).............................................. ............................ ............... ………………… (For further details, please attach herewith) 6. Address No........................... Building / Residence: ........................... Alley: ......................... Road

: (a) having a net asset value of seventy million baht or more, excluding the value of the property used as a permanent residence of such person; (b) having annual income of ten million baht or more, or

…………………………….… Seal (If any) Remarks : 1. The applicant may duplicate this application and fill in the content instead of using this form. 2. Signatures required in the genuine application form and documentary