Introduction *

 Mr.   Mrs.   Ms.

Name - Last name *

Age *

Occupation *

Workplace/Educational Institution *

Address *

Phone number *

Email

I would like to request access to government information and publications under the Act on Government Information and Public Service Act B.E. 2540, by *

1) Please inspect it.
2) Please provide a copy.
3) Please provide a certified copy.
4) Please provide a digital copy.

In the following text, please specify: *

For your benefit (if applicable)*