You’re applying for: Bronze Membership

Membership fee: THB 650,000 (VAT included)
Membership validity: 5 years

It will take just about 15 minutes. Let's get started!
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*

Separator3

Thailand Privilege Membership*

General Information

Gender*

Male

Female

Title (Male)*

Mr.

Master (for a boy younger than 20 years old)

Dr.

Other

First Name*

Middle Name

Last Name*

Date of Birth*

Nationality*

Place of Birth (Country)*

Place of Birth (City)*

Passport No.*

Your passport was issued by*

Passport Expiry Date*

Passport Issued Date*

Occupation

Business Title*

Place of Work*

Nature of Business*

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)*

Separator1

Address in Thailand

Do you have address in Thailand?*

No, I don't have address in Thailand

Yes, it is same as current address

Yes, it is not same as current address (Please fill in Address in Thailand)

Country (Address in Thailand)

State / Province (Address in Thailand)

City (Address in Thailand)

Street Address (Address in Thailand)

Postcode / Zip (Address in Thailand)

Phone (Address in Thailand)

Additional Information

Mailing Address*

Current Address

Address in Thailand

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

Yes

No

Are there any Thai visa or stamps in your current passport?*

Yes, I previously got Thai visas and stamps

Yes, I am currently holding a valid Thai visa and stamp

No

When is the expiry date of your current Thai visa?

Have you ever overstayed in Thailand in the past 3 years?*

Yes

No

Please specify the number of overstays if any*

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

What is your expectation as a Thailand Elite member?*

Have you ever obtained a volunteer visa (NON-O Volunteer) or a student visa (NON-ED) in Thailand?*

No, I have not

Yes, I have

Upload a copy of volunteer or student visa (if any)

Upload copy of passport (data page with photo and signature)

Upload Hi-Res photo on white background

Upload copy of all passport pages with Thai visas and stamps

Additional documents for family member

Upload a copy of marriage certificate (certified translation)

Upload a copy of child birth certificate (certified translation)

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