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VISA SERVICES CANADA VISA APPLICATION FEES FOR THAILAND *** Visa fees and times are subject to change by embassies without notice *** BUSINESS VISA - Single Entry Business Visa, valid for use within ninety (90) days $80 - Multiple Entry Business Visa (up to one year) $200 TOURIST VISA - Single Entry Tourist Visa, valid for a stay of up to sixty (60) days $40 - Multiple Entry Tourist Visa, valid for a stay of up to sixty (60) days $200 TRANSIT VISA - Transit Visa $35 per entry - REGULAR SERVICE FEE $75. 10 working days processing - EXPRESS SERVICE FEE $115. 06 working days processing - URGENT SERVICE FEE (if available) $150. 03 working days processing SPECIFIC VISA REQUIREMENTS FOR THAILAND BUSINESS VISA - original passport, valid for at least 6 months after return to Canada, - one (1) fully completed and signed visa application form, - two (2) recent passport-style photographs, - a letter from the company you work for, stating the purpose of your visit. TOURIST VISA This visa is required for stays of more than thirty (30) days, and less than sixty (60) days. - original passport, valid for at least 6 months after return to Canada, - one (1) fully completed and signed visa application form, - two (2) recent passport-style photographs, - copy of your air ticket, in your name, into and out of Thailand. NOTE for TEACHERS (teaching visas) - Teachers must provide a recent criminal records check (copy to Embassy, original to Thailand) Once you have typed and printed out and signed all the forms, ship everything, including your passport and photos, by trackable courier (Purolator or FedEx) or Canada Post trackable courier, to: Visa Services Canada, Inc. 275 Slater Street, Suite 900 Ottawa ON K1P 5H9 ph. (613) 231-7054

VISA SERVICES CANADA SECURE PAYMENT OPTION FOR TOURIST & VISIT VISAS Visa Services Canada, Inc. is pleased to offer the most secure means of payment available in Canada for the processing of your tourist or your visit visa. INTERAC e-transfer Interac e-transfer is a funds transfer service between personal and business accounts at Canadian banks and other financial institutions. You do not have to provide any account details or even a credit card number to our company. Our staff never see any of your account details when you use an e-transfer method of payment. You deal only with your bank or financial institutions to make payment in a totally secure environment right from your home or office. HOW IT WORKS 1. Fill in the entire visa application form, including the VSC cover page above, and send it to our office by courier or e-mail as applicable. 2. Our professional staff review your application and determine the total payment (including taxes and shipping) to be made by you. 3. Our staff send you an e-mail detailing the full and final charges. This email will contain all the instructions for making the e-transfer. It will include the e-mail and security codes, and step-by-step instructions for you. 4. You, or a friend or relative acting on your behalf, make the e-transfer to VSC for all the visa processing charges and fees. 5. It takes about 30 minutes for the bank to send the e-transfer notification to our office. We then receive the funds and can then pay the embassy on your behalf. Payment must be received before the embassy can be approached with your application. YOUR E-MAIL ADDRESS Applicants MUST provide at least one (1) working and monitored e-mail address on the VSC cover page so that our staff can contact you with details of the payment. Please provide two. An application form without a typed correct and monitored e-mail address cannot be processed. Applicants who respond immediately are assisted first. Applicants who do not respond within three days (72 hours) will have their applications cancelled and their passports prepared for return. Failure to respond promptly may result in you missing your journey.

Please attach 2 Official photos Visa Non-Immigrant taken within 6 months (3.5x4.5 cm) Format passeport ou Please indicate Type of visa required Veuillez cocher le type de visa demandé Number of Entries Requested_.. Please answer all questions and sign this application form. Failure to do so may result in delay or refusal of visa. Veuillez répondre à toutes les questions et signer le formulaire, à défaut de quoi il pourrait y avoir des délais dans le traitement de votre demande ou encore l on pourrait vous refuser la délivrance de votre visa. Mr. Mrs. Miss Monsieur Madame Mademoiselle First name/prénom Middle name/ Family name /Nom de famille (in Block Letters) Passeports canadiens : écrire «tous» Former name (if any) Countries for which passport is valid Pays pour lesquels votre passeport est valide Nationality Nationalité Purpose of visit But de la visite Nationality at birth Nationalité à la naissance Duration of stay in Thailand Durée de votre séjour en Thaïlande Birth Place Marital Status Number of entries requested Nombre d entrées demandé Date of birth Date de naissance Date of departure from Canada Date de départ du Canada Type of travel document Passport data/ données du passeport Date of arrival in Thailand Date d arrivée en Thaïlande Traveling by /airlines/flight number Number / numéro Companie aérienne et numéro de vol Names and relationship of person(s) accompanying you Date of issue / date de délivrance Nom et lien avec la(les) personne(s) voyageant avec vous, s il y a lieu Place of issue / lieu de délivrance Expiry date / date d expiration Applicant s signature Signature du demandeur Present occupation and employer of applicant Profession du demandeur Date Current address Adresse et numéro de téléphone du domicile Tel. E-mail Permanent address (if different from above) Adresse et numéro de téléphone au travail Application For Visa / Formulaire de demande de visa Royal Thai Embassy 180 Island Park Drive, Ottawa, Ontario K1Y 0A2 Tel. (613) 722-4444 Fax (613) 722-6624 Visa processing fee is non refundable. Cash or Money Order only. Frais consulaires non remboursables. Argent comptant ou chèques visés/mandats seulement Diplomatic/Diplomatic Official/Official Courtesy/Courtesy Non-Immigrant/Non immigran Tourist/Touristique Transit/Transit Tourist Visa Applicant: I hereby declare that the purpose of my visit is for pleasure only and in no case shall I engage myself in any profession or occupation while in Thailand. Demandeur de visa touristique: Je declare par la présente que le but de ma visite est seulement pour loisirs et qu en aucuns cas je ne m engagerai dans une profession ou occupation quelconque pendant mon séjour en Thaïlande. Tel. Guarantor (relative, friend, banker ) and address and phone# in Canada Nom du garant (parent, ami, banquier ) et adresse et téléphone au Canada Guarantor and address in Thailand Nom du garant et adresse en Thaïlande Tourist visa applicant s signature Signature du demandeur The embassy requires 2 working days to process your visa. Visa Hours: 9:30-11:30 a.m. and 1:30-3:00 p.m. Monday to Friday. L'ambassade a besoin 2 jours pour faire le visa. Veuillez verifier avec notre agent le délai néccesaire de traitement de votre demande. Nos heures d ouverture sont les lundis aux vendredis entre 09.30-11.30 a.m. et 01.30-03.00 p.m. Do not write below this line for official use only / Ne rien écrire sous cette ligne Type of visa and number Date of issue Expiry date Fees Remarks Authorized officer s signature and seal

EMBASSY REGISTRATION VISA SERVICES CANADA For your personal safety and security we can register you with the embassy of Canada in the country or countries to which you will travel on your upcoming business or tourist journey. During times of national emergency such as natural disasters, war, or bombings, the government of Canada may seek out all Canadian nationals in a disaster or security zone. Canadians who are registered are the first ones found and can be the first evacuated in some cases. This is a fast and efficient way of ensuring the Canadian Government can find you in case of an emergency, and can give your family some security during your travels. - YES, please register my trip with the government ($20. fee per person) ABOUT ME Last name as in passport First name as in passport Date of birth: (DD/MM/YYYY) Gender as in passport: Canadian Passport number: ABOUT MY TRIP Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date MY CONTACT DETAILS OUTSIDE CANADA You must provide at least one way of contacting you outside Canada Email address which you check regularly Telephone number with area code Mobile telephone number with area code Send me a text message with destination travel advice and advisories upon arrival 1/2

EMBASSY REGISTRATION continued MY EMERGENCY CONTACT IN CANADA IS You must provide at least one means of contacting this person. Emergency contact in Canada s full name Emergency contact in Canada s Email Emergency contact in Canada s telephone number with area code Emergency contact in Canada s mobile number with area code I AM GOING TO A SECOND COUNTRY Second Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date I AM GOING TO A THIRD COUNTRY Third Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date PRIVACY STATEMENT The information collected here will be shared with the Government of Canada in order to register you as a Canadian abroad. The data will not be shared with any other government or with any private company. By filling out this form you acknowledge that you understand how your data will be used and retained, and that Visa Services Canada is not liable for the data after it has been given to the Government of Canada. 2/2

VISA SERVICES CANADA Suite 900-275 Slater St. Ottawa, ON, K1P 5H9, CANADA 613-231-7054 I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature OFFICE COPY ------------------------------------------------------------------------------------------------------------------------------------------ VISA SERVICES CANADA Suite 900-275 Slater St. Ottawa, ON, K1P 5H9, CANADA info@visaservicescanada.ca 613-231-7054 toll-free 866-378-1229 I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature EMBASSY COPY

Please consider a charity donation Visa Services Canada is pleased to be able to help people in Cambodia build better lives through education, skills training, emergency food provision, and basic housing. You can be part of the solution, not just a bystander. Since 2005 we have donated several tonnes of rice and foodstuffs to the LIFE AND HOPE ASSOCIATION of Siem Reap, Cambodia, to help support orphans and the poorest and most vulnerable children and families. Through our assistance, many children have been able to go to school, as they do not have to spend the day begging for money to buy food. Photo: Mothers & Children who lost housing during 2013 floods receiving LHA aid 28/10/2013. The LHA is an education-focussed NGO run by the buddhist monks of Wat Damnak. A full 100% of your donation is spent on the provision of charity, not on overhead or administration. The monk who runs LHA, the Venerable Somnieng Hoeurn, visited Ottawa in June 2010, where he met many potential donors, visited Rideau Hall, and saw the Governor General. You can see the LHA at work on their website: http://lifeandhopeangkor.org Yes! I want to donate to a good cause I want to donate to the Life and Hope Association in Cambodia. Q $20 Q $50 Q $100 Q $250 (one tonne of rice) Q US$1100 (a house) Date: Name (print or type): Signature: