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Proxy (Form A) (General Form) Revenue stamp 20 Baht Written at. ... Date ... Month. Year (1) I/We Nationality .... ... residing at. Road. Sub-district ......... ..... District... .........

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The purpose of attach document no4 page is to provide additional information or supporting documentation related to the main document being filed.

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The information reported on attach document no4 page may include but is not limited to references, supplementary data, or explanations relevant to the main document.

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