1. • PLEASE USE THIS AS A GUIDE, HAVE IT RETYPED IN THE SAME FORMAT INCLUDING YOUR DETAILS.

I <INSERT FULL NAME> holder of British passport No <INSERT NO> issued at <INSERT ISSUING OFFICE > on <INSERT PASSPORT ISSUE DATE> and expires on <INSERT PASSPORT EXPIRY DATE> do solemnly and sincerely affirm that:

1. (a) I am eligible to marry a British/Thai/other national according to Thai law. (*)
2. (b) I am of British nationality and I was born on <DATE OF BIRTH> in <PLACE OF BIRTH>

My father's name is.....................……………………. and my mother's name is.................................………………………………………………………….

(c) I am single and have not previously been married (or) I am widowed (or) I am divorced (please attach appropriate certificate - originals only) (*)

(d) and have no dependent from my previous marriage or relationships (or)

I support ....... children from my previous marriage or relationships.

1. (e) My occupation is ........................... and I have an income of £............. per month.

(f) I propose the following people for reference purposes

if it is necessary to verify the above details.

1. Name: ..................……………………………………………………..

Address: ……….………………………………………………………...

1. 1. Name: …………………………………………………………………

Address: ……….………………………………………………………...

* (It is usually preferable that these people should be the same nationality as the signatory and live in that country of nationality. Parents may be given as referees, or otherwise their full names should be listed separately under (b).)

(g) My permanent address (preferably, in country of nationality ) is:-

…………………........................................................................................….……

I confirm that all the above is true and correct.

Affirmed at the British Embassy )

Consular Section, Bangkok )

this ......... day of .......... 200 ....) ………………………………………………

Before me: ......................………………………………………………………………..

(* Please choose the one that applies to you)

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