General Guidance For Chinese Visa Application, Visa Application Form Of The People'S Republic Of China (For The Mainland Of China Only) Page 13
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142.5 预计行程中单次在华停留的最长天数
DAYS
LONGEST INTENDED STAY IN CHINA AMONG ALL ENTRIES
2.6 在中国境内行程（按时间顺序、
日期
城市
联系地址和电话
可附另纸填写）
DATE
CITY
CONTACT ADDRESS AND TELEPHONE
PLEASE LIST CITIES TO VISIT IN
CHINA IN A TIME SEQUENCE. IF
YOU RUN OUT OF SPACE PLEASE
USE ADDITIONAL SHEETS OF
PAPER.
2.7 谁将承担在中国期间的费用?
WHO WILL PAY FOR YOUR COST OF TRAVELLING AND LIVING DURING YOUR STAY IN CHINA?
2.8 中国境内邀请单位或个人信息
姓名或名称
NAME
CONTACT DETAILS OF THE HOST
PERSON OR COMPANY IN CHINA
联系地址
CONTACT ADDRESS
联系电话
PHONE NUMBER
与申请人的关系
RELATIONSHIP WITH THE APPLICANT
2.9 是否曾经获得过中国签证？如有，请说明最近一次获得中国签证的时间和地点。
HAVE YOU EVER BEEN GRANTED A CHINESE VISA? IF APPLICABLE, PLEASE SPECIFY THE DATE AND PLACE OF THE LAST TIME YOU
WERE GRANTED THE VISA
2.10 过去 12 个月中访问的其他国家或地区
OTHER COUNTRIES OR TERRITORIES YOU VISITED IN THE LAST
12 MONTHS
、其他事项
三
/
PART 3: OTHER INFORMATION
3.1 是否曾在中国超过签证或居留许可允许的期限停留？
□ 是
□ 否
YES
NO
HAVE YOU EVER OVERSTAYED YOUR VISA OR RESIDENCE PERMIT IN CHINA?
3.2 是否曾经被拒绝签发中国签证,或被拒绝进入中国？
□ 是
□ 否
YES
NO
HAVE YOU EVER BEEN REFUSED A VISA FOR CHINA, OR BEEN REFUSED ENTRY INTO CHINA?
3.3 是否在中国或其他国家有犯罪记录？
□ 是
□ 否
YES
NO
DO YOU HAVE ANY CRIMINAL RECORD IN CHINA OR ANY OTHER COUNTRY?
3.4 是否具有以下任一种情形
ARE YOU EXPERIENCING ANY OF THE FOLLOWING CONDITIONS?
①严重精神障碍
□ 是
□ 否
SERIOUS MENTAL DISORDER
YES
NO
②传染性肺结核病
INFECTIOUS PULMONARY TUBERCULOSIS
③可能危害公共卫生的其他传染病
OTHER INFECTIOUS DISEASE OF PUBLIC HEALTH HAZARDS
3.5 近 30 日内是否前往过流行性疾病传染的国家或地区？
□ 是
□ 否
YES
NO
DID YOU VISIT COUNTRIES OR TERRITORIES AFFECTED BY INFECTIOUS DISEASES IN THE LAST 30 DAYS?
3.6 如果对 3.1 到 3.5 的任何一个问题选择“是” ，请在下面详细说明。
IF YOU SELECT YES TO ANY QUESTIONS FROM 3.1 TO 3.5, PLEASE GIVE DETAILS BELOW.
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Form V.2013 - Visa Application Form Of The People's Republic Of China (for The Mainland Of China Only)
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