Form V.2011a - Visa Application Form Of The People'S Republic Of China Page 13
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13C. 如有使用同一本护照一同旅行的偕行人，请在下面填写偕行人情况。
If someone else travelling with you shares the same passport with you, please give that person’s details below.
偕行人 1 / Person 1
偕行人 2 / Person 2
偕行人 3 / Person 3
1.姓名
Name
2.性别
Sex
3.出生日期
Date of birth
4.偕行人照片
Photo(s) of the person(s)
Affix here
Affix here
Affix here
travelling with you sharing the
same passport.
D.非新西兰公民或非新西兰护照持有者申请签证，请填写。
Please complete the following section if you are not New Zealand citizen or you use non-New Zealand passport to apply for the Chinese
Visa.
□ 少于 6 个月 Less than 6 months
1.在当地的居留或停留时间
□ 超过 6 个月 More than 6 months
Duration of your stay in New Zealand
□ 超过 12 个月 More than 12 months
□ 有效居留证件 Valid residence permit
2.持有何种当地有效签证或居留证件？
□ 有效签证 Valid Visa
What type of New Zealand visa do you currently hold?
□ 无 None
号码
3.签证或居留证件的号码及有效日期
Number
有效日期
Number of your visa or residence permit and its expiration date.
Expiration date (YYYY-MM-DD)
4. 持上述签证或居留许可是否允许返回当前所在国家或地区？
□ 是 Yes □ 否 No
Do you have permission to return to New Zealand with the visa or
residence permit above?
5. 在当地住所的联系地址
Residence address in New Zealand
6. 在当地的联系电话
Contact Phone Number
我谨声明，我理解上述内容和问题，所有填写内容真实无误。
I solemnly declare that I understand all content and questions included on this form, and the information given is accurate and truthful.
申请人签名
日期
Applicant’s signature______________________________________
Date (YYYY-MM-DD)_____________________________________
注：未满 18 周岁的未成年人可由父母或监护人代签。
Note: Parent or guardian may sign on behalf of a minor aged less than 18 years
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