ED Visa Application Form

Office: 032 533 428 Mobile: 086 368 7045, 084 123 3428

The Language Centre

โรงเรียนสอนภาษา ทักษะ อำเภอหัวหิน จังหวัดประจวบคีรีขันธ์ - The Language & Culture Training Centre Hua – Hin, Prachuap Khirikhan

ED Visa Application and Registration Form - ใบสมัครและลงทะเบียน

Personal Information

Date of Application

Title

First Name

Middle Name

Last Name

Date of Birth

Other information

Occupation

Organization/Company

Nationality

Passport #

Passport place of issue

Passport expiry date

Permanent Address

Home Telephone #

Part 2

Contact Information

Present Address in Thailand

Thailand Mobile Phone #

Emergency contact

Emergency telephone

Emergency contact city/country

Course information

Course Chosen

Your Class Level

Course Start Date

Reason for taking this course

How do you know about TLC?

Part 3