Smart Visa Application

Please use this form to register for interest in the Thailand Smart Visa program. This information will be sent to a specialist who can assist you with your Smart Visa application.

Representative Name (If applicable)

Representative Email (If applicable)

Client Surname

Client Name

Client's Address on Google

If the address cannot be found on Google, please write it down here

Client's Postcode

Region you wish to move to or are already living in

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

Does your passport have at least one year remaining before expiring?

YesNo

Passport Front Page Image (Your photo and information pages)

Do you have a Thai visa already?

YesNo

Current visa stamp image (If applicable)

Do you have a Bangkok Bank account?

YesNo

Do you have copies of any academic qualifications, certificates, or endorsements you have that are related to your area of expertise (not required for SMART Visa O)?

YesNo

Use this drop down download menu to send any relevant qualification documents

Do you have references or work related experience to attach to your Smart Visa application?

YesNo

Use this drop down download menu to send any relevant employment documents

Do you have a monthly income over 100,000THB?

YesNo

Evidence of Monthly Income

Bank Book Information Page Image (This is the page with account and name information)

Do you have the bank letter with deposit information?

YesNo

Bank Confirmation Letter Image (If applicable)

Do you have a visa exempt stamp (issued on arrival)?

YesNo

Visa Exempt Stamp (If applicable)

Do you live in Pattaya?

YesNo

Do you have medical insurance and a copy of the health certificate that shows you are not infected with prohibited diseases (Leprosy, Tuberculosis, Elephantiasis, Addiction (Drug/Alcoholism), or Third Phase Syphilis)?

YesNo

Medical Insurance Certificate (If applicable)

Health Certificate (If applicable)

Do you have a total of ten passport photos?

YesNo

Do you have a residency confirmation letter from the condo/ resort manager or a house blue book?

YesNo

Condo Letter/ Blue Book evidence (If applicable)

Do you have a Certificate of Residency? (required for those without a Thai bank book)

YesNo

Certificate of Residency image (If applicable)

Do you have more than twenty days remaining on your current visa?

YesNo

Do you have your TM.6 departure card?

YesNo

TM.6 Photo (If applicable)

Please provide a photo of yourself from bottom of your chest to two centimetres above your head. This sent to Immigration to verify we are talking to the passport holder. if you cannot provide one right now, skip this section.

Proof of a clean criminal record. Police Certificate issued by the police authorities in your country of nationality. The certificate has to be certified by a Notary Public.

YesNo

Please provide a photo or copy of the Police Certificate.

If you are in Thailand, also include a Police Certificate issued by the police authorities in Thailand.

There are options to apply for a retirement visa in-country, where you will stay in Thailand during the visa application process, or leave Thailand (multiple entry) and return when your visa is ready. This multiple entry visa option will add some costs to your visa application. We can arrange both options.

Do you want to leave or stay in Thailand during your visa application process?

StayLeave

Please note any particulars you would like to mention or special considerations you would like to put forward with your request.

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.

Use this drop down download menu to send any other relevant documents

All documents are copies of originals

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

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This form can take up to 5 minutes to process depending on the size of files being uploaded. Please be patient, thankyou.

Smart Visa Application

Our staff will contact you within 24 hours in order to confirm your request.

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