Burapha University

Cilu~Ci%urns~lla3dids:~~p7iisifa (oieisu'hsaiam'isnS)

Non-Immigrant "B"

~u&n'uidooioisbmadidvi~~~?pJflisi?yoinui?nui~u fifr:$oa C I d I

~ii~uflis;ua.aidr:bnww"idiu (Non-Immigrant "B") Q I ~ H O I U ~ ~ Y V I U ~ U ~ J ~ ~ P ' I H ~ O ~ ~ ~ ~ ~ ~ P , u 4 i i a : i d o ~ ~ u ~ i ~ i ~ i ~ ~ i ~ ~ ~ ~ : i w ~ ~ ~ ~ o : ~ ~ ~ p ~ n i s ~ ~ : ~ " ~ ~ m ~ ~ ~ ~ i ~ i n n o ~ m s a ~ ~ u ~ " u i i u o .am:

oyqiw1~~ilnrofiGn9uds:iwn~nuIus:u:iis~I~ 3 iZsu

- d i n % i i o i G q o i o i n ~ ~ i a d i ~ " ~ ~ i S 9u 4 1

- waeiiavim;ua.aids:mniiaiu Nan-Immigrant "B"

- "r11adi~vi~i~ug/11~i~ids:is/l~~~u fiiGfl!i 3 i sou

- i i i G u f l i s ~ m i i d y ~ . ~ , t i ~ (TmudnZozljid 13) - ~ m i i i o n r n r $ u u o ~ ~ u o ~ ~ i m i i ~ i u o ~ . i i r d . n u k ~ i n v a $ (didu loo uin)

- % ~ 8 y ~ i m f i i d i ~ o 8 i " ~ ~ I ? P I ~ ~ B J 3,000 PIIM) ~ ~ ~ ~ ~ I ~ Q : ~ ~ I ~ I M ' I ~ ~ " P I ~ ~ ~ ~ ~ ~ ~ - d o 3 1 m. f i i ~ ~ s i u m s a ~ n u i G i i ~ o ~ ~ ~ ~ i ~ i ( i a a n ~ i ~ i ~ u ~ ~ i ~ u w 1 GDU)

1,900 P I l W ( ~ l ~ d ~ ~ l ~ l d )

Burapha University

. 9 %A RX-iSIp El sf- %*5?-% El T J ~ ~ L X X + M I K A = ~ - FA'S47

~!JE+II+~~L'*~!J wafi. . .- .

The Ministry of Foreign Affairs of the PeopleS Republic.of Chintz requests all civil and military authorities of foreign count@s to allow the bearerof this passport topass freely and afford assistance in case of need

%/SUN % / Glven names

I

i I I

I i

--. ---- -.- I- -------- ------ - - --"I^--- ---- -.*.. 1

4 JUN 1986 =% / Date o h u e

4 M A Y 2010 aLL* / AUthOdW

-.

ffl &,%A / Place of blnh

tP F# %B!! / Type / Country Code t P M 9 / Passport No. PASSPORT P CHN 64267857 1

Y / Surname

/ J IANGSU b.6 / Place of issue PZ"

q f L / Z H E J I A N G a 1 W l / Vateofewiry

23 M A Y ,2020

Exit & Entry Administration Ministry of Public Security Burapha University

ZiL V i s a s 1

G95ar~aan Thl.B DEPARTURE CARD Thai Immigration Bureau

I . . ldanti~lu&u=i=iw uasw'iin:asw~iu PLE.4SE WRITE CLEARLY IN BLOCK L,ETTERS AND MARK

, .

/~e~9un?oswinuz~u Flishl or Other Vthurlr No. b , ~ , ?, ( j , I , , , . . L j 1

....... ..*........... . . . d ~ n ? w $ i n ~ i i / ~ o r official use

Burapha University

I . - - . . . . . .

I I I !

! I l u n y o r i ~ ~ ~ u i l I Work permit No.

I i u i o o n ~ u o y t U i ~ : Date of issue

; oonlii [M <uidwiFl . ' Issued at Province

Bo~iuluoycul. Name

Page

holder

maiducnu gu MR.FEIHAN SUN

Date of Birth Nationality . -*+.-*. .**. 9-- : ;.. - 9 . : ..*: n c l 3 . . . . . . . . . . . : . . . Page . . . . . . . . . . . . . . . . Burapha University

d 8 ma; 169 nuua4mmu74Mu Address

I { \ 9 ~ a " ~ ~ R V ? 20130 1 ~ 4 h i 0-3839-0047 i Province Telephone

W ' i ~ i u l u ~ i n ~ i ~ ~ 0 i i ' ~ ~ 4 ~ 1 i i ' ~ Position/Occupation/Profession

I gnaa:aoaulu ( Q I ~ ~ S ~ " ' U ~ ~ ~ W ~ ~ U V )

Job description d @ ~ ? ~ l n 7 ~ 7 ~ ~ ~ 6 n " ~ s d " ~ ~ n % 7 w ~ " P J ~ ~ s ~ Y I P ~ ; d~iirnli l3~7niwi~siuaan p l ~ u y v ~ ~ ~ r n ~ u a o ~ a ~ ~ ~ 7 ~ PI;

P: tu ~ m ~ w ~ i ~ ~ ~ w t ~ ~ v i i u u

~:u:~aai10\91iiu il Work period

;fl$$ 16 JUN 201 1 Valid Until

0 ~lhda ('1141 21) Conditions (p.21)

.. .. .. .... .. .... .,.. 41 5 . a . . . . . . . . * . . . . . . . . . . : Page . . . . . . . . . . . . . . .

Burapha University

.. / . _ _ . . _ _ - _ - . - . . . . . . I " < . , b - -

I .> _ I . .- . . , . . . nil 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . I *

1 i i a u d i ~ i i u a ~ ~ i m ~ i ~ ' i f l i ' ~ d (knin) Page

I Locality permitted to work (Province)

m. uauqv a. ria4

douiu4i\sn~oa~iu!w'i\si1~ Name of employer or company

I.IXL~ITI~%~I~ mn1G~~;mu3nmri~ji~1sP Type of activity

, 8 8 "

~ o ~ o o ~ w i u ~ i ~ ~ ~ o ! i ~ a n i u w " f i i ~ i u 169 nuuasmnuisufiu Address of employer or location of Company

ifli\s~i~ ttaq? 20130 In3iwiww" : 0-3839-0047

Province Telephck aiu~uoyqimbuiiui 1310712553 ii~iui 1610612554 Period at date 13 JUL 2010 Valid Until 16 JUN 201 1

............................................................. (Signature) (

1/2? (aiuioio) (uiunum inhliui) )

r o ~ $ i ~ i ~ n i s ~ ~ n i n Jauiinrmntnu

@19ifim&%a?js

CAL Director General De artwt of ~ rn~ lb~ rnen t

I ~ I U ~ Z ~ ~ .................... nQi 7 nio~i iw~noiu eoa,~nut. w~u. , . . . . . . : . . . . Page . . . . . . . . . . . . . . !3 n . m . 3 or Official ~n't:ested.

Burapha University

~fJ1 28 Page

. . . . a . . . . . ni~~Q~rs"PldiW'1~1iu / ~ ~ ~ r a a n ~ i n ~ r i u

NOTIFY THE REGISTRAR FOR STARTING WORK/ RESIGNATION FOR OUT OF WORK . . .

HCI 29 Page

, , . , . . . . . , . .

' wmJo : ii&'ni ~ 6 . 1 0 . , ~ d .

$uf'yurtBo~ii~

Date of notify

(STARTING WORK)

$uf':'uitBuoon %oaniu~s:nouni=i

Date of notify Name of company

(OUT OF WORK)

R U ~ O

u i ~ n : t f i ~ ~ s ' u ~ h

Name of registrar /

, . . n )~ i c j~C I~ : Re12ark

., , ,

Burapha University

Burapha University

FORM WP: 2

~ ~ ~ ~ ~ J u ~ J J I u u R : R ? ~ ^ ~ ~ I ~ ~ J ~ u .

MINISTRY OF LhBOUR A,ND SOCIAL WELFARE I - 1 ACCORDING TO SECTION 7

. .

FOR OFFICIAL USE

67uaiulLowymn'7~7u - m7UU7GIS7 d

XPPLICATION FOR WORK PERMIT

r- d U ..................... ............................ '3UYlS fl ...................... / /

d r- ............................................................................... 'II D W Sfl

I I

<an-nui;'?hI GENERAL STATEMENT - I . .

d u d . . . U 4 ........ ......... ........... ....... s.o, %OW tlUFl7YEl U7tl/U7J/W7JX77 ...................................... 1 ..-... - :.- ......................... H f p 7 W .......................................... .. . U

. Name, of Applicant Mr./Mrs./~'iss . Nationality'

4 e Y d . d

................ ..... ................................... ...................... LW BI.; : a7u ...-.............. : m(j17un.~- --.- Lmau ............................................................ . . ' . Sex . . ' Age.. Years Date of birth Month . .

W . H ..................... . Year d *

. o.b na;IuiI~:~n~lnu. ...- '. ........................................................... : ............................. ........................ ; ............ : ..................................................... I......

Address in Thailand U d c .. C

.- .......................... ..-.: ....-... - .................................................. - i~ %ld~wrurr..- .....--..... - ............ L ...... J n w n ............................. ...............

' . Post code Telephone . - A d . d "U d

9.0 ' L u a - ~ ~ q n u n ~ ~ ~ j (mu.; ............................ - ..-........ ..-........ ) sun -, ................................ - ... o o n I ~ 7 ~ n ................. ...............

. . Month ' Year , Issed at Cangwat

I a r - d A (~1,aai tln ~ 2 y v ,.... : ................... ,..~mau ......................... ............. : . Q [ .---.-- ........................... ! .... " .

. .

, .

. .

Certificate of Residence (Tm ................ ) . No. Date of issue d . . ud Y r-

m u ........................ ..-...........-. ..-.?. w . ~ .? ...-....-............ ailn'lwn .- ......... - ..-----.-.......... : ..-...-........... i l ~ m m ....-..-.- ......... 1 :..:... . .

Month Year Issued %at . Changwat . . . d r - d A . . . maa7tln~?uv , ........................... ~mau - ............................................... . $ ........................................ . .

q .

: . Month Year ' Renewed until d u- d . .

.... . .............. .. e.d ~ l u $ ~ n ~ d ~ r < 1 & n u ~ i i ~ h 7 l a m : - ................................ oanlvnun ........................ - ....................?........... : .

certificate of alien Registration No. ' , Date .of issue '

. a ud. U. U . . ..... .................. ...... !now ...............-.. :._ ..-......... "... W.FI.? aanlwm .................- ............................................ i l ~ ~ 2 a ........-... : .............-.-.... :....

Passport or oiher travelling, document no.

. . . a &

u d . a vd .............. ........... ............ ............................................... .... . R P ~ U ~ ....... L. .._ i LROU ........................ ;... 1: ..... N.FI ................................ a a n l ~ n : :.-

. Date . . Month Year Issued at . 'd u~ d .

............................... .......................................... . ... m~7e.a~mmd'it~nn ................................................... a ......................... aan'l~mw ' Kind of visa No. Date of issue

Renewed until ' ~ o n t h Year. "4 4 ' . . d

....................................................................... ~ % d a ~ ~ u n ~ \ r ~ ? a n a n m 3 ~ ~ ~ ~ n u ~ u ~ a a ~ a u n 1 ~ iaun -...-.-- .....--....... ...: :...

M o n t h ' . Year Issued at

Burapha University

I

il - d .. I o . r ~ . L G U Y ~ ~ G U ~ ; J ~ J ~ : L ~ ~ ~ LY:L;>XI: 1% 2 -L; ~1.v.

~rlrirccl Tllailarlc! or, 51011111 )-car ,. - -C n

I d ~ ~ a ~ ~ l ~ ~ ~ n v ~ ~ ~ n . ~ ~ : i i + ~ ~ . ? ~ i i ~ ~ i ~ ~ ~ ~ ~ i v - ~ ~ : , c . : zi~,'-1n11*~i7;lnu:u:izo.~

Pc.rr~~irrccl h i l ~ ~ r l ~ i ~ r ; ~ r i , r r ~ ~ll'l'ic.cl- (11' I I I C i ~ r ~ ~ ~ l i g r ; ~ l i o ~ ~ (il'l'icc' ;I[

n x.

hTijri.i:?un . . 3 L5; il !; ., , ., .-. 11-

s Y-L*:ll.(s) 1 1 ~ 1 1 1 1 1 1 ( ~ ; ) I );I> !\;I

" d r d

mu ~i~rru~ic. l ; i i r i i . l > l d \ i . . . .;I.VI. .. i n ; l - l ~ n ~ 7 u n

Expirccl 0 1 1 310i1111 j - c ; ~ r I<crlc~vcrl i l r ~ ~ i l

1GiIu.. . . . . . . . . . . . . . . . . . )'1.;.1.... . . . . . . . . . . . . . . . . . .

kIo111.h )-ear

b . ,

~ . ~ u l i ~ a i l ~ r p ~ i ~ n r a ~ ~ i a F i i i i l ~ r i - ~ ~ ~ ~ ~ J('lr{ ..\.t.'lPLl EL) AXL) :\s-rLC.Ll'i\l-EI:) \\!( INK Is(:; 1'L.A c:L:

: . Y d d r r ,

........................................................................................................................................................ b.o ~ILL141LJM1&*111~'~7~Il't'~ /7"U??'IY

'Ti~Ic./Occ.up;~~i~~~~~Proft:ssii~~l

..... .................................- ................. .... .............................. ..............-. .... .....- ..................

.................................. - ......... ......-............... ......... " .......... 4 ...... ........._.........._.............. ..... - ................................_...... -r -.... ......................................... d a .,

................................................................. b.b ~ I U ~ = L O L I C ~ ~ Y ~ J J I U ~ J = ~ I - ~

Job clescriDt.hn

- ........-............ - - ..............-.........................-...................................................... ..........................................-.......... ...........-.......-....-..... . . . . . . . . . . . . . . . .

....... I . . - ..-...-...........-......-..-...........-...-..-............... . .................................. - ......... ..............-.-....-....... ......................... n d d - .

b.m "IIBR fnunna-n . -~~~u ........-.....-.-.._...............................................-....................-............................................................................ .....................

N3111r: of of1ic.e d Y C L - . ~ ~ I ~ I I J ' J ~ J ~ J ~ ~ F I ~ - I 3 .....-.--.............-............. ._; ........................................... .., .................................. ........... ...........................

. . . . . . Ni~n~r: of c.nlploycr or maurlgcr. d r . . nau ...----.----.-.......,,.. : ...---... ... ...................................................... ........................

u,

AtIclress '

u b . u r 1 .- '- ..................... ...... ................. ................... . -.- .........-....-.... L..- .....- .-.- .......--.........-....-.-.......-.......................... malllrutuu : n-i .f<wr.i : P,.lsl coclc 'Te1c.p tionc:

a -w - ............. na8n11&21 ~-nau r i i J ......................................................................................................................................

. . . . ' 'Nanie a € Cr~nlpa~iy A . nau .- ...._-.-..----....----.-.-.-....--...-.-........-......-.--..-..-.........-.--......-.-.-- ................................... 11 .-- ........................................-.....-..-...- ..........-..-..

. - . . . . . . . Address

- e' -1 C " f

...-.-.... 1 ..........-...-..--........-....-.-.. -.1 ........................................ J ~ n I ~ I i w r n u : .- .............................. Zninnn ............................................

FJusr cock TeJ~.phi)r~c: P c. P

. . dl=lnn fl i l n 7 1 ~ ~ 3 ~ ~ n i 1 -.- .......-..-.........-..............-............~.......................................................... ...................... : ..................................................

q . .

Type of r~ctiviiy of busirlcss

Burapha University

U d P u

.......................................................................................... ......................................... ................................ b.d T ~ U f L 7 R I n I T ' 3 7 5 d i ] u 7 U

Period of employment yera(s) Month(s) Day (s>

Wage of income per month/day . u rd u

. wadre~~1auau q ~ n a u n r /-iuer .............................. : ....................................... ..................................................................................................

Other benefits per mopth/day

Highest Education year- of receipt ' d Y

.4 maniuu ................................. - ................................................................... dun^ ........................................... ........................................................ :... Name of 'institute Country

d ~n.h ~ I T ~ ~ ~ Y T ~ L L B T D M q

Training and others . : -,

avus=ia1 FIELD

d. d 1 Y . . .. .......... , ..... ............-.... . .......................... ..-- ........................... ..-: . ............................................. : ................... : ......-. Name and Address of employer

............... . ........................... ........ ............................ ,. ..,.............. ,. .......................................... .............................. -.----..-..-.- ........................... "".: A .d A .

d ~ : ~ n n n i l n i ~ v \ ~ a r n ................................. ................... I ..-...-.. . ............................................................................. ....................... . Type of activity'or business : . . . . d a d ' . . . ................. ............ RI 11~1. i~ J I U / E ~ I ~ W / ~ % I T W 1 ........................................................................................................ : : ..........................

~ i t l e / ~ c c u ~ a t i o n / ~ r o f e s s i o n '

d d . ~ 7 ~ 1 ~ t ~ ~ u m v i 3 ~ s i u n . n i .............................................................................. ................................................................................ : ................... Job description

I ~ r o m date Month Year To date I d d

lnau ................................ .-.... d ................................................. ..Month Year.

Burapha University

d d a v. d.b '60LLFI3'lE)UZIOJUlU9lJ

fTame and address of employer

Type of activity of business

T~itle/Occupation/ProFession . d d . - nU~-LDUWllOJJIUnnl .......................................................................... .......... - -.- - ....-..-... - - ................................... .... .-.--. ........... -.........-....... .....-......... .

Job description

From date Month Year . To Date

. . Month . Year . d : -,

d a . Y

d . m 'IIO~h3tYlD U Z I E I J U ~ L I ~ ~ J .................................................................... ; ......................... : .................................. 1 .......................... : ...........................................

Name and address of eniplo'yer "

P IQ r

. . L ( ~ = 1 ' ~ n n n ~ n i m ~ a m n ' ~ ...,_._..--.. " ...................................................................................... - : - ...................................................................... Type of activity of business a

4 - d 617UMUJJlM/ill'dW /3'63'4W ..-...... .-.-..:.... .................................................................. .............................. '. .................................................

Job description . . Y . " . " ' d d d d

WJLLW 7un .. ......-...-........ ~wau ........-.......-.-.-- ......-...-.... 3-J . ......-........... ............ n~ ~ r o m Date Month d d

161 a.u -.-.. ...........................-..-................... d .

. Month Year

. . Year To Date

. .

WORK RECORD IN THAILAND (STARTING RROM THE LAST ONE) I - I . - . - -

d ; . r. . ~ ~ ~ L ~ I ~ L ~ U U ~ ~ ~ T ' U ~ U ~ U ~ I ~ ~ ' I J I ~ L L ~ ~ ~ U ~ ' I L L ~ ~ J ....... - ................................ : . ................................. ...................................

I have p&viously applied for work permit for . . A - d 8 v . . - ~ a ~ ~ a - n a UYDJUI U~J I J ...........-......-.-- ,....... ............. ........................................... : : .............................................. ................................. ................ . . : . . ~ a r n e a n d iddress of employer

Approved

'ldT'uay+in . Rejected

Work permit No.

Burapha University

I have previously applied for a work pemlit for

.................................................................................................. - ............................................................................................................................................................... d d B U

T I ~ L L W Z ~ ~ U T J ~ J U I U ' S I J .......................................................................................................................................................................................................

Nrune and address of employer ..

Approved Work penuit No.

Rejected

uiw l&Ibirn u~uua?u1ua~~inri7~7uu7l~i~3"Iueii l l~~J ............................................ I....' ......................................................

I have p p ~ i o ~ ~ i y applied for e .work pern i t for . . I

Name : i d address of en~ployer ; - . . ............ ............................ .......... ..... ....... .......... - ......--........... - _..._._ .............................................. .....-- - - 1-.-- - --..- .......................... " ..................................

.- 9" R T Y ~ ~ ~ ~ J ~ F I ' . i71'k 'd . Y a u q ? m ~ a u n ..................................................................................................................... ".

. . Approved Work permit No.

• %.i16?uauyin . . ,

Rejected .

. . d

C i w ~ j , ~ a i u ~ a a i 7 ~iw~j7lril5uy~nfin~7aqmxu~13 n~a iYad '7u rnudau lud

? ~ u ~ ~ ~ I ~ T ~ ~ ~ R ~ I M ~ ~ ~ u T I . ~ ~ ^ ~ ~ ] ~ I ~ L Y nwi ' o ~ e h w 1 6 n n u 8 - h '3rMi7d&Ta?duayyiCil

Y ~ W L ~ ~ ~ J ~ ~ ~ ~ J I U ~ ~ ~ ~ ~ ~ ~ ~ ] = : ~ ~ U ~ ~ ~ U ~ I ~ ~ J M " T ~ ~ I ~ ~ ~ ~ ~ . ,

I hereby certiiy that I a m not a disqualified or prohibited pehon under the conditions '

prescribed by the Minister as published in thb ~o;ernment Gazette.and 1 hereby ackonwledge that,

pending the issue of the Work Permit, I shall not engage in any work whether with or without . .

wages or remunerations.

I hereby certify that the above statements are true in every respect. - .

n P I ' "d • . . ....... ...... (aqurrnna) - ..- -.- -,.- ...................................... u u i a

(Signature) Applicant . L. d n . .

. ......... 3 u n .......................... ~ m a u ...................................................... 14.~1.: 1 ...--.-....

Date. ' . Month . . Year

Burapha University

;.J. ~nwir~s',.nui; FOR OFFICAIAL USE

Burapha University

Burapha University

0 luqnw:~iuu/fiuaufu UIW 0 i14:~~g-r u-~w 2 0 iwuln~iunulwuGi~~uo~luucu:u-nu 0 iinudi~n'i-roiva'? ~ l u

0 aniu:hunisGu (53ii~qn)

asio

da:W"EIm~iuosu'.G'w Gi957uy (Ed)

?%A I&~U W.H.

d

d W.H. n'7"Ls Guw ?w 6 u ~ n w u 41 ~1; yai~nisd~oon/$s"Elm

Burapha University

1 D l~ty Stamp 1 Power of Attorney

nGdauauiiw79 1 10 Bath 1

Written at 0 -$ WIM ......................................................................

Date Month B.E. Qa '4 u auw .................... ~ m a u ............................. w . ~ . .............

w w "UlWb'TJ l U l ~ / U l 9 / U l 9 ~ l 2 ..............................................................................................................................................

hereby authorize and appoint Mr./Mrs./Miss. at present working u

s i u u a u h u i u l I 1 ' u i u 1 w i o / u 1 r m 2 ................................................................................................................. ~ r ~ u w v i i a i u . 2 ~ in the position of at the office of

t , A 0 n, d ............................................................................... ~ I L L P / I I ~ ~ .............................................................................. @90UW BlUnJiU"110

Tel. Located on Soi/Lane n , , d

.................... b w i . ..................................................... &aubasiw' ......................... .sou .....................................................................

Rd. Sub-Dislcict District

........................................................................ LlUU ..................................................... bbsi'29 ........................................................... bsim

Province to be lawful and legal attorney for the purpose concerning with work permit, u u

aan?n ............................................... i i h u i ~ u i ~ ~ i i w m ~ ~ n ' u a f r " u n ~ ~ ~ a ~ ~ ~ i ~ ~ i ~ n a w i u ~ u ~ a n a i r d ~ : n o u n i ~

sign any documents on behalf of myself including changing words on the related documents.

~ o s ~ ~ i n u n u i i w ~ < i I i ~ n ~ s J " u i~u~~~liduuudaa~Lnluiamiu2u~enai~njnri1~hu

What has been done by will remain in full force d pld d

~ I T ~ ~ \ ~ / ; u I U / U I ~ / U I ~ ~ I ~ .......... :.; .................................................................................................... I inatGiIdl~na~auau-i i

and effect as it has been done by myself.

i i w ~ < i ! ~ n ~ : v i i i l l s ~ ~ n d ~ r n Signed Grantor

( ........................................................................... 1 Signed Grantee

( ........................................................................... 1 Signed Witness

( ........................................................................... 1 Signed Witness

M ~ J , ~ L M ~ M~n~usu i~u lgd3r~J~gz .~"1n"m"uoun1rusuhu1o~i lusd1& dsun3:~1i,rilnai,rriis~l%$m1um1ud Remark In case grantor perfer to limit the authorization giving to the grantee it could be done by using the other

forms of Dower of attornev.

Burapha University

Lda ......................................................................... ... I

Burapha University

Burapha University

Burapha University

1. bbPlllS/J~f~ W W . 5

2. nGd8o"~~vuiu~:o:baai

3. nGd4ouo~lBiu1ooinnaiid~iS ( n r 8 l d d u l ~ o n a i i s ~ i S b a i i D ~ l d )

4. i?QQl<ld+ili?9'~55;

5. nG~8~iZuwisiiuo?d + d i ~ w i " a i ~ ~ 1 w i

6. n'i%ssub~uu%unisiu 100 P I i W

Burapha University

FOR OFFICIAL USE

3unsu ........................ / ........................ / ........................

n1lJlJ1ns1 a& APPLICATION FOR RENEWAL

~S:~T)JLLSJJIU OF WORK PERMIT MINISIRY OF LABOUR ACCORDING TO SECTION 15

P

..................................................................................................... 1 ........................................... NAME OF APPLICANT MR./MRS./MISS ................................................................................................. NATIONALITY

Q.I. f!oy"ludr:m~lnu .......................................................................................................................................................................................................

- ADDRESS IN THAILAND w a d d

...................................................................................... .............................. : . . r a l d s u ~ ~ ................................ lnsnnv .................................... POST CODE TELEPHONE

NAME AND ADDRESS OF EMPLOYER w d d waldsuolu In~iTw ....................................... ......................................................................................................................... ................................

POST CODE TELEPHONE 4

Q.G ~ o a ~ ~ ~ i u d s : n s u n i s .................................................................................................................................................................................................. NAME OF COMPANY d 1 OI d d * d

................................ ................................................................. i o y ........................................... snaldsu E U ~ I In~nwn .................................... ADDRESS POST CODE TELEPHONE

4 u 4 ~ . c ; ds:~nnnlnisnso;~n II

TYPE OF ACTIVITY OR BUSINESS 4 4 4

................................................................................................................................................................................. o.b ~ ~ L ~ M ~ ~ ~ ~ U / ~ ~ T N / ~ T ~ T N

TITLE/OCCUPATION/PROFESSION d v w d u

......................... (3.d luoumin i i~ iu~avn ............ - .............................. oonlw3un ................... LBBU ........................................ . n . " WORK PERMIT NO. DATE OF ISSUE MONTH YEAR

9.4 w " sonlnn ( o ~ 3 n ) PLACE OF ISSUE (CHANGWAT)

d 4 u a ..................................................................................... .......................................................................... Q.S? s::uz~3ainoumin . u ~ u l v (0111)

PERIOD OF PERMISSION CONDITION (IF ANY)

_-_.. .......................................................................................................................... - ........................................ .. ........................................................................................... Y 9 w d U

............................... ................................................................... ................................................................... ..a luoyqinauoi;-~un o u n.n EXPIRE ON MONTH YEAR

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Q.Qo voS;ooiyl~~oyqin ............................................... d ................................................ ~ n s u .............................................. i u RENEWAL FOR YEAR (S) MONTH (S)

'r DAY (S)

w I - d ' u 4 w. d u 0.00 UIJLLFI?UYI .......................... ~ n o u ............................. w . ~ ............................... i l u o d ~ ~ n .............................. LBEIU ..............................

FROM DATE MONTH YEAR TO DATE MONTH

w.fi ....................................................... YEAR

Burapha University

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. o . . ~ lnqwanuonooirlluoyryin .............................................................................................................................................................................. REASON (s) FOR RENEWAL

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9 2 d ;iwi$ivoiuroqii ionmuh.rnuu~dun~3iu03~~nds:nir I HEREBY CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE IN EVERY RESPECT.

a a A . ....................................................................................... (aiuuo(tlo) tuunivo

(SIGNATURE) APPLICANT

" 4 4

7UW ................... LnbU ......................................... W.91. ......................................... DATE MONTH YEAR

b. R'iiuro.rvo.ruiu$iq CONFIRMATION O F EMPLOYER

I 9 9 , .......................... ......................................................................................................................... n ~ i w i o i v o s u . j o ~ i i ~ i ~ / ~ i ; l / ~ i ~ ~ i ~ _

'1 HEREBY CONFIRM THAT MR./MRS./MISS

i ~ ~ ~ n i i . h u n o i u d r : : o o u m r u o t ~ i n i ~ i r~a : :dr : '~1~6e: :a" i~ i i~ iu lu i i i in~~ IS EMPLOYEDIN THE COMPANY AND I WILL [NTENTLY CONTINUE TO

w w I

i i ia:a'n~a::.nuiftudold~~inuni~ai ..................................... u&iln EMPLOY HIM/HER IN THE SAME JOB FOR

w d u ...................................... ............................................................ ............................................ '1un o u w.91

DATE MONTH YEAR

. .

9 2 d Ginihvoiusodii ion3 iu i iqnuu1dun3iua ' r t~ndr t .n i r 1 HEREBY CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE IN EVERY RESPECT

a 4 • ( ~ 1 ~ 1 1 0 ~ 0 ) ..................................................................................... uitlBY7~

(SIGNATURE) EMPLOYER

(....................--.......................................................... or 4 4

1 3 U P1 ................... lfl8U ......................................... W.17 .......................................... DATE MONTH YEAR

Burapha University

iPWl:i$lH~lB FOR OFFICIAL USE

m.o n'~iuii;uuad~~ndiuiiiwLiB

na'ngiunruo'w d n'17uinu .......................................................................................................................... .............................

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iAumroyQin E: d 4

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a 4 (alouom) ........................................................................................................................

w d a ............................... .......................... ' I U W inou W.ff .............................

m.19) R i ~ ~ ~ i ~ ~ ~ i i i u ~ ~ y q l l F l ~ ~ ' ? i ~ ~ l B ~ ~ ~ Y q l l ~

...................................................................................... oy r u i a l ~ ~ o o i t l l u a y q l i m l ~ o i ~ ~ a u l ~ uaumi~l inn~1a 1' 3 "

a 4 ........................................................................................................................ (aiuuam)

d a .......................... 7un imou w . f f .............................

5

n-rquril"~ (~kurlu)

Burapha University

Burapha University

d t

nu. 7 unnlasluag~ c4 (1,900 UITI)

nu. s u a ~ n " u w i ~ ~ ~ n u a n f l 5 ~ ~ ~ ~ 1 % 9 i 1 ~

(1,000 sr:a 3,800 'uIP.~)

nu. 47 s~u~~wMuawny q 90 5w I

4 d t

MU. 86 " ~ ~ d ~ ~ s c c ~ w a a w (2,000 ~ 1 1 ~ )

Burapha University

cn~nwiai1ii~ai?$aqdids::~nw "Non-Immigrant B" 1um~4runqtRiuisn~iw"n~ud~:~wfi1wu~6 3 r h u LLW:

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fi iu1~oioo1~~dis::u::ui~miuByyi41~ (mfdntlaifiu I ?I)

- ww'98oG1q1nuw1;jnuiKu

- wfid?hr?uw1~Km3d + i i ~ u i Y

- r r ~ ~ d a f u mu. 7 'inpIriiuau~n 2 S1 I ;d i~sssuriluu 1,900 Y I ~

- iiru18yy1h.r + ~ I & U T T ~

- T~oyy1m9;ii~1u + i i r u ~

(qtha~'bP1iii%uni~ra~6avrnu~a~)

- w~dAaL~uVl1d

- upludafu mu. 8

- ;dci~uauin 2 %a Y U

- ~IETTUL%UU (1,000 UIW ~ l ~ f Y ~ ~ ~ V l l d ~ f d L ~ ~ 1 13,800 Ull'l ~ l ~ f Y : ~ l l ? ~ ~ l d ~ ~ l ~ ~ f 4 )

(qt6a~ldi1rCuni~ra~6aurnu~a~)

Burapha University

Extension VISA-

Alien holding visa type of Non-Immigrant "B" for first time in Thailand can staying for90 days and

extension visa for 1 year for the second time. (Up to the Employment Contract)

- Letter of University

- Passport + Copy of Passport entries

- Application From TM.7 + 2" Photograph + 1,900 Baht

- Copy of Contract

- Work-Permit + 1 Copy

(Application must be made in person)

Notify 90 days Alien staying over ninety days in Thailand must notify your place of residence to the Immigration Office

you stay longer than ninety days and required to do so every ninety days.

- Passport + Application From TM.47 (Not t o pay)

Re-entry VISA In case of the alien has been t o travel out of the Kingdom of Thailand so must to do Re-entry visa before

at leave.

- Passport

- Application From TM.8

- 2" Photograph

- Application fee is 1,000 Baht per single and 3,800 Baht per multiple)

(Application must be made in person)

The Immigration Sri-racha Office 038-312571

Burapha University

&may r u l ~ ~ A a s a " l u s ~ d ~ 7 ~ 9 < n 5 d ~ n 7 5 $ a ~ ~ 7 a n ' a r d

APPLICATION FOR EXTENSION OF TEMPORARY STAY I N THE KWGDOM

mu. d TM. 7

d . v a ................................................................................ MY17n7SGlS?9AUL'UlLU'DQ

Immigration Office

" d a ............................ ................................................................... ......................... ?UM Lnau w p l

Date Month Year

PTUU $iya7n~si~ii7~?9~1Ci~aiFi To Commissioner - General Royal Thai Police

, . Y C d d - .. mw~9-1 ( u ~ u / u ~ Q / u ~ J o ~ ? ) 'Ilofint? .............................................................. pan7 .................................................... I. (Mr., Mrs., Miss) family name first name

a a - - A a PDSQQ ................................................................. . ~ 7 ; .....-.-....... d ~nlil9u~1 ......................... L ~ O U ...................................................... w.ri .......................... middle name age years date of birth month Year

d 9 " P

mniuliLn lil y m n ............................................................... !?!;ce of bit5 nation&ty u r u 4 a r - a d - d n o ~ u ~ m ~ ~ l i l u ~ ~ ~ ~ ~ ~ ~ ~ ~ n ~ 1 ~ 9 . a " u n u l i ~ ~ f i ~ i n u ~ 1 ~ L R ~ I M .- ............................................ ~ Q W N .................................................................. holding passport or travelling document no. dated a V $ a b a r d .......... Lnau ......................... - m .............-.-..... mn9un. ................................ E i l P r l i l n ~ ~ u n

month YE= issued at valid until - a f Lnou .......-...--... .. .....-........-. w.m .............-...---.. dr:~nnmmii ................................................................................................................................. month . year kind of visa

. I ~ ~ U ~ S W T M U : ...................................................................................... n .................................................................................................................. arrived by (mode of transportation) £rom

Y Y d a L917LJIMlQ~7U ............................................................................................... 9UlI .......................... LFlDU ..-- W.m .- ........................ port of arrival date month Year

. " A finrairh/~7oan mu. 5 R ~ F ~ ~ Y Y I - ................................................................. arrival/deparhue card TM. 6 no.

I wish to apply for an extension of temporary stay in the Kingdom for another period of ............................... days. 2 4 I

LM?ufinvBaUlila ................................................................ L - ............................................................ - .......... -...- ............................................................................... reason (s) for extension

u o t t f i n a n ~ i u i i u ' i ~ ~ i i ~ ~ ~ Yours sincerely,

a d a P r t d Y ............................................................................................................. R l U U B ? I F ) M T F ) R l ~ ~ 9 V i 9 L L ~ ~ D I I ? l UII3

Signature or right thumb piint Applicant

Burapha University

Address in Thailand - k v w w 4 n'iaaay y i n ~ u u u YIWLQI ~iluy~nuu This application is written by

I w d B U U I U L ~ V M .................................................... nuu ............................................................................ ~ I U ~ / L L V W

address no. road Tarnbon/Khwaeng - "

aILnQ/L 11FI q4u '-Jm Amphoe/Khet Changwat

pfril~l vu7m c x au.

photograph

A x 6 an.

a d w 4 f i IUUO' l l9 ................................................................... LJL3fll.J

Signature Writer

a'7sieu NOTICE

o. ~ v o s z i o ~ ~ u ~ i r o o ~ ~ i n ~ ~ ~ l ~ i l u ~ ~ ~ APPLICATION MUST BE MADE IN PERSON.

b. ~ I O ~ ~ U L C U U R ~ T ~ U ~ I ~ ~ Q ~ ~ I ~ ~ ~ Q . ~ O O uin APPLICATION FEE IS 1.900 BART.

cn. 4~lmYsLira y yimu?~1ririmi~ G u ~ I o ~ ~ u L G u u ~ : ~ L ~ " ~ u ' L ~ ~ UTETIER PERMISSION IS GRANTED OR NOT,

AWLICATION FEE IS NOT -ABLE

Burapha University

RU. 8

TM. 8

i ~ u e e P r r u i m t A e n h t i i ~ ~ ~ p d : s i ~ ~ 3 a i ~ n ~ ~ n APPLICATION FOR RE-ENTRY PERMIT INTO THE KINGDOM

Written at

- 4 a WM .................................. LRBU ........................................................................ F I . ~ ............................

Date Month Year

Psuu w < ~ ~ I ~ L ~ I ~ ~ H ~ $ ~ T ? ~ A ~ L ' U I L ~ Q J To Immigration Officer

w w d 4 ' - ........................................................................... ......................................................................................... 111WL91 ( ~ l ~ / ~ l ~ / ~ l ~ f i l 1 ) %36t78 'ilQR7

T, (hilr., Mrs., Miss) family name frst nex. d - 9 a s r d a ~ m a ..................................................................... m ........................................................................ I .......................... d Lnn7un .......................................

middle name nationality age years date of birth Q - -

............................................................. .................................................................... LFIQU F3.n ......................................... F l 7ZlVIfi

month Year chan,pat country a r I W d

................................................. QIVW ..................................................................................... ~~~?LIUQ;UIULWIIM nuu occupation present address no. road - .,

................................................................... ......................................................................... ~ I Y ~ / L L V ~ ~ ...................................................................... / L V ~ 9aj7~~n

TambonKhwaeng ArnphoeKhet Changwat

u a d u ~ ' i ~ o ~ ~ ~ 1 m t d a n ~ ~ ~ u ' 1 u i ~ ~ ~ i a 9 i ~ i ~ n ~ ~ n

hereby apply for re-entry permit into the kingdom

uinniiu%an;a single multiple

I intend to go to - .4 Q

.............................................................................. ............................................................................. n ' l u u n o ~ n ~ l n d s z l ~ ~ ~ ~ ~ u 7un .......................... ~m'ilu ~ . f i

leaving Thailand on : date month Year

by (mode of transportation) for (purpose of visit) and shall return a

...................................... ........................................................................................ ............................. dsz~ndnudszuim ...~n'ilu . P I

to Thailand about : date month Year

u'1~~i1"nj7H~a3~~'iun1au"Ta~~n~1~Ia'~~nuj7H<a~a~'iu~1~~~a I hold the passport or travelling document of

(country) issued at no. dated

Burapha University

month Year valid until date month Year

My previous visa for Thailand is of the category of d ,, nu~d$?nri? ,, Yia~rno? ,, nu~Zluni~uiu

non-immigrant visa tourist visa &ansit visa

others

issued at date month Year Y Y S Q d - d Q

' U I W L ~ ~ ~ ~ U ~ ~ J ~ I ~ J ~ S ~ L Y I H ~ Y I U L ~ Q ?UYI .................................. LRQU .............................................................................. .PI ..................................................

I arrived in Thailand on date month Year w- v oa v d Q

unzIm~u~yqimlu~~n~ ?UYI .................................... L ~ Q U ........................................................................................ R.H ............................................................

and have been permitted to stay up to : date/ month / year

h w ~ ~ i v o ~ u r a ~ ~ i k ~ ~ i u $ i ~ ~ u ~ ~ ~ ~ ~ ~ ~ u ~ ~ ~ ~ n d r z n i r

I hereby certify that the above statement is true and correct

vuim 4x6 9.u.

photograph

4x6 cm.

7~a~:on~n~iuii~liiB

Your sincerely.

4 4 Q - # Q Y

~ I U U 8 ~ f l U T 8 ~ I U M ? L L U U 8 ' U ? I .............................................................................................. NVQ

Signature or right thumb print Applicant

Number of Persons 1 ONE 1 Number of Entries

Place of Issue 1 Date of Issue 1 CHQNBURI 1 .

t czt€~?r- 05:-

1. {vo7:68~~uh~o~uaoyqirnn'?umuL~d

APPLICATION MUST BE MADE IN PERSON

2. iissru~iruunirduuaayqilil i ,000 uin huiu , "

uG~nfi Lun: 3,800 YIYI iiu~~~~~nuniiu%dnfd

APPLICATION FEE IS 1,000 BAHT PER SINGLE

AND 3,800 BAHT PER MULTIPLE

3. In"~~a~qimu'h1a.iiimiu ~zIa.iij;ufiuAisrsu~ii,uulM' APPLICATION FEE IS NOT R E m A B L E

Burapha University

WBl. dd

ssuun~~u~qeeisiipdn47 PI d o a"pa aasumna47q&a a TM. 47

FORM FOR ALIEN TO NOTIFY OF STAYING LONGER THAN 90 DAYS 4 A LSIUMM ............................................................................. WRITTEN AT

" A Q

........................ auM ............. :..L~Qu ....................................... w.fi DATE MONTH YEAR

d " w W L i w u ................................................................................................................... LTUM W ~ ~ J l ~ L 9 l V I ~ l M W T ~ S ~ ~ L " U l L U Q J

TO: THE IMMlGRATION OFFICER

w w w ........................................................................................................................................................................... nau91iw L91

(FTJLL NAME IN BLOCK LETTERS)

- e

f i ~ "111o l ....................................................... NATIONALITY

... d ~ z ~ n v l " ? ~ VISA

TOURIST

NON-IMM.

4 a - 4 .a .............................. ................. ................................................................... ~~UMIJLCI~ I~~Q~UM ................. ~mnu w.fi J n ~ w i v u z

ENTERED THAILAND ON MONTH YEAR BY

w u 9 A w w . 4 VIMJfiQLmWvl1JL~"U ................................................................ ollJ-JlJol7"UlLYlL~"UM ......................................................................... PASSPORT NO. ARRIVAL CARD NO.

Y 2 w v w 0 w ~d ........................................................................ unu I n ~ ; l l u s i q i e i m i < n s 1 ~ ~ n s u do auuna u a z w i u n n y

I HAv? NOW BEEX STAYING IN THAILAND FOR 90 T" IS iU\TD K." r-IIESENT h3DRESS IS

"dE!/nuu ...................................................... I .................................................. QlLn'a ......................................................... LANE/ROAD TAMBOL AMPHUR

" " " a-

q ~ w a n ......................................................... ' lwsf iw~ ...................................................... PROVINCE PHONE

d 'i3J"IIQ ............................................................................................. SIGNATURE

pssristwn n u s i l . r ~ l a l b . r u k n o ~ w ~ a 9 ~ u L i i ~ ~ Q ~ ~ n ~ z u z do i u NOTICE : ALIEN MUST NOTIFY THE IMMlGRATION OFFICE EVERY 90 DAYS

a'm?ut$i"lwsrin" FOR OFFICIAL USE ONLY

w w ........................................................................... .................................................................................. 91lW L91 ollLLMUJ

I TITLE

Im"5u~~t;~n1se~7us1"11~1m1<n~1~1~~su do ?'w u a ~ .................................................................................................................. HAVE RECEIVED NOTIFICATION OF STAYING IN THAILAND FOR 90 DAYS FROM " 9 u f i r y r i ol ..................................... .'I?"LL~~ ~ d o j ~ i ........................... ~nnu ......................................................... w.m ..................................... NATIONALITY ON DATE MONTH YEAR

~ a a i ......................................... u. HOUR

d w w w ~ J " I I ~ .............................................................................. ~ ~ U L L ~ J

SIGNATURE IMMIGRATION OFFICER

Burapha University

RU.86

TM. 8 6

i i n r a ~ d ~ ~ u d ~ ~ s ~ w n ~ ~ ~ ~ ~ a ~ a ~ w ~ i

APPLICATION FOR CHANGE OF VISA

Immigration Bureau

" d 4

?UM ..................... LRQU ............................................. W.PI .........................

Date Month Year

GOld w ~ ~ J ~ U ~ ~ ~ ? ~ ~ M S ~ ~ ~ G I S ? ~ F I U L ~ " ~ ~ ~ Q Q

To Immigration Officer

d A " $7~7~~4'7 (UIU/UIJ/UIJ~~TJ) aafirp .................................................................... aamq ..................................................................

1, (Mr., Mrs., Miss) family name first name d e 4 w . 4 u ............................ ....................... .............................................. ................... PQSBJ .................................................................. a d L ~ W ? U M LRQU W.PI

middle name age year date of birth month Year

41 2 " 4

8 n i u y l ~ n l i 1 ........................................................................................................................................ f i n ................................................................................

place of birth nationality

4 d " .4 ~ ~ ~ ~ ~ ~ Q L ~ U ~ ~ J M ~ Q L Q ~ ~ ~ S ~ ~ " L L M U M ~ Q ~ Q L " ~ U ~ ~ J L ~ ~ ~ M ................................................................. 7UYI ....................................................

holding passport or travelling document no. date

u vd 4 p a - d .................................................... Lnau ................................................. . p i .............................. c!an'l~w ................................................. N ~ I $ ~ ~ R ~ J ~ U M

month Year issued at valid until

a LRTIU ................................................ P I ...................... d n ~ ~ n i s l i l s ? ' i l a ~ n ~ 7 .........................................................................................................

month Year kind of visa

................................................................................... ............................................................................................................................... I m 7 n o f i 7 s w 7 ~ u z q 7 n

anived by (mode of transportation) from " d a

~ ' U Y 7 ~ 7 ~ 7 4 l i i 7 u .............................................................................................. ~ U M ........................ L ~ Q U .................................................. W.II ...........................

port of arrival date month Year . " d

........................................................... c F l T 1 1 7 ~ 6 / f i F I T 1 1 7 ~ ~ n mN.6 k37FiilYYI

anival/departure card TM.6 no.

k w r < w a d u ~ 7 r Q ~ U ~ ~ T ~ T ~ ~ A Q ~ T ~ ~ J T : L ~ ~ F \ U ~ ~ ~ " ~ W T ~ ~

I wish to apply for a non-immigrant visa d "

lMmUk3MllQTYn7SGIS7184lilS7 .................................................................................................................................................................................................

reason (s) for application

11QLLf i f l 4~?7N~~!QQ~74$4

Yours sincerely,

a d a " 4 rr IQ V

87YNQ"6MSQA7Uld?M1LLNNQ~?7 ................................................................................................................ U11Q

Signature or right thumb print Applicant

Burapha University

e" ................................................................................... ...................................................................................................................... n n i u ~ w n l u d s z ~ n ~ l n ~ ~ 1

Address in Thailand - - ? w w W d

n ' l . l r ~ 9 ~ ~ 1 m l i l ~ t ~ ~ YIWUI ............................................................................................................... ? ..................... L ~ ~ ~ L Y U U 1 '

This application is written by I w d

QEJLIIULRSIYI .................................................... nuu ............................................................................ mivn/u~w ............................................................................

address no. road TambonIKhwaeng .. "

..................................................... a i i n a / ~ ~ m w ~ m Amphoe/Khet Changwat

a 4 w 4 n~uuaaa ........................................................................ p t t u Signature Writer

NOTICE

1. ~~~9~&4~~6lil~9~Qlliln'7fllil~~84

APPLICATION MUST BE MADE IN PERSON.

2. ~ I E S S ~ L < U U ~ I T ~ U ~ I Y ~ ~ ~ ~ I ~ ~ ~ 2,000 UIYI

APPLICATION FEE IS 2,000 BAHT.

3. 1::1lil?v~y~ln~%ldn'lil1u i j u d i s s s u r ~ u u ~ : : ~ ~ ~ u ~ M ' WHETHER PERMSSION IS GRANTED OR NOT,

APPLICATION FEE IS NOT REFUNDABLE. Burapha University