Macao Special Administrative Region of the ... - …

1 Macao Special Administrative Region of the People s Republic of China Visa Application Form ; Please complete the form with block letters and put a in the appropriate box; delete where inappropriate. Application No: _____ 1. 1. Personal Particulars Surname Photo Please affix a recent full face white background color photo here Given Name Chinese Name Sex Male Female Alias or Names Used Before ( / / ) Date of Birth (dd/mm/yy) _____/_____/_____ ( / ) Place of Birth (Country & Province/City) Type of Document Official passport Ordinary passport Others _____ Nationality _____ Place of Issue _____ Document No.

2 _____ ( / / ) Date of Issue (dd/mm/yy) _____/_____/_____ ( / / ) Date of Expiry (dd/mm/yy) _____/_____/_____ Present Address Contact Telephone No. Occupation ( ) Email Address (if any) / ( ) Name and Address of Employer/Organization (if any) ( ) Fax No. (if any) / Any valid entry visa of another country/ Region No / Yes Please state the name of the country/ Region / ( ) / / Any valid/permanent residence visa/permit of another country/ Region (including current place of domicile) No / Yes Please state the name of the country/ Region SM/CE M-12 20/04/2015 Modelo n.

3 SM/CE M-12 _____ _____ 2.. Information of Visit Purpose of Visit / Leisure/Family Visit Employment Stay in Macao as family of a non-resident worker / Investment/Business Visit ( ) Study (at higher institutes in Macao ) Residence on Dependant Basis Official Visit / Religious or Academic Exchange/Training Others _____ / ( ) Particulars of Relative/Contact Person in Macao (if any) Name _____ Telephone No. _____ Nationality _____ Occupation _____ Address / Macao Residence Document Held Type _____ _____ No.

4 _____ Type of Macao Visa Proposed to Apply 3 1 14 Valid for single journey of 14 days within 3 months Proposed Date of Entry _____/_____/_____ 3 2 14 Valid for double journeys within 3 months, 14 days of stay per journey 14 Valid for multiple journeys within 6 months, 14 days of stay per journey Other Issues to Declare _____ _____ 3. / ( / ) 3. Particulars of Accompanying Spouse/Children Included in Applicant s passport (Separate application form is required for any accompanying spouse/children traveling on independent passport ) Full Name Place of Birth ( / / ) Date of Birth (dd/mm/yy) Sex _____/_____/_____ M F _____/_____/_____ M F _____/_____/_____ M F _____/_____/_____ M F 4.

5 ( / ) 4. Previous Records (including the accompanying spouse/children included in applicant s passport ) Ever been refused a visa for entry to Macao No Yes If any of the answers in to is Yes , please specify Ever been refused entry to Macao No Yes Ever been deported from Macao No Yes Any criminal record in Macao or other places No Yes Ever visited Macao No Yes The information given in this application is complete and correct ( / / ) Date (dd/mm/yy) _____/_____/_____ : Applicant s Signature _____ Representative ( ) I (name) _____ make this application on behalf of the applicant and my personal particulars are stated in the letter of authorization.

6 ( / / ) Date (dd/mm/yy) _____/_____/_____ Representative Signature _____ ( ) Necessary documents to be submitted by applicant (Unless specified, the original document should be presented for verification if a photocopy is submitted.) (A) / Bio data page and used pages of passport /travel document (B) ( ) Document of financial status ( bank statement, deposit in savings account, tax payment receipt, employment certificate, etc.) (C) ( ) Document of transportation to Macao and accommodation arrangement ( round-trip air ticket and hotel room reservation receipts) (D) Document to prove the purpose of visit, - - Leisure visit Tour receipt, itinerary, etc.

7 Employment A copy of the proof of employment approval by the Macao authorities [Note: The original document is not required.] - / - Family visit - Residence document of family in Macao Residence on dependant basis Macao ID card of family, document of kinship, etc. - - Study Admission document of a higher institute in Macao Stay in Macao as family of a non-resident worker A copy of approval document of Macao authorities to stay in Macao [Note: The original document is not required.] (E) ( ) Pages carrying important information in a travel document previously used to come to Macao (if any) (F) / ( ) Valid entry visa or residence visa/permit of other countries or regions (if any).

8 For Official Use Comments Instructions