International Drivers License Application Form
First Name
Middle Name
Last Name
Address
City
State/Provence
Postal Code
Country
Date of birth  (dd) (mm) (yyyy)
Country of birth 
Gender   Male Female
Eye Color
Height  cm or ft, inches
Category of License
A- Motorcycle
B- Passenger Car
C- Vehicle over 7700 lbs. (4266 kg)
D-Vehicle over 8 seats
E- Vehicle of B, C or D with other than a light trailer

SHIPPING, PAYMENT AND OTHER INFORMATION
  IDL Type
  Book & Blue card 10 Year (5,500 Baht) 
  Book & Gold card 20 Year (6,500 Baht)
Preferred Method of Payment
Cash (Pay in the office)
Bank Transfer (Bank slip required by fax/email)
Courier Service (Pay on delivery)

 

 

          Contact Information
Phone (important)
Email (important)

Comments

If your are sending this by post, fax or bringing to our office, print now and fill in the space below.
SIGN HERE
ATTACH YOUR
PICTURE HERE
(Passport Size)
PLEASE ATTACH COPY
OF YOUR DRIVERS LICENSE
If you are sending this by email you must send a second, separate email with scanned (300 dpi) attachment of you current driver's license, color photograph and signature
PrintClick here  To Print this Form