still available.

4) To certify a true copy of original document such as a copy of passport, a copy of

student card, a copy of health insurance card, etc., you have to sign your

signature at the right bottom of every page.

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International Student Visa CIA of Walailak University

1. Obtaining a Non-Immigrant Visa (Category "ED")

International student is required to obtain a Non-Immigrant Visa (Category "ED") from a

Royal Thai Embassy or a Royal Thai Consulate-General before traveling to Thailand.

To apply for the visa, submit following documents in person;

1) Visa application form (available at the Embassy)

2) Passport with validity not less than 6 months

3) (4 x 6 cm) photographs of the applicant, taken within the past 6 months

4) Letter of acceptance from Walailak University

5) Visa Fee; 2,000 Baht for single entry and 5,000 Baht for multiple entries

However, the required documents will be varied as determined by each Royal Thai Embassy

or each Royal Thai Consulate-General. Please inquire further information at the Royal Thai Embassy

or the Royal Thai Consulate-General where you intend to submit your application.

The validity of visa is a period when the visa can be used to enter Thailand. In general, the

validity of visa is 90 days and is displayed on the visa sticker. Do not apply for the visa earlier than

90 days of your traveling date to Thailand.

The period of stay for the Non-Immigrant Visa (Category "ED") is not exceeding 90 days

from the arrival date. The period of stay granted by the immigration officer is displayed on the

arrival stamp. The student who has a study program longer than 90 days has to apply for an

extension of stay.

For more information about Thailand Visa Information, please click

http://www.mfa.go.th/main/en/services/4908

For contact details and locations of Royal Thai Embassies and Royal Thai Consulate-

General in foreign countries, please click http://www.thaiembassy.org/

2. Notification of Residence

According to Section 38 of the 1979 Immigration Act, the house-master, the owner or the

possessor of the residence, or the hotel manager where the alien, receiving permission to stay

temporary in the Kingdom has stayed, must notify the competent official of the Immigration

Office located in the same area with that house, dwelling place or hotel, within 24 hours from the

time of arrival of the alien concerned.

2.1 Staying in the University’s dormitory

The University, as the owner of the residence, will report a notification of residence for

international student who resides in on-campus dormitory. To report the notification of residence,

on your arrival at the campus, you have to immediately contact CIA and submit a copy of passport,

every used page including a copy of departure card. Once the report procedure is done, the

report receipt will be sent to you and it has to be attached to your passport.

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International Student Visa CIA of Walailak University

2.2 Staying in off-campus accommodation

It is a responsibility of an accommodation owner to report a notification of residence for

international student who resides in his/her accommodation such as dormitory, apartment, house

or etc.

To report the notification of residence, the accommodation owner has to submit following

documents in person at the Immigration Office within 24 hours;

1) TM. 30 Form - Notification form for house-master, owner or the possessor of the

residence where alien has stayed (available online at http://cia.wu.ac.th/)

2) A copy of the accommodation owner’s ID Card

3) A copy of the house registration where the student resides.

4) A copy of passport, every used page including Departure Card

After submission of the documents, the immigration officer will return the report receipt

to the accommodation owner. The accommodation owner has to give a copy of the receipt to

the student and keep it with the passport.

Please note that for each of your traveling out of Thailand and returning to the Campus,

you have to redo your notification of residence. Fail to do so, you have to be responsible for all

fines charged by the Immigration Office. Consequently, you may be unable to extend your period

of stay.

3. Visa Extension

Since the period of stay for the Non-Immigrant Visa (Category "ED") is not exceeding 90

days from the arrival date, the student whose study program is longer than 90 days has to apply

for an extension of stay.

The period of stay can be extended to a maximum of 1 year depending on your study

program and the period approved by CIA. However, the extended period of stay will be not

exceeding the passport validity. If the student wishes to extend the period of stay for 1 year, your

passport has to be valid at least for 1 year.

To extend the visa, the student is required to contact CIA at least 30 days in advance of

the visa’s expiration date and submit following documents:

1) TM. 7 Form - Application for Extension of Temporary Stay in the Kingdom

2) STM. 2 Form - Acknowledgement of Terms and Conditions for Permit of

Temporary Stay in the Kingdom of Thailand

3) Consent to Disclosure of Information Form

4) The Acknowledgement of Penalties for a Visa Overstay Form

5) A copy of passport, every used page including Departure Card and Residence

Report Receipt

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6) A copy of acceptance letter

7) A copy of student card

8) A student testimonial letter

9) A transcript record

10) 4 photos showing your study

11) A copy of health insurance main page or card

12) University map with latitude and longitude

13) Your dormitory or accommodation location map which can be printed from

Google map but it must show the exact location and the route

14) 2 recent photo (size 4 x 6 cm), taken within the past 6 months. One of the photos

to be affixed on TM.7 Form

15) Fee; 1,900 Baht

16) A valid passport

Importance!

- Form no. 1) - 4) and document no. 12) are available online at http://cia.wu.ac.th/

- Document no. 8) - 9) can be requested through http://ces.wu.ac.th/. It costs 50

Baht/document. In 2 days after your payment, these documents can be received

at a counter of the Center of Educational Service, located on ground floor of

Thaiburi Building.

Within 7 days, you can receive all the documents back, together with the facilitation letters

issued by CIA. Next, submit all documents in person at the Immigration Office of Nakhon Si

Thammarat as soon as possible.

Importantly, the student is solely responsible for checking their visa validity and taking

necessary steps to extend the visa. Overstaying the period granted by the Immigration Office

results in a fine of 500 Baht per day up to a maximum of 20,000 Baht. Overstaying more than 90

days will be result in banning from re-entry to Thailand. For more information about re-entry

banning, please click http://overstay.immigration.go.th/advice.html

4. Notification of Staying in the Kingdom Over 90 Days

International student staying in Thailand over 90 days has to notify the Immigration

Office. The notification has to be done every 90-day, within 15 days before or 7 days after the due

date.

To do the notification, submit following documents in person at the Immigration Office

of Nakhon Si Thammarat:

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1) TM. 47 Form for Alien to Notify of Staying Longer Than 90 Days (available online

at http://cia.wu.ac.th/)

2) A valid passport

In case that you are not in Nakhon Si Thammarat during those times, the notification can

be made at any Immigration Office throughout Thailand. In addition, if the student leaves

Thailand and re-enters, the due date for the notification of staying over 90 days is recounted

from the arrival date.

Staying in Thailand over 90 days without notifying the Immigration Office or later than

the specified due date results in a fine of 2,000 Baht. In case of being arrested, result in a fine of

4,000 Baht.

5. Re-entry Permit to Return into the Kingdom of Thailand

International student holding a single entry visa and having a plan to travel outside of

Thailand and return by the Non-Immigrant Visa (Category "ED") has to apply for a re-entry permit

before departure. Traveling outside of Thailand without the re-entry permit, your Non-Immigrant

Visa (Category "ED") will be ended.

The re-entry permit can be applied at any Immigration Office or Immigration Checkpoint

throughout Thailand. Except for Suvarnabhumi Airport Immigration Checkpoint, the application

will be available only for some cases under the consideration of Immigration Officer.

To apply for the re-entry permit, submit following documents in person at the Immigration

Office or Immigration Checkpoint:

1) TM. 8 Application for Re-Entry Permit to Return into the Kingdom (available

online at http://cia.wu.ac.th/)

2) A copy of passport, every used page including Departure Card and Residence

Report Receipt.

3) A recent photo (size 4 x 6 cm), taken within the past 6 months

4) Fee; 1,000 Baht for single entry and 3,800 Baht for multiple entry

5) A valid passport

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International Student Visa CIA of Walailak University

Contact Address

Center for International Affairs (CIA) Monday - Friday (8.30 a.m. - 4.30 p.m.)

3rd floor of Administration Building E-mail: [email protected] Phone: 0 7567 3768 (for local call) +66 7567 3768 (for inter call)

Nakhon Si Thammarat Immigration Office Monday - Friday (8.30 a.m. - 4.30 p.m.) Located 30 km. away from the University

How to go: Public van service from public transport station on campus Address: The Vintage Village 99/34 Aom Khai Wachirawut Road, Thawang Sub-district, Mueang, Nakhon Si Thammarat 80000 Phone: 0 7545 0491-2 (for local call) +66 7545 0491-2 (for inter call)

Further information regarding Thailand Immigration

http://www.immigration.go.th/

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Appendixes

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1. Sample of Arrival-Departure Card

The foreigner travelling to Thailand has to fill in the T.M. 6 (Arrival-Departure Card)

and submit it to the immigration officer on the arrival at Thailand via airport immigration

check point for traveling by air or via border immigration check point for traveling by

land.

The card consisted of 2 parts; Arrival Card and Departure Card.

1) Arrival Card: the immigration officer takes this part and returns the Departure

Card to the foreigner.

2) Departure Card: the foreigner has to keep this card with his/her passport. The

Departure Card Number is shown under the barcode. In case that you have to

extend the visa, the Departure Card Number needs to be filled in the form.

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2. Sample of visa extension forms

1) TM. 7 Form - Application for Extension of Temporary Stay in the Kingdom

2) STM. 2 Form - Acknowledgement of Terms and Conditions for Permit of

Temporary Stay in the Kingdom of Thailand

3) Consent to Disclosure of Information Form

4) The Acknowledgement of Penalties for a Visa Overstay Form

5) 4 photos showing your study

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Reason (s) for extension

ตม.๗ TM.7

ค ำขออนญำตเพออยในรำชอำณำจกรเปนกำรชวครำวตอไป APPLICATION FOR EXTENSION OF TEMPORARY STAY IN THE KINGDOM

ทท ำกำรตรวจคนเขำเมอง . Immigration Office

วนท เดอน พ.ศ. . Date Month Year

เรยน ผบญชำกำรต ำรวจแหงชำต TO Commissioner – General, Royal Thai Police

ขำพเจำ (นำย / นำง / นำงสำว) ชอสกล ชอตว . I, (Mr. Mrs. Miss) family name first name

ชอรอง อำย ป เกดวนท เดอน พ.ศ. . middle name age years date of birth month year

สถำนทเกด สญชำต . Place of birth nationality

ถอหนงสอเดนทำงหรอเอกสำรใชแทนหนงสอเดนทำง เลขท ลงวนท . holding passport or traveling document no dated

เดอน พ.ศ. ออกใหท มอำยใชไดถงวนท . Month year issued at valid until

เดอน พ.ศ. ประเภทของวซำ . Month year kind of visa

ไดโดยสำรโดยพำหนะ จำก . Arrived by (mode of transportation) from

เขำมำทำงดำน วนท เดอน พ.ศ. . Port of arrival date month year

บตรขำเขำ/ขำออก ตม.๖ ล ำดบท . arrival/departure card TM.6 no.

ขำพเจำขอยนค ำขออนญำตเพออยในรำชอำณำจกรเปนกำรชวครำวตอไปอก มก ำหนด วน I wish to apply for an extension of temporary stay in the Kingdom for another period of days.

ทเหตผลขออยตอ . . . .

ขอแสดงควำมนบถออยำงสง Yours sincerely,

ลำยมอชอหรอลำยนวหวแมมอขวำ ผขอ Signature or right thumb print Applicant

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NST IMMIGRATION
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21
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FEBRUARY
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2017
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NURIZZI
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FERDIAN
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RIFQI
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25
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1
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JANUARY
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1992
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JAKARTA, INDONESIA
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INDONESIAN
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AB12345678
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1
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JUNE
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2015
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JAKARTA PASSPORT OFFICE
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MAY
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2021
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NON-IMMIGRANT 'ED'
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AIR
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KUALA LUMPUR INTER AIRPORT
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SUVARNABHUMI INTER AIRPORT
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1
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JANUARY
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2017
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AB98765
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365
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STUDYING IN A MASTER'S DEGREE PROGRAM (ENGLISH LANGUAGE)
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WALAILAK UNIVERSITY
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SIGN HERE
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O
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The date that you are going to submit your application at the Immigration Office>>>
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สถำนทพกในประเทศไทย . Address in Thailand

ค ำขออนญำตฉบบน ขำพเจำ เปนผเขยน This application is written by

อยบำนเลขท ถนน ต ำบล/แขวง . address no. road Tambon/Khwaeng

อ ำเภอ จงหวด . Amphoe/Khet Changwat

ลงชอ ผเขยน Signature Write

ค ำเตอน NOTICE ๑. ผขอจะตองยนค ำขออนญำตดวยตนเอง

APPLICATION MUST BE MADE IN PERSON. ๒. คำธรรมเนยมกำรยนค ำขออนญำต ๑๙๐๐ บำท

APPICATION FEE IS 1900 BAHT. ๓. จะไดรบกำรอนญำตหรอไมกตำม เงนคำธรรมเนยมจะไมคนให

WHETHER PERMISION IS GRANTED OR NOT, APPICATION FEE IS NOT REFUNDABLE.

รปถำย ขนำด ๔ x ๖ ซม.

photograph ๔ x ๖ cm.

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WALAILAK UNIVERSITY, DORM 18 ROOM NO. 112, 222 THAIBURI, THASALA DISTRICT NAKHON SI THAMMARAT 80160
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MR. NURIZZI RIFQI FERDIAN
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222
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WALAILAK UNIVERSITY, DORM 18 ROOM NO. 112
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THAIBURI
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THASALA
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NAKHON SI THAMMARAT
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In case that you are not living in an on-campus dormitory, you have to provide your current accommodation's address.
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SIGN HERE
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Affix your photo here
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21 FEBRUARY 2017
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MR. NURIZZI RIFQI FERDIAN
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25
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INDONESIAN
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STUDYING IN A MASTER'S DEGREE PROGRAM AT WALAILAK UNIVERESITY
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SIGN HERE
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21 FEBRUARY 2017
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MR.
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NURIZZI RIFQI FERDIAN
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25
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INDONESIAN
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STUDYING IN A MASTER'S DEGREE PROGRAM AT WALAILAK UNIVESRSITY
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SIGN HERE
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The date that you are going to submit your application at the Immigration Office>>>
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NST IMMIGRATION
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21
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FEBRUARY
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2017
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MR. NURIZZI RIFQI FERDIAN
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25
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INDONESIAN
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AB12345678
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WALAILAK UNIVERSITY 222 THAIBURI, THASALA DISTRICT, NAKHON SI THAMMARAT 80160
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SIGN HERE
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1. Are you currently having any criminal or civil cases pending in the Thai Court or the Court of Jurisdiction outside Thailand?
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2. Have you been imprisoned by the judgment of the Thai Court or by a lawful injunction; or by the judgment of the Court of Jurisdiction outside Thailand, except when the penalty is for petty offense or negligence or is provided for as an exception in the Thai Ministerial Regulations?
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The date that you are going to submit your application at the Immigration Office>>>
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NST IMMIGRATION
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FERDIAN
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NURIZZI
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RIFQI
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INDONESIAN
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AB12345678
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SIGN HERE
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The date that you are going to submit your application at the Immigration Office>>>
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SAMPLE OF 4 PHOTOS SHOWING YOUR STUDY

Name: Mr. Nurizzi Rifqi Ferdian

Nationality: Indonesian Passport ID: AB12345678

Study Program: Master’s Degree Program (English Language),

School of Liberal Arts, Walailak University

Below are the photos showing my study at Walailak University:

Photo 1 Photo 2

Photo 3 Photo 4

Page 18: VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT...International student has to be aware of all immigration procedures regulated by the Thai Immigration Bureau, for example, obtaining

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International Student Visa CIA of Walailak University

3. Sample of Notify of Staying Longer Than 90 Days Form

1) TM. 47 Form for Alien to Notify of Staying Longer Than 90 Days

Page 19: VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT...International student has to be aware of all immigration procedures regulated by the Thai Immigration Bureau, for example, obtaining

ตม.๔๗ TM.47

แบบการแจงอยเกนกวา ๙๐ วน ของบคคลตางดาว FORM FOR ALIEN TO NOTIFY OF STAYING LONGER THAN 90 DAYS

เขยนท NST IMMIGRATION WRITTEN AT

วนท 21 เดอน MAY พ.ศ. 2017 DATE MONTH YEAR

เรยน พนกงานเจาหนาทตรวจคนเขาเมอง TO THE IMMIGRATION OFFICER

ดวยขาพเจา MR. NURIZZI RIFQI FERDIAN (FULL NAME IN BLOCK LETTERS)

สญชาต INDONESIAN ประเภทวซา TOURIST NATIONALITY VISA NON-IMM

เดนทางเขามาเมอวนท 01 เดอน JANUARY พ.ศ. 2017 โดยพาหนะ AIR ENTERED THAILAND ON MONTH YEAR BY

หนงสอเดนทางเลขท AB12345678 ตามบตรขาเขาเลขท AB98765 PASSPORT NO. ARRIVAL CARD NO.

บดน ไดอยในราชอาณาจกรไทย ครบ ๙๐ วนแลว และพ านกอยท 222 WALAILAK UNIVERSITY DORM 18 ROOM NO. 112 I HAVE NOW BEEN STAYING IN THAILAND FOR 90 DAYS AND MY PRESENT ADDRESS IS

ซอย/ถนน ต าบล THAIBURI อ าเภอ THASALA LANE/ROAD TAMBOL AMPHUR

จงหวด NAKHON SI THAMMARAT โทรศพท 081 234 5678 PROVINCE PHONE

ลงชอ SIGNATURE

หมายเหต คนตางดาวตองแจงกองตรวจคนเขาเมองทกระยะ ๙๐ วน NOTICE: ALIEN MUST NOTIFY THE IMMIGRATION OFFICE EVERY 90 DAYS

ใบรบแจงการอยเกน ๙๐ วน ของบคคลตางดาว RECEIPT OF NOTIFICATION

ส าหรบเจาหนาท FOR OFFICIAL USE ONLY

ขาพเจา ต าแหนง I TITLE

ไดรบแจงการอยในราชอาณาจกรไทยครบ ๙๐ วน ของ HAVE RECEIVED NOTIFICATION OF STAYING IN THAILAND FOR 90 DAYS FROM

สญชาต ไวแลว เมอวนท เดอน พ.ศ. NATIONALITY ON DATE MONTH YEAR

เวลา น. HOUR

ลงชอ ผรบแจง SIGNATURE IMMIGRATION OFFICER

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The date that you are going to submit your application at the Immigration Office>>>
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SIGN HERE
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In case that you are not living in an on-campus dormitory, you have to provide your current accommodation's address.
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Page 20: VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT...International student has to be aware of all immigration procedures regulated by the Thai Immigration Bureau, for example, obtaining

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International Student Visa CIA of Walailak University

4. Sample of Re-entry Permit Form

1) TM. 8 Application for Re-Entry Permit to Return into the Kingdom

Page 21: VISA AND IMMIGRATION FOR INTERNATIONAL STUDENT...International student has to be aware of all immigration procedures regulated by the Thai Immigration Bureau, for example, obtaining

ตม.8 TM.8

ค ำขออนญำตเพอกลบเขำมำในรำชอำณำจกรอก APPLICATION FOR RE-ENTRY PERMIT TO RETURN INTO THE KINGDOM

เขยนท………………………………………. Written at

วนท.................เดอน......................................พ.ศ. ....................... Date Month Year

เรยน พนกงานเจาหนาทตรวจคนเขาเมอง To Immigration Officer

ขาพเจา(นาย/นาง/นางสาว) ชอสกล.................................................................ชอตว................................................................ I, (Mr.,Mrs.,Miss) Family name First name ชอรอง.......................................................................สญชาต..................................อาย...............ป เกดวนท..................................... Middle name Nationality Age Years Date of birth เดอน.................................พ.ศ. ................ สถานทเกด...................................................................ประเทศ............................................. Month Year Place of birth Country อาชพ............................................................ปจจบนอยบานเลขท...............................................ถนน....................................................... Occupation Present address No. Road ต าบล/แขวง...........................................................อ าเภอ/เขต..............................................จงหวด.......................................................... Tambol/Khwaeng (Subdistrict) Amphoe/Khet (District) Changwat (Province)

ขอยนค าขออนญาตเพอกลบเขามาในราชอาณาจกรอก I wish to apply for re-entry permit to return into the Kingdom For หนงครง มากกวาหนงครง Single entry Multiple entries

ขาพเจามความประสงคจะเดนทางไปประเทศ.......................................................................................................................... I intend to travel to ก าหนดออกจากประเทศไทย วนท.................................เดอน....................................................................พ.ศ. ..................................... Shall leave Thailand on : Date Month Year โดยทาง…………………………………………เพอไป………………………………………และจะกลบ........................................... By (type of transportation) For (purpose of travelling) And shall return ประเทศไทยประมาณ วนท.......................................เดอน.................................................................พ.ศ. ..................................... into Thailand about : Date Month Year

ขาพเจาถอหนงสอเดนทางหรอเอกสารใชแทนหนงสอเดนทางของ I hold passport or travel document of ประเทศ...............................................ออกใหท.........................................เลขท....................................ลงวนท..................................... Country Issued at No. Date of issue เดอน..................................................พ.ศ. ..................มอายใชไดถงวนท..................เดอน................................พ.ศ. .............................. Month Year Valid until date Month Year

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NST IMMIGRATION
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The date that you are going to submit your application at the Immigration Office>>>
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21
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MAY
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2017
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FERDIAN
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NURIZZI
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RIFQI
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INDONESIAN
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25
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1
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DECEMBER
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1992
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JAKARTA
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INDONESIA
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STUDENT
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222 (DORM18 ROOM 112)
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WALAILAK UNIVERSITY
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THAIBURI
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THASALA
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NAKHON SI THAMMARAT
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X
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UNITED STATES OF AMERICA
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MAY
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2017
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AIR
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ATTEND THE CONFERENCE
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JUNE
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2017
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INDONESIA
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JAKARTA PASSPORT OFFICE
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AB12345678
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1
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JUNE
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2015
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31
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MAY
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2021
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2 ครงสดทายขาพเจาไดรบการตรวจลงตราหนงสอเดนทางประเภท My previous visa for Thailand is of the category of คนอยชวคราว ทองเทยว คนเดนทางผาน Non-Immigrant Visa Tourist Visa Transit Visa อน ๆ Others

ออกใหท...................................................................วนท...............................เดอน......................................... พ.ศ. ............................... Issued at Date Month Year

ขาพเจาเดนทางมาถงประเทศไทยเมอ วนท..............................เดอน..................................................พ.ศ. ...................................... I arrived in Thailand on Date Month Year และไดรบอนญาตใหอยถง วนท.......................เดอน.................................พ.ศ. ......................... And have been permitted to stay up to : Date/Month/Year ขาพเจาขอรบรองวาขอความขางบนนเปนความจรงทกประการ I hereby certify that the above statement is correct

ขอแสดงความนบถอ Yours sincerely,

ลายมอชอหรอลายนวหวแมมอขวา.....................................................................ผขอ Signature or right thumb print Applicant

ค ำเตอน NOTICE

1. ผขอจะตองยนค าขออนญาตดวยตนเอง

APPLICANT MUST SUBMIT THE APPLICATION IN PERSON. 2. จะไดรบการอนญาตหรอไมกตาม จะไมคนเงนคาธรรมเนยมในทกกรณ

WHETHER PERMISSION IS GRANTED OR NOT, APPLICATION FEE IS NON REFUNDABLE UNDER ALL CIRCUMSTANCES

รปถาย

ขนาด 4 x 6 ซม. Photograph 4 x 6 cm.

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FEBRUARY
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2017
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NAKHON SI THAMMARAT IMMIGRATION
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JANUARY
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2017
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21
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FEBRUARY
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2018
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Affix your photo here
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SIGN HERE
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