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Tel: 请用英语填写 电话 FORM 14A Notes: …

Tel: _____ notes : * Tick ( ) where appropriate ( ) APPLICATION FOR AN ENTRY VISA PART I PARTICULARS OF APPLICANT Name: Name as in Travel Document ( , Alias Date of Birth: D D M M Y Y Y Y Sex:* Male Female Marital Status:* Single Married Separated Divorced Widowed Country of Birth: State/Province of Birth: Race: ( Malay, Indian, Chinese, Caucasian, etc) Nationality: Type of Travel Document Held: ( ) ( Passport, Certificate of Identity, Document of Identity, etc) Travel Document No.)

imm 14a - 2 - this form is issued free 此表免费分发 (只限用于中国国内

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