Form V.2013 - Sample Visa Application Form Of The People'S Republic Of China

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Form V.2013
中 华 人 民 共 和 国 签 证 申 请 表
Visa Application Form of the People’s Republic of China
(For the Mainland of China only)
SAMPLE
申请人必须如实、完整、清楚地填写本表格。请逐项在空白处用中文或英文大写字母打印填写,或在□内打
选择。如有关项目不
适用,请写“无”。The applicant should fill in this form truthfully ,completely and clearly. Please type the answer in capital English
letters in the space provided or tick (
) the relevant box to select. If some of the items do not apply, please type N/A or None.
一、个人信息 Part 1: Personal Information
姓 Last name
William
1.1 英文姓名
粘贴一张近期正面免冠、浅色背
中间名 Middle name
Full English name
景的彩色护照照片。
as in passport
照片/Photo
名 First name
Jason
Affix one recent color passport
photo (full face
front view
,
,
1.2 中文姓名
1.3 别名或曾用名
bareheaded and against a plain
light colored background).
Name in Chinese
威廉姆
Other name(s)
1.5 出生日期
□ √男 M
□ 女 F
1.4 性别 Sex
DOB(yyyy-mm-dd)
1980-01-25
1.6 现有国籍
1.7 曾有国籍 Former nationality(ies)
No
Current nationality(ies)
South Africa
1.8 出生地点(市、省/州、国)
Place of birth(city, province/state,country) Cape Town, Western Cape province, South Africa
1.9 身份证/公民证号码
Local ID/ Citizenship number
8001256018088
□ 外交 Diplomatic
□ 公务、官员 Service or Official
1.10 护 照 / 旅 行 证 件 种 类 Passport/Travel document
□ √普通 Ordinary
□ 其他证件(请说明) Other (Please specify):
type Passport
1.11 护照号码
1.12 签发日期
Passport number
M000100200
Date of issue(yyyy-mm-dd)
2014-01-02
1.13 签发地点
1.14 失效日期
Place of issue
Home Affairs
Date of expiry(yyyy-mm-dd) 2024-01-01
□ 前/现任议员 Former/incumbent member of parliament
□√商人 Businessperson
职位 Position________________________
□ 公司职员 Company employee
□ 前/现任政府官员 Former/incumbent government
□ 演艺人员 Entertainer
official
□ 工人/农民 Industrial/Agricultural worker
职位 Position________________________
□ 学生 Student
1.15 当前职业
□军人 Military personnel
□ 乘务人员 Crew member
(可选多项)
职位 Position________________________
Current occupation(
□ 自雇 Self-employed
□ 非政府组织人员 NGO staff
s)
□ 无业 Unemployed
□ 宗教人士 Religious personnel
□ 退休 Retired
□ 新闻从业人员 Staff of media
□ 其他(请说明) Other (Please specify):
1.16 受教育程度
□ 研究生 Postgraduate
□ √大学 College
□ 其他(请说明) Other (Please specify):
Education
名称
联系电话
Name
Chapatti Trading CC
Phone number 021-914 0000
1.17 工作单位/学校
Employer/School
地址 Address unit3, block B, Business Park, Newlands, Cape
邮政编码
Town
Zip Code 7500
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