Form V.2011a - Visa Application Form Of The People'S Republic Of China Page 10

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Form V.2011B
C
If you are applying for a student visa(X-visa), please fill out the following:
Bachelor
Master
1.
Doctorate or higher
Without formal education
Level of education
Other (Please specify)
2
Name of your last school
3.
Your major at your last school
4.
Your professional or technical qualifications
5.
Name, address and phone number of your school in China
6.
Your intended major or program in China
D
If you are accompanied by anyone who shares the same passport
with you, please give details below:
1/ Person 1
2/ Person 2
3/ Person 3
1.
Full name
2.
M
F
M
F
M
F
Sex
3.
Date of birth
(yyyy-mm-dd)
4
Affix here
Affix here
Affix here
Photo(s) of the
accompanying
traveler(s)
I declare that I understand all contents and questions above, and that the information given is true and accurate.
Applicant’s signature:
Date (yyyy-mm-dd):
.
Note: A parent or guardian may sign on behalf of an applicant aged under 18.
CNNYCONSULATE JUNE 2011 EDITION
2
2
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