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Thailand Elite Visa

HIS Thailand Elite

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What is Thailand Elite
Elite Programs
Privileges
- Thailand Elite Privileges
- HIS Benefits
How to Apply
FAQ
Contact Us
English

Online Application for customers (SRI)

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Online Application for customers (SRI)

タイランドエリート

Step 1. General Info

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It will take just about 15 minutes. Let's get started!
There are 4 steps, to begin please fill in the application form below.
Please fill out this form in English only.
Please note, you have to fill out the required fields marked with*

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Thailand Elite Membership*

Gender*

Male

Female

Title*

Mr.

Mrs.

Ms.

Miss (for a girl younger than 20 years old)

Master (for a boy younger than 20 years old)

Dr.

Other

First Name*

Middle Name

Last Name*

Date of Birth*

Blood Type

Nationality*

Your passport was issued by*

Passport Expiry Date*

Passport Issued Date*

Religion*

Allergic to

Step 2. Business Info and Permanent Address

Occupation*

Business Title*

Company Name*

Nature of Business*

Permanent Address

Country (Permanent Address)*

State / Province (Permanent Address)*

City (Permanent Address)*

Street Address (Permanent Address)*

Postcode / Zip (Permanent Address)*

Phone Number (Permanent Address)*

Email Address (Permanent Address)*

Step 3. Current Address and Business Address

Current Address

Current Address same as Permanent Address*

Yes

No (Please fill in Current Address)

Country (Current Address)

State / Province (Current Address)

City (Current Address)

Street Address (Current Address)

Postcode / Zip (Current Address)

Phone (Current Address)

Email (Current Address)

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Business Address

Business Address same as Current Address*

Yes

No (Please fill in Business Address)

Country (Business Address)

State / Province (Business Address)

City (Business Address)

Street Address (Business Address)

Postcode / Zip (Business Address)

Phone (Business Address)

Fax Number (Business Address)

Email (Business Address)

Step 4. Additional Information

Mailing Address*

Permanent Address

Current Address

Business Address

How do you know us?*

Sales Agent (HIS)

Search Engine

Advertising

Banner

Official Thailand Elite website

Friend

Other

Do you have more than 3 empty pages in the current passport?*

Yes

No

Are you currently holding any valid Thai Visa?*

Yes

No (Please skip next question below)

If the answer is Yes, what type of Thai visa are you currently holding?

Non-Immigrant Visa-B

Non-Immigrant Visa-O

Non-Immigrant Visa-ED

Tourist Visa (TR)

Tourist MT Visa (Medical Treatment)

BOI Visa

Other

When is the expiry date of your current Thai visa?

Have you ever overstayed in Thailand in the past 3 years? If Yes, please specify how many times.*

What is your main reason to become Thailand Elite member?*

What is your expectation as a Thailand Elite member?*

Upload copy of scanned passport*

Upload Hi-Res photo on white background*

Upload copy of marriage certificate (For immediate Family Member)

Upload copy of birth certificate (For immediate Family Member)

Upload a passport page with a Thai visa (if any)

Upload a passport page with a recent Thai Entry Stamp (if any)

Please checkbox if you agree with Terms and Conditions*

Yes, I agree.

Terms and Conditions

Please checkbox if you agree with Privacy Policy*

Yes, I agree

Privacy Policy

Error occured. Please confirm your data and submit again:

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Language

English

Thailand Elite Authorized General Sales and Services Agent

Related Site

H.I.S. Japan

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