Form V.2013 - Visa Application Form Of The People'S Republic Of China (For The Mainland Of China Only) Page 5

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1.18 家庭住址
1.19 邮政编码
p. 5
Home address
Zip Code
1.20 电话/手机
1.21 电子邮箱
Home/mobile phone number
E-mail address
1.22 婚姻状况 Marital status
□ 已婚 Married
□ 单身 Single
□ 其他 Other(Please specify):
姓名 Name
国籍 Nationality
职业 Occupation
关系 Relationship
1.23 主要家庭成员
(配偶、子女、父母
等,可另纸)
Major
family
members(spouse,
children,parents,et
c.,may
type
on
separate paper)
姓名
手机
1.24
紧急联络人信息
Name
Mobile phone number
与申请人的关系
Emergency
Contact
Relationship with the applicant
1.25 申请人申请签证时所在的国家或地区 Country or territory where the
applicant is located when applying for this visa
二、旅行信息 Part 2: Travel Information
□ 官方访问 Official Visit
□ 常驻外交、领事、国际组织人员
□ 旅游 Tourism
As resident diplomat,consul or staff of international
organization
□ 交流、考察、访问 Non-business visit
□ 永久居留 As permanent resident
□ 商业贸易 Business & Trade
□ 工作 Work
□ 人才引进 As introduced talent
□ 寄养 As child in foster care
□ 执行乘务 As crew member
□ 过境 Transit
2.1 申请
□ 短期探望中国公民或者具有中国永久居留资格的
□ 与中国公民或者具有中国永久居留资格的外国人家庭
入境事由 Major
外 国 人 Short-term visit to Chinese citizen or
团聚居留超过 180 日 Family reunion for over 180 days
purpose
of your visit
foreigner with Chinese permanent residence status
with Chinese citizen or foreigner with
Chinese
permanent residence status
□ 短期探望因工作、 学习等事由在中国停留居留的外
□ 长期探望因工作、学习等事由在中国居留的外国人 As
国人 Short-term visit to foreigner residing in China
accompanying family member of foreigner residing in
China due to work, study or other reasons
due to work, study or other reasons
□ 短期学习 Short-term study for less than 180 days
□ 长期学习 Long-term study for over 180 days
□ 短期采访报道 As journalist for temporary news
□外国常驻中国新闻机构记者 As resident journalist
coverage
□ 其他(请说明)Other (Please specify):
□ 一次(自签发之日起 3 个月有效) One entry valid for 3 months from the date of issue
2.2 计划
□ 二次(自签发之日起 3-6 个月有效) Two entries valid for 3 to 6 months from the date of issue
入境次数
□ 半年多次(自签发之日起 6 个月有效) Multiple entries valid for 6 months from the date of issue
Intended number
□ 一年多次(自签发之日起 1 年有效) Multiple entries valid for 1 year from the date of issue
of entries
□ 其他(请说明)Other (Please specify):
2.3 是否申请加急服务 Are you applying for express service?
□ 是 Yes
□ 否 No
注:加急服务须经领事官员批准,将加收费用。Note: Express service needs approval of
consular officials, and extra fees may apply.
2.4 本次行程预计首次抵达中国的日期
Expected date of your first entry into China on this trip (yyyy-mm-dd)
12/5
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