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                                            ĔïÿĆęÜđÝšćóîĆÖÜćîÝøćÝøĀøČĂóîĆÖÜćîđÝšćĀîšćìĊę
                                  Traff ic Ticket issued by Traff ic Off icers or Competent Off icials
                            đú×ìĊęĔïÿĆęÜ
                            Traff ic Ticket No.
                            đúŠöìĊę                                                  đú×ìĊę
                            Book No.                                                 No.
                            éšü÷ñĎš×Ćï×Ċę     øëÝĆÖø÷ćî÷îêŤ     øë÷îêŤîĆęÜÿŠüîïčÙÙú     øëðøąđõìĂČęî     øë×îÿŠÜ
                            Driver of :      Motorcycle      Private Car      Other Vehicle      Truck
                            ÷ĊęĀšĂ                                    ÖøčÜđìóöĀćîÙø
                            Marque : .......................................................................................................  Bangkok
                                                                      ÝĆÜĀüĆé
                                                                      Province .....................................
                            Āöć÷đú×ìąđïĊ÷îøë
                            License Plate no:
                            ðŜć÷ìąđïĊ÷îÿĊ     ×ćü     đĀúČĂÜ    đ×Ċ÷ü     ĒéÜ    ôŜć    ĂČęîė
                            License Plate Color:  White  Yellow  Green  Red  Blue  Others...........................
                            ÖøąìĞćñĉéåćî   $PNNJUUJOH UIF GPMMPXJOH PGGFOTFT
                            Ģ   ×Ćïøë    òśćòŚîÿĆââćèĕôÝøćÝøÿĊĒéÜ    òśćòŚîđÙøČęĂÜĀöć÷ïîóČĚîìćÜ    òśćòŚîđÙøČęĂÜĀöć÷ÝøćÝøĀšćö
                             Driving     7JPMBUJPO PG SFE MJHIU      7JPMBUJPO PG TJHOBMT PO SPBE TVSGBDF      7JPMBUJPO PG USBGųD TJHO QSPIJCJUJOH
                                      ĔîúĆÖþèąÖĊé×üćÜÖćøÝøćÝø    ĕöŠĔÖúš×ĂïìćÜđéĉîøëéšćîàšć÷     ĒàÜđöČęĂđךćìĊęÙĆï×Ćî
                                      *O B NBOOFS UIBU CMPDLT UIF USBGG ic  /PU LFFQJOH UP UIF PVUFSNPTU MFGU IBOE TJEF MBOF    Overtaking another vehicle when entering congested area
                            ģ   Ā÷čéøë    ĔîúĆÖþèąÖĊé×üćÜÖćøÝøćÝø     Ĕîđ×êĀšćöĀ÷čé     øĂÿĆââćèúĞĚćĒîü
                              4UPQ      *O B NBOOFS UIBU CMPDLT UIF USBGG JD     *O UIF OPO TUPQ [POF      #FZPOE UIF TUPQ MJOF XIFO XBJUJOH GPS UIF USBGųD MJHIU
                            Ĥ   ÝĂéøëĕüš    ĔîúĆÖþèąÖĊé×üćÜÖćøÝøćÝø     ïîìćÜđìšć     Ĕîđ×êĀšćöÝĂé
                             Parking     *O B NBOOFS UIBU CMPDLT UIF USBGG JD     0O UIF GPPUQBUI      *O UIF GPSCJEEFO [POF
                                      ĕöŠßĉé×ĂïìćÜéšćîàšć÷    ĕöŠ×îćîßĉé×ĂïìćÜ    àšĂîÙĆî
                                      /PU BEKBDFOU UP UIF CMPDLT MFGU IBOE TJEF MBOF  /PU BEKBDFOU UP UIF TJEF PG UIF SPBE      %PVCMF QBSLJOH
                            ĥ   ĂČęîė
                              Other:   .................................................................................................................................................................................................................................
                            đĀêčđÖĉéìĊę êøĂÖ àĂ÷          ëîî             êĞćïú Ē×üÜ
                            1MBDF PG JODJEFOU "MMFZ                                                          3PBE                                               4VC EJTUSJDU
                            ĂĞćđõĂ đ×ê                       ÖøčÜđìóöĀćîÙø    ÝĆÜĀüĆé
                            District ...................................................................................      Bangkok      Province .......................................................
                            đöČęĂüĆîìĊę   đ  é  ČĂî   ó ý        đüúć      î
                            Date : ................................  Month ..................................... Year ................................. at ........................ hrs.
                              ĂćýĆ÷ĂĞćîćÝêćöÙüćöĔîöćêøć Ģĥġ üøøÙĀîċęÜ ĒĀŠÜ ó ø ï ÝøćÝøìćÜïÖ ó ý  ģĦģģ àċęÜĒÖšĕ×đóĉęöđêĉöēé÷ ó ø ï ÝøćÝøìćÜïÖ  ÞïĆïìĊę Ī  ó ý  ģĦĦĨ Ēúąöćêøć ĢĥĢ
                            ĒĀŠÜ ó ø ï ÝøćÝøìćÜïÖ ó ý  ģĦģģ àċęÜĒÖšĕ×đóĉęöđêĉöēé÷ ó ø ï ÝøćÝøìćÜïÖ  ÞïĆïìĊę ĢĢ  ó ý  ģĦĦĪ ĔĀšñĎš×Ćï×ĊęĀøČĂđÝšć×ĂÜøëĀøČĂñĎšÙøĂïÙøĂÜøë
                            ĕðßĞćøąÙŠćðøĆïêćöךĂÖĞćĀîéÿĞćîĆÖÜćîêĞćøüÝĒĀŠÜßćêĉ ÝĞćîüîđÜĉî                               ïćì êŠĂóîĆÖÜćîÿĂïÿüî è ÿëćîĊêĞćøüÝ
                                                               ĀøČĂ                                                                  ĀøČĂßĞćøąéšü÷üĉíĊĂČęîĔéêćöìĊęøąïčĕüšéšćîĀúĆÜĔïÿĆęÜîĊĚ õć÷Ĕî Ĩ üĆîîĆïĒêŠüĆîìĊęĕéšøĆïĔïÿĆęÜ
                              #Z WJSUVF PG 4FDUJPO     QBSBHSBQI   PG UIF 3PBE 5SBGųD "DU # &               BT BNFOEFE CZ UIF 3PBE 5SBGųD "DU  /P      # &
                                   BOE 4FDUJPO     PG UIF 3PBE 5SBGųD "DU # &               BT BNFOEFE CZ UIF 3PBE 5SBGųD "DU  /P       # &               UIF
                            ESJWFS  PXOFS PS QPTTFTTPS PG DPOWFZBODF TIBMM QBZ UIF ųOF UP UIF BNPVOU PG ļ         ļļ  ļļļ  CBIU JO BDDPSEBODF XJUI SFHVMBUJPOT PG
                            3PZBM 5IBJ 1PMJDF UP UIF JORVJSZ PGųDJBM BU ļļļļļļļļ                                          1PMJDF 4UBUJPO PSļļļļ                                              ļļ
                            PS QBZ UIF ųOF UISPVHI PUIFS NFUIPET BT TQFDJųFE BU UIF CBDL PG UIJT USBGųD UJDLFU XJUIJO   EBZT VQPO SFDFJQU PG UIF USBGųD UJDLFU.
                               ÿ  ŠÜìćÜĕðøþèĊ÷ŤóøšĂöó÷ćîĀúĆÖåćîĒúąĔĀšđÝšć×ĂÜøëĀøČĂñĎšÙøĂïÙøĂÜøëĕðßĞćøąÙŠćðøĆïêćöìĊęøąïčĕüš×šćÜêšîõć÷ĔîÿćöÿĉïüĆîîĆïĒêŠüĆîìĊęĕéšøĆïĔïÿĆęÜ
                               4FOEJOH CZ QPTU XJUI UIF FWJEFODF UP UIF QFSTPO XIP PXOT PS IBT UIF WFIJDMF JO QPTTFTTJPO UP QBZ ųOF BT TQFDJųFE BCPWF XJUIJO
                                  EBZT VQPO SFDFJQU PG UIF USBGųD UJDLFU
                              ÷ý                            ßČęĂ                                                ßČęĂÿÖčú                                           {     đÝšćóîĆÖÜćîÝøćÝø
                              úÜßČČęĂñĎšĂĂÖĔïÿĆęÜ
                              Signature of traff ic ticket issuing off icer: ..................................................................
                                                                        Traff ic Off icer
                                                                        óîĆÖÜćîđÝšćĀîšćìĊę   øĀĆÿ
                           q                                         q      $PNQFUFOU 0GG icer Code
                              3BOL             'JSTU /BNF                            -BTU /BNF
                                                       ĔïøĆïĒìîĔïĂîčâćê×Ćï×Ċę
                                                    Substitute of the Driver's License
                            ßČęĂñĎš×Ćï×Ċę                  đú×ðøąÝĞćêĆüðøąßćßî
                            %SJWFS T /BNF                                                                                      *% OP
                            ĔïĂîčâćê×Ćï×Ċęđú×ìĊę ÞïĆïìĊę   ü  ĆîĂîčâćê
                            %SJWFS T -JDFOTF /P  #PPL /P                                                          %BUF PG JTTVF
                            ĂĂÖĔĀšēé÷îć÷ìąđïĊ÷î    ÖøčÜđìóöĀćîÙø  ÿć×ć    ÝĆÜĀüĆé   ÿć×ć
                            *TTVFE CZ UIF 3FHJTUSBS PG     #BOHLPL   #SBODI                                       1SPWJODF                              #SBODI
                            Ĕï×Ćï×Ċę         øëÝĆÖø÷ćî÷îêŤ     øëÿćöúšĂ     øë÷îêŤ    øë×îÿŠÜ    øëĂČęîė
                            %SJWFS T -JDFOTF PG      .PUPSDZDMF       5SJDZDMF     "VUPNPCJMF     5SVDL     0UIFST
                            ßîĉé    ßĆęüÙøćü     êúĂéßĊó     ÿćíćøèą    ïčÙÙú ßîĉéìĊę    ìčÖðøąđõì ßîĉéìĊę     øąĀüŠćÜðøąđìý
                            5ZQF      5FNQPSBSZ     -JGFUJNF      1VCMJD      1SJWBUF /P      "MM UZQFT OP       *OUFSOBUJPOBM
                            ךćóđÝšćñĎšĂĂÖĔïÿĆęÜÞïĆïîĊĚĕéšđøĊ÷ÖđÖĘïĔïĂîčâćê×Ćï×Ċęĕüš ĒúąĔĀšĔßšđðŨîĔïĒìîĔïĂîčâćê×Ćï×ĊęĕéšđðŨîÖćøßĆęüÙøćü ĕöŠđÖĉî Ĩ üĆî îĆïĒêŠüĆîìĊęĂĂÖĔïøĆï
                            ĒìîĔïĂîčâćê×Ćï×ĊęîĊĚ
                            *  UIF USBGųD UJDLFU *TTVJOH PGųDFS  IBWF TFJ[FE UIF %SJWFS T -JDFOTF BOE JTTVFE UIJT USBGųD UJDLFU UP CF VTFE UFNQPSBSJMZ BT B TVCTUJUVUF
                            PG UIF ESJWFS T MJDFOTF OPU NPSF UIBO   EBZT VQPO SFDFJQU PG UIF USBGųD UJDLFU
                                    ú  Ü  ß  ČęĂ               ñĎšĂĂÖĔïÿĆęÜ       øĀĆÿ
                                    Signed ................................................................................... Traff ic Ticket Issuing Off icer  Code
                                    ÷ý                                 ßČęĂ                                                       ßČęĂÿÖčú
                                  q 3BOL                 'JSTU /BNF                                 -BTU /BNF  q
                            ìÝ ģ   ê ĨĦĥ Ĩ                         ĥ Ĥħ ġġĢ ĥĩ ġġġ Ģģ ġġġ ú  ēøÜóĉöóŤêĞćøüÝ Ö Ù  ģĦħġ
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