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˹ѧѺͧն蹷͡ɮҡ㹻¡óպؤŸ
(Certificate of Residence)

͡÷Ǣͧ

1.

Ẻʴ¡շ蹪㹻 ... 90 ... 91

2.

ѺԹҡ÷þҡ͡

3.

ҾºѵûШӵǼ

4.

Ҿ˹ѧԹҧͧ (ըеͧ㹻¶֧ 180 ѹ 㹻շѺͧ)

5.

зͧѧ

6.

͡蹷Ǣͧ ШþԨó ()

7.

˹ѧͺӹҨ óռ繼蹤ͧͧ ͺؤ Թ᷹




Ẻ˹ѧѺͧն蹷͡ɮҡ㹻¡óպؤŸ


No............

(Address)..................
...................................
...................................
Tel :..........................
Fax :.........................
................... , 20.......


Certificate of Residence

    To whom it may concern:

Name of Taxpayer

: ......................................................................................
......................................................................................

Address

: ......................................................................................
......................................................................................

Tax Reference No.

: ......................................................................................
......................................................................................

           In compliance with the Convention between the Kingdom of Thailand and ........................................... for the Avoidance of Double Taxation and the Prevention of Fiscal Evasion with respect to Taxes on Income, we hereby certify that the above person is a resident of Thailand for tax purpose in taxable year ......................................................................................


           This certificate is issued upon the request of the above taxpayer for whichever legal purpose it may serve.

 

Signature...................................
Position......................................

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WCAG 2.0 (Level AA)

Last update :
 Thursday, December 14, 2006

 
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