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Form for travel out of Bangkok

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I have been lucky to get an appointment in Bangkok on Thursday for AZ vaccination.

I understand I need a special form for me to return to Buri Ram the following day.

Has anyone a copy of the form I need to complete please ?
Thanks in advance

I was playing with this form - accepting thai ID format (not passport, which in my case has also letters, not only digits). But after putting all digits from my passport, I topped up with random numbers 012345.

Application has problem with selecting proper areas with entered postal codes. But looks like good enough

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