Visa Application Form Of The People'S Republic Of China (Chinese)
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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)
□
√
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
粘贴一张近期正面免冠、浅色背
1.1 英文姓名
景的彩色护照照片。
中间名 Middle name
Full English name
as in passport
照片/Photo
名 First name
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
Name in Chinese
Other name(s)
light colored background).
1.5 出生日期
1.4 性别 Sex
男 M
女 F
DOB(yyyy-mm-dd)
1.6 现有国籍
1.7 曾有国籍 Former nationality(ies)
Current nationality(ies)
1.8 出生地点(市、省/州、国)
Place of birth(city, province/ state, country)
1.9 身份证/公民证号码
Local ID/ Citizenship number
外交 Diplomatic
公务、官员Service or Official
1.10 护照/旅行证件种类
Passport/Travel document type
普通 Ordinary
其他证件(请说明) Other (Please specify):
1.11 护照号码
1.12 签发日期
Passport number
Date of issue(yyyy-mm-dd)
1.13 签发地点
1.14 失效日期
Place of issue
Date of expiry(yyyy-mm-dd)
商人 Businessperson
前/现任议员 Former/incumbent member of parliament
职位 Position________________________
公司职员 Company employee
演艺人员 Entertainer
前/现任政府官员 Former/incumbent government official
职位 Position________________________
工人/农民 Industrial/Agricultural worker
1.15 当前职业
学生 Student
军人 Military personnel
（可选多项）
职位 Position________________________
Current
乘务人员 Crew member
occupation(s)
自雇 Self-employed
非政府组织人员 NGO staff
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
Education
其他(请说明) Other (Please specify):
名称
联系电话
Name
Phone number
1.17 工作单位/学校
Employer/School
地址
邮政编码
Address
Zip Code
中国驻美国大使馆
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