prefix *

 Mr.   Mrs.   Miss

First and last name *

ID card number *

Telephone number *

Example: 08xxxxxxxxx

Name of legal entity/company/partnership

Legal entity registration number / Tax identification number

Name of person authorized to sign on behalf of juristic person

Position of authorized person to sign

Legal entity phone number

Legal entity email

Name-Surname of the person giving power of attorney

ID card number of the grantor

Name-Last name of the attorney

ID card number of the attorney

Telephone number of the attorney

Power of attorney date

Construction site location *

Land rights document *

-- Select --land title deedNor Sor 3 Gor land utilization certificateMiss 3ALROOther

Number/land number/deed number *

Land size (rai)

Land size (job)

Land size (sq m)

House type *

-- Select --Single houseSemi-detached houseTownhouse/TownhomeOther

Number of floors *

Total usable area (sq m) *

Estimated construction value (baht)

Name of Supervisor/Engineer/Architect

License number/professional license