90 Day Visa Reporting Please use this form if you want assistance in completing your 90 day reporting requirements. Client Surname Client Name Client's Email Client's Phone Number Your City: Region (If applicable) Region 1: Pattaya, Si Racha, Chonburi, Rayong, Chanthaburi, TratRegion 2: Bangkok, Ratchaburi, Chachoengsao, Pathum Thani, Ayutthaya, Nakhon Pathom, SaraburiRegion 3. Chiang Mai, Chiang Mai, Nan, Mae Hong Son, Lampang, UttaraditRegion 4: Phuket, Krabi, Phang Nga, Samui, Trang, Krabi, Surat ThaniRegion 5: Khon Kaen, Buriram, Surin, Mukdahan, Nakhon Ratchasima, AranyaprathetRegion 6: Udon Thani, Sakon Nakhom, Nakhon Phanom, Nong Khai, Bueng Kan, LoeiNot Applicable What type of visa service would you like to apply for? 90 Day Renewal If you already have a visa to stay in Thailand, what kind of visa do you have now? Non-Immigrant Visa-O (RETIREMENT)Non-Immigrant Visa O-A (Long Stay)Non-Immigrant Visa O-X (Long Stay)Non-Immigrant Visa-O (Thai Spouse)Special Tourist Visa (STV)SPECIAL TOURIST VISA (STV) for those who travelling by yachtsTourist Visa (TR)Non-Immigrant Visa-B (Business)Non-Immigrant Visa-B (Working)Non-Immigrant Visa-EDTourist MT Visa (Medical Treatment)Elite VisaSMART VisaAPEC Business Travel Card (ABTC) If you have a visa, when does it expire? Please photocopy the front page of your passport showing name, surname, and passport number. Please photosopy an image of your current visa stamp. Please photocopy an image of your last entry stamp of immigration. Please photocopy an image of your last extension of visa. Please photocopy an image of your TM.6 departure card. Please photocopy any previous notifications of when you stayed for over 90 days. Please choose a date for your appointment. Our staff will contact you and check availability. Please choose a time for your appointment. Our staff will contact you and check availability. We comply with all PDPA laws. We use your data in accordance with PDPA and other global privacy laws and policies. You give us permission to share your data with relevant parties who can assist in your enquiry. OK Our staff will contact you within 24 hours in order to confirm your request.