Form V.2013 - Visa Application Form Of The People'S Republic Of China Page 5
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11Complete ALL FIELDS. Answer N/A if necessary.
Form
Form
V.201
V.201
V.2013 3 3 3
Form
Form V.201
中 华 人 民 共 和 国 签 证 申 请 表
Visa
Visa
Visa
Visa Application
Application
Application
Application Form
Form
Form
Form of of of of the
the
the
the People
People
People
People’ ’ ’ ’ s s s s Republic
Republic
Republic
Republic of of of of China
China
China
China
(For
(For
(For
(For the
the
the
the Mainland
Mainland
Mainland
Mainland of of of of China
China
China
China only)
only)
only)
only)
申请人必须如实、
申请人必须如实、
申请人必须如实、
申请人必须如实、完整、清楚地
完整、清楚地
完整、清楚地
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
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
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
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 内 内 内 打 打 打 打
√ √ √ √
选择
选择
选择
选择。如有关项目
。如有关项目
。如有关项目
。如有关项目
不适用，请写
不适用，请写
不适用，请写
不适用，请写“ “ “ “ 无 无 无 无 ” ” ” ” 。 。 。 。 The
The
The
The a a a a pplicant
thfully ly ly ly ， ， ， ， completely
pplicant
pplicant
pplicant should
should
should
should fill
fill
fill
fill in in in in this
this
this
this form
form
form
form tru
tru
tru
truthful
thful
thful
completely
completely
completely and
and
and
and clearly
clearly
clearly
clearly. . . . Please
Please
Please
Please type
type
type
type the
the
the
the answer
answer
answer
answer in in in in capital
capital
capital
capital Englis
Englis
Englis
English h h h
√ √ √ √
letters
letters
letters
letters in in in in the
the
the
the space
space
space
space provided
provided
provided
provided or or or or tick
tick
tick
tick ( ( ( (
) ) ) ) the
the
the
the relevant
relevant
relevant
relevant box
box
box
box to to to to select.
select.
select.
select. If If If If some
some
some
some of of of of the
the
the
the items
items
items
items do do do do not
not
not
not apply,
apply,
apply,
apply, please
please
please
please type
type
type
type N N N N /A /A /A /A or or or or None.
None.
None.
None.
一、个人信息 Part
Part
Part
Part 1 1 1 1 : : : : Personal
Personal
Personal
Personal I I I I nformation
nformation
nformation
nformation
姓 Last
Last
Last
Last name
name
name
name
1.1 英文姓名
粘贴一张近期正面免冠、浅色背
中间名 Middle
Middle
Middle
Middle name
name
name
name
Full
Full
Full
Full English
English
English
English n n n n ame
ame
ame
ame
景的彩色护照照片。
as as as as in in in in passport
passport
passport
passport
照片/Photo
/Photo
/Photo
/Photo
名 First
First
First
First name
name
name
name
A A A A ffix
ffix
ffix
ffix one
one
one
one recent
recent
recent
recent color
color
color
color passport
passport
passport
passport
photo
photo
photo
photo (full
(full
(full
(full face
face
face
face
front
front
front
front view
view
view
view
, , , ,
, , , ,
1. 1. 1. 1.2 中文姓名
1. 1. 1. 1.3 3 3 3 别名或曾用名
State N/A if none
Maiden name, former
bareheaded
and
against
against a a a a plain
plain
bareheaded
bareheaded
bareheadedand
and
and against
against
plain
plain
married names, etc.
light
light
light
light colored
colored
colored
colored background).
background).
background).
background).
N N N N ame
ame
ame
ame in in in in Chinese
Chinese
Chinese
Chinese
Other
Other
Other
Other n n n n ame
ame
ame
ame( ( ( ( s s s s ) ) ) )
1. 1. 1. 1.5 5 5 5 出生日期
1. 1. 1. 1.4 4 4 4 性别 Sex
□ 男 M M M M
□ 女 F F F F
Sex
Sex
Sex
D D D D OB
OB
OB
OB( ( ( ( yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd) ) ) )
State N/A if none
1. 1. 1. 1.6 6 6 6 现有国籍
1.7 曾有国籍 Former
1.7
Former
Former n n n n ationality
ationality
(ies)
1.7
1.7
Former
ationality
ationality(ies)
(ies)
(ies)
Current
Current
Current n n n n ationality
ationality
ationality
(ies)
(ies)
Current
ationality(ies)
(ies)
1. 1. 1. 1.8 8 8 8 出生地点( ( ( ( 市、省/ / / / 州、国) ) ) )
Place
Place
Place
Place of of of of b b b b irth(
irth(
irth(
irth(c c c c ity
ity
ity
ity, , , , province
province
province
province/s /s /s /state
tate
tate
tate,c ,c ,c ,country
ountry
ountry
ountry) ) ) )
1. 1. 1. 1.9 9 9 9 身份证/ / / / 公民证号码
Driver's License Number
Local
ID
ID/ / / / Citizenship
Citizenship
number
Local
Local
Local ID
ID
Citizenship
Citizenship number
number
number
□ 外交 Diplomatic
□ 公务、官员 Service
Diplomatic
Diplomatic
Diplomatic
Service
Service
Service or or or or O O O O fficial
fficial
fficial
fficial
1. 1. 1. 1.10 10 10 10 护 照 / / / / 旅 行 证 件 种 类 Passport
Passport
Passport
Passport/Travel
/Travel
/Travel
/Travel document
document
document
document
□ 普通 Ordinary
□ 其他证件( ( ( ( 请说明) ) ) ) Other
t t t t ype
ype
Ordinary
Other
(Please
specify)
specify): : : :
ype
ype
Ordinary
Ordinary
Other
Other (Please
(Please
(Please specify)
specify)
1.11 1 1 1 护照号码
1.12 2 2 2 签发日期
1.1
1.1
1.1
1.1
1.1
1.1
Passport
Passport
number
number
Date
Date
Date of of of of i i i i ssue(
ssue(
ssue(
yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd) ) ) )
Passport
Passport number
number
Date
ssue(yyyy-mm-dd
1.14 4 4 4 失效日期
1.13 3 3 3 签发地点
1.1
1.1
1.1
1.1
1.1
1.1
D D D D ate
ate
ate
ate of of of of e e e e xpir
xpir
xpir
xpiry y y y
Place
Place
Place
Place of of of of i i i i ssue
ssue
ssue
ssue
( ( ( ( yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd) ) ) )
□ 前/ / / / 现任议员 Former/incumbent
Former/incumbent
Former/incumbent
Former/incumbent m m m m ember
ember
ember
ember of of of of parliament
parliament
parliament
parliament
□ 商人 Business
Business
Business
Businessperson
person
person
person
职位 Position
Position
Position
Position________________________
________________________
________________________
________________________
□ 公司职员 Company
Company
Company
Company employee
employee
employee
employee
□ 前/ / / / 现任政府官员 Former/incumbent
Former/incumbent
Former/incumbent g g g g overnment
overnment
Former/incumbent
overnment
overnment
□ 演艺人员 Entertainer
Entertainer
Entertainer
Entertainer
official
official
official
official
□ 工人/ / / / 农民 Industrial/Agricultural
Industrial/Agricultural
Industrial/Agricultural
worker
worker
Industrial/Agricultural worker
worker
职位 Position________________________
Position________________________
Position________________________
Position________________________
□ 学生 Student
Student
Student
Student
1.15 5 5 5 当前职业
1.1
1.1
1.1
□军人 M M M M ilitary
ilitary
ilitary
ilitary personnel
personnel
personnel
personnel
□ 乘务人员 Crew
（可选多项）
Crew
Crew
Crew member
member
member
member
职位 Position________________________
Position________________________
Position________________________
Position________________________
Current
Current
Current
Current
□ 自雇 Self-employed
Self-employed
Self-employed
Self-employed
□ 非政府组织人员 NGO
NGO
staff
NGO
NGO staff
staff
staff
o o o o ccupation(s)
ccupation(s)
ccupation(s)
ccupation(s)
□ 无业 Unemployed
Unemployed
Unemployed
Unemployed
□ 宗教人士 Religious
Religious
Religious
personnel
personnel
Religious personnel
personnel
□ 退休 Retired
Retired
Retired
Retired
□ 新闻从业人员 Staff
Staff
Staff
Staff of of of of media
media
media
media
□ 其他( ( ( ( 请说明) ) ) ) Other
Other
Other
Other (Please
(Please
(Please
(Please specify):
specify):
specify):
specify):
1.16 受教育程度
1.16
1.16
1.16
□ 研究生 Postgraduate
□ 大学 College
Postgraduate
Postgraduate
Postgraduate
College
College
College
□ 其他( ( ( ( 请说明) ) ) ) Other
Education
Education
Education
Education
Other
Other
Other (Please
(Please
(Please
(Please specify):
specify):
specify):
specify):
List your complete
名称
联系电话
company name and
industry; i.e. "Smith & Doe
Name
Name
Phone
Phone
number
number
Name
Name
Phone
Phone number
number
1.17 工作单位/ / / / 学校
1.17
1.17
1.17
LLC (attorneys)" or "Self
Employed (architect)."
Employer/School
Employer/School
Employer/School
Employer/School
邮政编码
地址 Address
Address
Address
Address
Zip
Zip
Zip
Zip Code
Code
Code
Code
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