Merchant Register
Applicant Information
Merchant type
*
Individual
Juristic Person
Name of applicant
* (For individual, please provide store owner’s name. For registered business, please provide registered business’s name)
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
*
Last Name
*
Position
*
Mobile no.
* must be registered under an applicant name
Email
* for verification account/OTP/information
Business type
*
Software house
Apartment Condominium
Hotel
Insurance
Tourism
Industrial Factory
Import Export
Service, Entertainment or Restaurant
Other ( Please specify )
Information
Company Name
*
Company Name (Eng)
*
Taxpayer Identification No
*
Bank Account Details
No. 1
Bank Account
*
Account no.
*
Bank
*
Select
Bangkok Bank
Kasikornbank
Krungthai Bank
Siam Commercial Bank
Bank of Ayudhya
TTB Bank
UOB Bank
CIMB Thai Bank
Kiatnakin Phatra Bank
TISCO Bank
Land and Houses Bank
Thai Credit Bank
ICBC (Thai)
Government Savings Bank
BAAC
EXIM Bank
Government Housing Bank
Islamic Bank of Thailand
Branch
*
Account type
*
Select
Savings
Current Accounts
No. 2
(if any)
Bank Account
Account no.
Bank
Select
Bangkok Bank
Kasikornbank
Krungthai Bank
Siam Commercial Bank
Bank of Ayudhya
TTB Bank
UOB Bank
CIMB Thai Bank
Kiatnakin Phatra Bank
TISCO Bank
Land and Houses Bank
Thai Credit Bank
ICBC (Thai)
Government Savings Bank
BAAC
EXIM Bank
Government Housing Bank
Islamic Bank of Thailand
Branch
Account type
Select
Savings
Current Accounts
No. 3
(if any)
Bank Account
Account no.
Bank
Select
Bangkok Bank
Kasikornbank
Krungthai Bank
Siam Commercial Bank
Bank of Ayudhya
TTB Bank
UOB Bank
CIMB Thai Bank
Kiatnakin Phatra Bank
TISCO Bank
Land and Houses Bank
Thai Credit Bank
ICBC (Thai)
Government Savings Bank
BAAC
EXIM Bank
Government Housing Bank
Islamic Bank of Thailand
Branch
Account type
Select
Savings
Current Accounts
Permanent Address
(as specified on national ID)
Registered Address
Other
Address 1
*
Address 2
Alley
Road
Sub district
*
District
*
City
*
Postal/Zip Code
*
Website (URL)
*
Current Address
Registered Address
Other
Address 1
Address 2
Alley
Road
Sub district
District
City
Postal/Zip Code
Phone Number
Fax
List of Directors
Authorized Signatory for a Legal Entity
*
No. 1
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
Last Name
Identification Card
Passport No
Identification Card / Passport No
*
No. 2
(if any)
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
Last Name
Identification Card
Passport No
Identification Card / Passport No
*
No. 3
(if any)
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
Last Name
Identification Card
Passport No
Identification Card / Passport No
*
Contact Information
1. Authorized Person to Sign
( Please specify First Name – Last Name Attach a copy of your identification documents )
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
*
Last Name
*
Identification Card
Passport No
Identification Card / Passport No
*
The executive has the signing authority
(if any)
( Please specify First Name – Last Name Attach a copy of your identification documents )
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
Last Name
Identification Card
Passport No
Identification Card / Passport No
2. Accounting Contact
(if any)
Prefixed
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
*
Last Name
*
Position
*
Phone Number
*
Email
*
3. IT Contact
(if any)
Prefix
Select
Mr.
Mrs.
Miss
Acting Sub Lt.
Private 1st class(Pfc.)
First Name
*
Last Name
*
Position
*
Phone Number
*
Email
*
Estimated income and sources
Estimate Business Income
Baht/Year
Income comes from the country
Thai
Other ( Please specify )
Accounting Cycle
Time
Transfer Cycle ( Day )
Register
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