The Client Portal

Apply to be an Elite Member

* Indicates required fields. Editable Application forms (PDF) are available to download here .

Hawryluk Legal

First Name*

Last Name*

Email Address* We'll never share your email with anyone else.

Nationality*

Phone Number*

Date of Birth*

Age

Gender*

Country of Residence*

Occupation*

My Location*

If you are in Thailand, please select what province you are in

My Preferred Program*

Residential Address* Please provide either a home country address or a Thailand address. Please write complete address include, district, city, province, etc.

Current/Previous Visa* Please Note: If you have a history or currently hold a Non-Immigrant type O (Volunteer), you will not be able to obtain a Thailand Elite visa under any circumstances.

If you have a visa, please provide place of issue and expiry date: Some visa issued from Thai Embassy are not allowed to cancel within Thailand.

Applicant have at least 3 empty pages in my passport (not include endorsement page)* Elite Privilege Entry (PE) Visa is a sticker that will take up 1 full page of your passport.

Where would you prefer to affix your Elite visa? (this is not a confirmation of your option) Most hassle free to affix Elite visa is to affix upon arrival at Suvarnabhumi, Chiang Mai or Phuket airport, takes you less than 10 mins.

Do you own a property in Thailand? Oversea wiring of fund will take 2 days or more days to reach us.

Have you ever overstayed in Thailand more than once?*

Who is applying?*

MySelf
My Spouse
My Children
Others

Name of contact person or introducer, if any. If you have the name of the person referral you to Thailand Elite.

When do you plan to obtain your Elite Visa?

Upload Application Form (Download Here)

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Please Note: Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Upload Personal Data Privacy Form (Download Here)

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Please Note: Download, read and sign the policy form.
Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Upload Passport

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Scan or take photo of all pages and upload here. Full page with all detail visible.
Please note: the file size limits for file upload fields are 100MB for a single file and 500MB in total for multiple files. Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc. In case the files are more than the limit, please use file sharing field below.

File Sharing URL/Link Provide the Dropbox/Google Drive/WeTransfer or other File Sharing Link or URL inside the box if the upload file size are more than 500MB.

Upload Photo

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High Resolution Photo (Photo with blue or white background only)
Please Note: Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Requirements to Enroll an Immediate Family Member

Upload Marriage Certificate (Family Applicant Only)

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For uploading of Passport copy, Application Form, other relevant document only.
Please Note: Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Child Birth Certificate (Child Applicant Only)

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Please Note: Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Others

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For applicant currently holding Education Visa: Please upload your additional documents in this section. Please Note: Supported files to are: .jpg, .jpeg, .bmp, .gif, .png, .pdf, .docx, .doc.

Agent

Comment Comment and additional matters of concern.

I hereby giving consent for a clearance check should I have uploaded my copy of passport. You will expect to receive a letter of approval with payment detail of membership fee in due time.

By submitting this form, I hereby confirm and agree that I must pay THB 50,000 as the application fee for the Thailand Privilege Card.

I agree to receiving marketing and promotional materials.

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Have questions? Click here or send us an email at [email protected]