ASQ PARADISE ASQ HOTELS DURING QUARANTINE AFTER QUARANTINE QUARANTINE GUIDELINE HELP CENTER
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Suite 607, 6th Floor
AIA Sathorn Tower
11/1 South Sathorn Road
Yannawa, Sathorn
Bangkok, 10120, Thailand
E-mail: info@locanation.com

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Email*

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Password*

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Personal info.

Name*

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Sex*

  • Please select sex
    • Male
    • Female

Date of birth*

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Nationality*

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Marital status*

  • Please select maritalstatus
    • Sigle
    • Married
    • Widowed
    • Divorced

What is your occupation*

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Line or WhatsApp ID

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Passport number*

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Passport Expiry date*

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Arrival date*

Please select Arrival date

Seat no.

Please enter seat No.
Upload first page of your passport*

Can we know if you arrival date is confirmed

(ie. you have gotten CoE and flights books) or is it tentative ? *

Please select arrival date is confirmed

Which Thai Embassy did you receive your CoE from

(or about to request for a CoE) ?*

    • The Australian Embassy
    • The Austrian Embassy
    • The Embassy of The People’s Republic of Bangladesh
    • The Royal Belgian Embassy
    • Royal Bhutanese Embassy
    • The Consulate of the Republic of Bolivia
    • The Embassy of The Federative Republic of Brazil
    • British Embassy
    • The Embassy of Brunei Darussalam
    • The Embassy of the People’s Republic of Bulgaria
    • Embassy of Cambodia
    • The Canadian Embassy
    • The Embassy of the Republic of Chile
    • The Embassy of the People’s Republic of China
    • Consulate of Cuba
    • The Consolate of The Republic of Cyprus
    • The Royal Danish Embassy
    • Egyptian Embassy in Thailand
    • The Consulate-General of the Dominican Republic
    • The Consulate-General of Ethopia
    • Delegation of The European Commission
    • The Embassy of Finland
    • The French Embassy
    • French Consulate
    • The Consulate General of Gabon
    • The Consulate of the Republic of Gambia
    • The Embassy of the Federal Republic of Germany
    • The Embassy of Greece
    • The Consulate of the Republic of Honduras
    • The Embassy of The Hungarian People’s Republic
    • The Consulate-General of the Republic of Iceland
    • The Embassy of India
    • The Consulate of India
    • The Embassy of The Republic of Indonesia
    • The Embassy of the Islamic Republic of Iran
    • The Embassy of The Republic of Iraq
    • The Consulate of Ireland
    • The Embassy of Israel
    • The Italian Embassy
    • The Embassy of Japan
    • The Consulate of the Hashemite Kingdom of Jordan
    • Korea Embassy of the Democratic People’s Republic of Korea
    • Embassy of the Lao People’s Democratic Republic
    • Lebanese Embassy
    • Embassy of Luxembourg
    • Malaysian Embassy
    • Maltese Consulate
    • Mexican Embassy
    • Moroccan Embasy
    • The Embassy of The Union of Myanmar
    • The Royal Nepalese Embassy
    • The Royal Netherlands Embassy
    • New Zealand Embassy
    • The Royal Norweigen Embassy
    • The Embassy of the Sultanate of Oman
    • Embassy of the Islamic Republic of Pakistan
    • Consulate-General of Panama
    • The Embassy of the Republic of Peru
    • The Embassy of the Republic of the Philipines
    • The Embassy of the Polish People’s Republic
    • Portuguese Embassy
    • The Embassy of the Socialist Republic of Romania
    • Russian Embassy
    • The Royal Embassy of Saudi Arabia
    • Embassy of the Republic of Singapore
    • Slovakian Embassy
    • South African Embassy
    • Embassy of Spain
    • Embassy of the Democratic Socialist Republic of Sri Lanka
    • Swedish Embassy
    • Swiss Embassy
    • Taiwanese Embassy
    • Embassy of the Republic of Turkey
    • US Embassy
    • Embassy of Uzbekistan
    • Embassy of the Socialist Republic of Vietnam
    • Apostolic Nunciature

Arrival flight / Time *

Please select Thai Embassy Arrival and flight Time or About to request for CoE

Card holder name*

Please enter Card holder name

Card no*

Please enter Card no

Type of card*

  • Please select card type
    • VISA
    • MASTER CARD

Expire date (MM/YY)*

Please enter Expire date

Which provice or town do you plan to go

after completing the State Quarantine ?*

  • Please select provice
    • Bangkok
    • Amnat Charoen
    • Ang Thong
    • Bueng Kan
    • Buri Ram
    • Chachoengsao
    • Chai Nat
    • Chaiyaphum
    • Chanthaburi
    • Chiang Mai
    • Chiang Rai
    • Chon Buri
    • Chumphon
    • Kalasin
    • Kamphaeng Phet
    • Kanchanaburi
    • Khon Kaen
    • Krabi
    • Lampang
    • Lamphun
    • Loei
    • Lop Buri
    • Mae Hong Son
    • Maha Sarakham
    • Mukdahan
    • Nakhon Nayok
    • Nakhon Pathom
    • Nakhon Phanom
    • Nakhon Ratchasima
    • Nakhon Sawan
    • Nakhon Si Thammarat
    • Nan
    • Narathiwat
    • Nong Bua Lam Phu
    • Nong Khai
    • Nonthaburi
    • Pathum Thani
    • Pattani
    • Phangnga
    • Phatthalung
    • Phatthaya
    • Phayao
    • Phetchabun
    • Phetchaburi
    • Phichit
    • Phitsanulok
    • Phra Nakhon Si Ayutthaya
    • Phrae
    • Phuket
    • Prachin Buri
    • Prachuap Khiri Khan
    • Ranong
    • Ratchaburi
    • Rayong
    • Roi Et
    • Sa Kaeo
    • Sakon Nakhon
    • Samut Prakan
    • Samut Sakhon
    • Samut Songkhram
    • Saraburi
    • Satun
    • Si Sa Ket
    • Sing Buri
    • Songkhla
    • Sukhothai
    • Suphan Buri
    • Surat Thani
    • Surin
    • Tak
    • Trang
    • Trat
    • Ubon Ratchathani
    • Udon Thani
    • Uthai Thani
    • Uttaradit
    • Yala
    • Yasothon

Special notes/ requirements

ff

Your address in Thailand after finishing your quarantine*

Please enter Your address in Thailand after finishing your quarantine

Please check to indicate if you have ever had the following conditions*

Please select you ever had a blood transfusion

Surgeries *

Please select surgeries

Others hospitaliztions *

Please select rovice others hospitaliztions

Have you ever had a blood transfusion ? *

Please select you ever had a blood transfusion

Allergies to medications

Allergies to food

Dietary Restiction

(Ex.Vegetarian and Vegans, Halal, No beef, etc.)

_

Please enter Dietary Restiction

What is the name and address of your health insurance company ?

Include street number, city, state and ZIP

Please enter name and address of your health insurance company

Contact Person
Emergency contact information - in case of an emergency

Name*

Please enter name contact

Contact number*

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    • 🇮🇷 Iran (+98)
    • 🇮🇶 Iraq (+964)
    • 🇮🇪 Ireland (+353)
    • 🇮🇱 Israel (+972)
    • 🇮🇹 Italy (+39)
    • 🇨🇮 Ivory Coast (+225)
    • 🇯🇲 Jamaica (+1876)
    • 🇯🇵 Japan (+81)
    • 🇯🇴 Jordan (+962)
    • 🇰🇿 Kazakhstan (+7)
    • 🇰🇪 Kenya (+254)
    • 🇰🇮 Kiribati (+686)
    • 🇰🇵 Korea, North (+850)
    • 🇰🇷 Korea, South (+82)
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