中华人民共和国签证申请表 - visaforchina.org

1 1111 4444 VisaVisaVisaVisaApplicationApplicationAp plicationApplicationFormFormFormFormofof ofofthethethethePeoplePeoplePeoplePeople ssssRepublicRepublicRepublicRepublicofof ofofChinaChinaChinaChina(For(For(For(For thethethetheMainlandMainlandMainlandMain landofofofofChinaChinaChinaChinaonly)onl y)only)only) TheTheTheTheaaaapplicantpplicantpplicant pplicantshouldshouldshouldshouldfillfill fillfillininininthisthisthisthisformform formformtrutrutrutruthfulthfulthfulthful lylylyly (((( )))) ,apply,apply,apply,pleasepleasepleaseple asetypetypetypetypeNNNN/A/A/ PartPartPartPart1111 FullFullFullFullEnglishEnglishEnglishEng lishnnnnameameameameasasasasininininpass portpassportpassportpassport LastLastLastLastnamenamenamename /Photo/Photo/Photo/PhotoAAAA ffixffixffixffixoneoneoneonerecentrecent recentrecentcolorcolorcolorcolorpassport passportpassportpassportphotophotophotop hoto(full(full(full(fullfacefacefaceface ,,,,frontfrontfrontfrontviewviewviewview ,,,,bareheadedbareheadedbareheadedbarehe adedandandandandagainstagainstagainstaga instaaaaplainplainplainplainlightlightli ghtlightcoloredcoloredcoloredcoloredback ground).)))

2 Background).background).background). MiddleMiddleMiddleMiddlenamenamenamename OtherOtherOtherOthernnnnameameameame(((( ssss)))) SexSexSexSex MMMM DDDDOBOBOBOB((((yyyy-mm-ddyyyy-mm-ddyyyy -mm-ddyyyy-mm-dd)))) CurrentCurrentCurrentCurrentnnnnationali tyationalityationalityationality(ies)(ie s)(ies)(ies) FormerFormerFormerFormernnnnationalityat ionalityationalityationality(ies)(ies)(i es)(ies) (((( //// ))))PlacePlacePlacePlaceofofofofbbbbirth (irth(irth(irth(ccccityityityity,,,,prov inceprovinceprovinceprovince/s/s/s/state tatetatetate,c,c,c,countryountryountryou ntry)))) //// //// PassportPassportPassportPassport/Travel/ Travel/Travel/Traveldocumentdocumentdocu mentdocumentttttypeypeypeype DiplomaticDiplomaticDiplomaticDiplomatic ServiceServiceServiceServiceororororOOOO fficialfficialfficialfficial OrdinaryOrdinaryOrdinaryOrdinary (((( ))))

3 OtherOtherOtherOther(Please(Please(Pleas e(Pleasespecify)specify)specify)specify) DateDateDateDateofofofofiiiissue(ssue(ss ue(ssue(yyyy-mm-ddyyyy-mm-ddyyyy-mm-ddyy yy-mm-dd)))) DDDD ateateateateofofofofeeeexpirxpirxpirxpir yyyy((((yyyy-mm-ddyyyy-mm-ddyyyy-mm-ddyy yy-mm-dd)))) CurrentCurrentCurrentCurrentooooccupatio n(s)ccupation(s)ccupation(s)ccupation(s) BusinessBusinessBusinessBusinesspersonpe rsonpersonperson CompanyCompanyCompanyCompanyemployeeempl oyeeemployeeemployee EntertainerEntertainerEntertainerEnterta iner //// Industrial/AgriculturalIndustrial/Agricu lturalIndustrial/AgriculturalIndustrial/ Agriculturalworkerworkerworkerworker StudentStudentStudentStudent CrewCrewCrewCrewmembermembermembermember Self-employedSelf-employedSelf-employedS elf-employed UnemployedUnemployedUnemployedUnemployed RetiredRetiredRetiredRetired //// Former/incumbentFormer/incumbentFormer/i ncumbentFormer/incumbentmmmmemberemberem beremberofofofofparliamentparliamentparl iamentparliament PositionPositionPositionPosition_____ //// Former/incumbentFormer/incumbentFormer/i ncumbentFormer/incumbentggggovernmentove rnmentovernmentovernmentofficialofficial officialofficial

4 Position_____Position_____Position_____P osition_____ MMMM ilitaryilitaryilitaryilitarypersonnelper sonnelpersonnelpersonnel Position_____Position_____Position_____P osition_____ NGONGONGONGO staffstaffstaffstaff ReligiousReligiousReligiousReligiouspers onnelpersonnelpersonnelpersonnel StaffStaffStaffStaffofofofofmediamediame diamedia (((( ))))OtherOtherOtherOther(Please(Please(P lease(Pleasespecify):specify):specify):s pecify) EducationEducationEducationEducation PostgraduatePostgraduatePostgraduatePost graduate CollegeCollegeCollegeCollege (((( ))))OtherOtherOtherOther(Please(Please(P lease(Pleasespecify):specify):specify):s pecify) //// Employer/SchoolEmployer/SchoolEmployer/S choolEmployer/School NameNameNameName PhonePhonePhonePhonenumbernumbernumbernu mber AddressAddressAddressAddress ZipZipZipZipCodeCodeCodeCode 2222 4444 /PagePagePagePage2222ofofofof4444 PartPartPartPart2:2:2:2 //// Home/mobileHome/mobileHome/ MaritalMaritalMaritalMaritalstatusstatus statusstatus MarriedMarriedMarriedMarried SingleSingleSingleSingle Other(PleaseOther(PleaseOther(PleaseOthe r(Pleasespecify):specify):specify):speci fy) (((( ,,,, ))))MajorMajorMajorMajorfamilyfamilyfami lyfamilymembersmembersmembersmembers spouse,spouse,spouse,spouse,children,par ents,etchildren,parents,etchildren,paren ts,etchildren,parents,etc.

5 ,mayc.,mayc.,mayc.,maytypetypetypetypeon onononseparateseparateseparateseparatepa perpaperpaperpaper NameNameNameName NationalityNationalityNationalityNationa lity OccupationOccupationOccupationOccupation EmergencyEmergencyEmergencyEmergencyCCCC ontactontactontactontact NameNameNameName MobileMobileMobileMobilepppphonehonehone honenumbernumbernumbernumber MajorMajorMajorMajorppppurposeurposeurpo seurposeofofofofyyyyourourourourvvvvisit isitisitisit OOOO fficialfficialfficialfficialVVVV isitisitisitisit AsAsAsAsrrrresidentesidentesidentesident ddddiplomatiplomatiplomatiplomat cccconsulonsulonsulonsulororororstaffsta ffstaffstaffofofofofinternationinternati oninternationinternationalalalalorganiza tionorganizationorganizationorganization TourismTourismTourismTourism Non-businessNon-businessNon-businessNon- businessvisitvisitvisitvisit AsAsAsAspermanentpermanentpermanentperma nentrerereressssidentidentidentident BusinessBusinessBusinessBusiness&&&&Trad eTradeTradeTrade WorkWorkWorkWork AsAsAsAsintroducedintroducedintroducedin troducedtalenttalenttalenttalent AsAsAsAschildchildchildchildininininfost erfosterfosterfostercarecarecarecare AsAsAsAscrcrcrcrewewewewmmmmemberemberem berember TransitTransitTransitTransit Short-termShort-termShort-termShort-term visitvisitvisitvisittotototoChineseChine seChineseChinesecitizencitizencitizencit izenororororforeignerforeignerforeignerf oreignerwithwithwithwithChineseChineseCh ineseChinesepermanentpermanentpermanentp ermanentresidenceresidenceresidenceresid encestatusstatusstatusstatus 180180180180

6 FamilyFamilyFamilyFamilyreunionreunionre unionreunionforforforforoveroveroverover 180180180180daysdaysdaysdayswithwithwith withChineseChineseChineseChinesecitizenc itizencitizencitizenororororforeignerfor eignerforeignerforeignerwithwithwithwith ChineseChineseChineseChinesepermanentper manentpermanentpermanentresidenceresiden ceresidenceresidencestatusstatusstatusst atus Short-termShort-termShort-termShort-term visitvisitvisitvisittotototoforeignerfor eignerforeignerforeignerresidingresiding residingresidingininininChinaChinaChinaC hinadueduedueduetotototowork,work,work,w ork,studystudystudystudyororororotheroth erotherotherreasonsreasonsreasonsreasons AsAsAsAsaccompanyingaccompanyingaccompan yingaccompanyingfamilyfamilyfamilyfamily membermembermembermemberofofofofforeigne rforeignerforeignerforeignerresidingresi dingresidingresidingininininChinaChinaCh inaChinadueduedueduetotototowork,work,wo rk,work.

7 Studystudystudystudyororororotherotherot herotherreasonsreasonsreasonsreasons Short-termShort-termShort-termShort-term studystudystudystudyforforforforlessless lesslessthanthanthanthan180180180180days daysdaysdays Long-termLong-termLong-termLong-termstud ystudystudystudyforforforforoveroverover over180180180180daysdaysdaysdays AsAsAsAsjournalistjournalistjournalistjo urnalistforforforfortemporarytemporaryte mporarytemporarynewsnewsnewsnewscoverage coveragecoveragecoverage AsAsAsAsresidentresidentresidentresident jjjjournalistournalistournalistournalist (((( )Other)Other)Other)Other(Please(Please(P lease(Pleasespecify)specify)specify)spec ify) IntendedIntendedIntendedIntendednnnnumbe rumberumberumberofofofofeeeentriesntries ntriesntries (((( 3333 ))))OneOneOneOneentryentryentryentryvali dvalidvalidvalidforforforfor3333monthsmo nthsmonthsmonthsfromfromfromfromthetheth ethedatedatedatedateofofofofissueissueis sueissue (((( 3-3-3-3-6666 ))))TwoTwoTwoTwoentrentrentrentriesiesie siesvalidvalidvalidvalidforforforfor3333 totototo6666monthsmonthsmonthsmonthsfrom fromfromfromthethethethedatedatedatedate ofofofofissueissueissueissue 6666 ))))MultiMultiMultiMultiplepleplepleentr entrentrentriesiesiesiesvalidvalidvalidv alidforforforfor6666monthsmonthsmonthsmo nthsfromfromfromfromthethethethedatedate datedateofofofofissueissueissueissue 1111 ))))MultiMultiMultiMultiplepleplepleentr entrentrentriesiesiesiesvalidvalidvalidv alidforforforfor1111yearyearyearyearfrom fromfromfromthethethethedatedatedatedate ofofofofissueissueissueissue OtherOtherOtherOther(Please(Please(Pleas e(Pleasespecify)specify)

8 Specify)specify) AreAreAreAreyouyouyouyouapplyingapplying applyingapplyingforforforforexpressexpre ssexpressexpressservice?service?service? service? Note:Note:Note:Note:ExpressExpressExpres sExpressserviceserviceserviceserviceneed sneedsneedsneedsapprovalapprovalapproval approvalooooffffconsularconsularconsular consularofficials,officials,officials,of ficials, Urgent ExpectedExpectedExpectedExpectedddddatea teateateofofofofyyyyourourourourffffirst irstirstirsteeeentryntryntryntryintointo intointoChinaChinaChinaChinaononononthis thisthisthistriptriptriptrip((((yyyy-mm- ddyyyy-mm-ddyyyy-mm-ddyyyy-mm-dd)))) Regular 3333 4444 /PagePagePagePage3333ofofofof4444 PartPartPartPart3333 HaveHaveHaveHaveyouyouyouyouevereverever everoverstayedoverstayedoverstayedoverst ayedyouryouryouryourvisavisavisavisaoror ororresidenceresidenceresidenceresidence permitpermitpermitpermitininininChina?

9 China?China?China? YesYesYesYes , HaveHaveHaveHaveyouyouyouyouevereverever everbeenbeenbeenbeenrefusedrefusedrefuse drefusedaaaavisavisavisavisaforforforfor China,China,China,China,oooorrrrbeenbeen beenbeenrefusedrefusedrefusedrefusedentr yentryentryentryintointointointoChina?Ch ina?China?China? YesYesYesYes DoDoDoDoyouyouyouyouhavehavehavehaveanya nyanyanycriminalcriminalcriminalcriminal recordrecordrecordrecordininininChinaChi naChinaChinaororororanyanyanyanyotheroth erotherothercountry?country?country?coun try? YesYesYesYes AreAreAreAreyouyouyouyouexperiencingexpe riencingexperiencingexperiencinganyanyan yanyofofofofthethethethefollowingfollowi ngfollowingfollowingconditionsconditions conditionsconditions???? SeriousSeriousSeriousSeriousmmmmentalent alentalentalddddisisisisorderorderordero rder InfectiousInfectiousInfectiousInfectious pulmonarypulmonarypulmonarypulmonarytttt uberculosisuberculosisuberculosisubercul osis OtherOtherOtherOtherinfectiousinfectious infectiousinfectiousdiseasediseasediseas ediseaseofofofofpublicpublicpublicpublic healthhealthhealthhealthhazardshazardsha zardshazards YesYesYesYes 30 DidDidDidDidyouyouyouyouvisitvisitvisitv isitcountriescountriescountriescountries ororororterritoriesterritoriesterritorie sterritoriesaffectedaffectedaffectedaffe ctedbybybybyinfectiousinfectiousinfectio usinfectiousdiseasesdiseasesdiseasesdise asesininininthethethethelastlastlastlast 30303030days?

10 Days?days?days? YesYesYesYes ,,,, ,,,, ItineraryItineraryItineraryItineraryinin ininChinaChinaChinaChina((((inininintimt imtimtimeeeesequencesequencesequencesequ ence maymaymaymaytypetypetypetypeononononsepa rateseparateseparateseparatepaperpaperpa perpaper)))) DateDateDateDate WhoWhoWhoWhowillwillwillwillpaypaypaypay forforforforyouryouryouryourtraveltravel traveltravelandandandandexpensesexpenses expensesexpensesduringduringduringduring youryouryouryourstaystaystaystayinininin China?China?China?China? InformationInformationInformationInforma tionofofofofinviterinviterinviterinviter ininininChinaChinaChinaChina NameNameNameName AddressAddressAddressAddress PhonePhonePhonePhonenumbernumbernumbernu mber HaveHaveHaveHaveyouyouyouyouevereverever everbeenbeenbeenbeengrantedgrantedgrante dgrantedaaaaChineseChineseChineseChinese visa?