TNAG-1151-FCO40-1431-Relations-between-Hong-Kong-and-the-United-Nations-1983 — Page 1

NAME

(if accompanied by wife please specify)

ADDRESS

EXPECTED DATE AND TIME OF ARRIVAL IN BANGKOK AND FLIGHT NUMBER*

EXPECTED DEPARTURE DATE

PREFERRED HOTEL

TYPE OF HOTEL ACCOMMODATION REQUIRED FOR PERIOD OF STAY (Delete whichever is not applicable)

(a) Single room

(b) Double room

(c) Suite

Signature

Date