Form V.2013 - Visa Application Form Of The People'S Republic Of China Page 6
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10
111.18 家庭住址
1.19 邮政编码
1.18
1.18
1.18
1.19
1.19
1.19
Home
Home
Home
Home address
address
address
address
Zip
Zip
Zip
Zip Code
Code
Code
Code
1.20 电话/ / / / 手机
1. 1. 1. 1.21 21 21 21 电子邮箱
1.20
1.20
1.20
Home/mobile
Home/mobile
phone
phone
number
number
E-mail
E-mail
address
address
Home/mobile
Home/mobile phone
phone number
number
E-mail
E-mail address
address
1. 1. 1. 1.22 22 22 22 婚姻状况 Marital
□ 已婚 Married
□ 单身 Single
□ 其他 Other(Please
Marital
Marital
status
status
Married
Married
Single
Single
Other(Please
Other(Please
specify):
specify):
Marital status
status
Married
Single
Other(Please specify):
specify):
Fill in the details for
姓名 Name
国籍 Nationality
职业 Occupation
关系 Relationship
Name
Name
Name
Nationality
Nationality
Nationality
Occupation
Occupation
Occupation
Relationship
Relationship
Relationship
all family members
1.23 主要家庭成员
1.23
1.23
1.23
who live with you. If
you live alone, fill in
( ( ( ( 配偶、子女、父母
the details of at least
等, , , , 可另纸) ) ) )
one living relative.
Major
Major
family
family
Major
Major family
family
members
members
members
members（spouse,
spouse,
spouse,
spouse,
children,parents,et
children,parents,et
children,parents,et
children,parents,et
c.,may
c.,may
c.,may
c.,may type
type
type
type on on on on
separate
separate
paper
paper
separate
separate paper
paper）
If you are married, you
MUST list your spouse.
姓名
手机
1 1 1 1 . . . . 24 24 24 24
Name
Mobile
Mobile p p p p hone
hone
number
紧急联络人信息
Name
Name
Name
Mobile
Mobile
hone
hone number
number
number
与申请人的关系
Emergency
Emergency
Emergency
Emergency
C C C C ontact
ontact
ontact
ontact
Relationship
with
the
applicant
Relationship
Relationship
Relationship with
with
with the
the
the applicant
applicant
applicant
1.25 申请人申请签证时所在的国家或地区 Country
1.25
1.25
1.25
Country
Country
Country or or or or territory
territory
territory
territory where
where
where
where the
the
the
the
applicant
applicant is is is is located
located
when
applying
for
this
visa
applicant
applicant
located
located when
when
when applying
applying
applying for
for
for this
this
this visa
visa
visa
二、旅行信息 Part
Part
Part
Part 2: 2: 2: 2: T T T T ravel
ravel
ravel
ravel I I I I nformation
nformation
nformation
nformation
□ 官方访问 O O O O fficial
□ 常驻外交、领事、国际组织人员
fficial
fficial
fficial V V V V isit
isit
isit
isit
As
As
As r r r r esident
esident
esident
esident d d d d iplomat
iplomat
iplomat
iplomat，c c c c onsul
onsul
onsul
onsul or or or or staff
staff
staff
staff of of of of internation
internation
internation
international al al al
As
□ 旅游 Tourism
Tourism
Tourism
Tourism
organization
organization
organization
organization
□ 交流、考察、访问 Non-business
□ 永久居留 As
Non-business
Non-business
visit
visit
As
As
permanent
permanent
permanent re re re res s s s ident
ident
ident
Non-business visit
visit
As permanent
ident
□ 商业贸易 Business
□ 工作 Work
Business
Business
Business & & & & Trade
Trade
Trade
Trade
Work
Work
Work
□ 人才引进 As
□ 寄养 As
As
As
As introduced
introduced
introduced
introduced talent
talent
talent
talent
As
As
As child
child
child
child in in in in foster
foster
foster
foster care
care
care
care
□ 执行乘务 As
As
As
As cr cr cr crew
ew
ew
ew m m m m ember
ember
ember
ember
□ 过境 Transit
Transit
Transit
Transit
□ 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
2 2 2 2 .1 .1 .1 .1 申请
外 国 人 Short-term
家庭团聚居 留超 过 180
180 日 Family
Short-term
Short-term
Short-term visit
visit
visit
visit to to to to Chinese
Chinese
Chinese
Chinese citizen
citizen
citizen
citizen or or or or
180
180
Family
Family
Family reunion
reunion
reunion
reunion for
for
for
for over
over
over
over
入境事由 Major
Major
Major
Major
foreigner
foreigner
with
with
Chinese
Chinese
permanent
permanent
residence
residence
status
status
180
180
days
days
with
with
Chinese
Chinese
citizen
citizen
citizen or or or or foreigner
foreigner
foreigner
with
with
foreigner
foreigner with
with Chinese
Chinese permanent
permanent residence
residence status
status
180
180 days
days with
with Chinese
Chinese citizen
foreigner with
with
p p p p urpose
urpose
urpose
urpose
Chinese
permanent
residence
status
Chinese
Chinese
Chinese permanent
permanent
permanent residence
residence
residence status
status
status
of of of of y y y y our
our
our
our v v v v isit
isit
isit
isit
□ 短期探望因工作、学习等事由在中国停留居留的
□ 长期探望因工作、 学习等事由在中国居留的外国人
外 国 人
Short-term
Short-term
Short-term
Short-term visit
visit
visit
visit to to to to foreigner
foreigner
foreigner
foreigner residing
residing
residing
residing in in in in
As
As
As
As accompanying
accompanying
accompanying
accompanying family
family
family
family member
member
member
member of of of of foreigner
foreigner
foreigner
foreigner
China
China
due
due
due to to to to work,
work,
work,
study
study
study or or or or other
other
other
reasons
reasons
residing
residing
residing in in in in China
China
China
due
due
due to to to to work,
work,
work,
study
study
study or or or or other
other
other
reasons
reasons
China
China due
work, study
other reasons
reasons
residing
China due
work, study
other reasons
reasons
□ 短期学习 Short-term
□ 长期学习 Long-term
Short-term
Short-term
Short-term study
study
study
study for
for
for
for less
less
less
less than
than
than
than 180
180
180
180 days
days
days
days
Long-term
Long-term
Long-term study
study
study
study for
for
for
for over
over
over
over 180
180
180
180 days
days
days
days
□ 短期采访报道 As
□外国常驻中国新闻机构记者 As
As
As
resident
resident
resident j j j j ournalist
ournalist
ournalist
As
As
As journalist
journalist
journalist
journalist for
for
for
for temporary
temporary
temporary
temporary news
news
news
news
As resident
ournalist
coverage
coverage
coverage
coverage
□ 其他( ( ( ( 请说明)Other
)Other
(Please
specify)
)Other
)Other (Please
(Please
(Please specify)
specify)
specify)：
□ 一次( ( ( ( 自签发之日起 3 3 3 3 个月有效) ) ) ) One
One
One
entry
entry
valid
valid
for
for
for 3 3 3 3 months
months
months
from
from
the
the
date
date
date of of of of issue
issue
issue
One entry
entry valid
valid for
months from
from the
the date
issue
2 2 2 2 .2 .2 .2 .2 计划
□ 二次( ( ( ( 自签发之日起 3- 3- 3- 3-6 6 6 6 个月有效) ) ) ) Two
Two
Two
Two entr
entr
entr
entries
ies
ies
ies valid
valid
valid
valid for
for
for
for 3 3 3 3 to to to to 6 6 6 6 months
months
months
months from
from
from
from the
the
the
the date
date
date
date of of of of issue
issue
issue
issue
入境次数
□ 半年多次（自签发之日起 6 6 6 6 个月有效) ) ) ) Multi
Multi
Multi
Multiple
ple
ple
ple entr
entr
entr
entries
ies
ies
ies valid
valid
valid
valid for
for
for
for 6 6 6 6 months
months
months
months from
from
from
from the
the
the
the date
date
date
date of of of of issue
issue
issue
issue
Intended
Intended
Intended
Intended n n n n umber
umber
umber
umber
□ 一年多次（自签发之日起 1 1 1 1 年有效) ) ) ) Multi
Multi
Multi
Multiple
ple
ple
ple entr
entr
entr
entries
ies
ies
ies valid
valid
valid
valid for
for
for
for 1 1 1 1 year
year
year
year from
from
from
from the
the
the
the date
date
date
date of of of of issue
issue
issue
issue
of of of of e e e e ntries
ntries
ntries
ntries
□ 其他（请说明）Other
Other
Other
Other (Please
(Please
(Please
(Please specify)
specify)
specify)
specify): : : :
2.3 是否申请加急服务 Are
2.3
Are
you
applying
for
express
service?
2.3
2.3
Are
Are you
you
you applying
applying
applying for
for
for express
express
express service?
service?
service?
□ 是 Yes
□ 否 No
Yes
Yes
Yes
No
No
No
注：加急服务须经领事官员批准，将加收费用。Note:
Note:
Note:
Note: Express
Express
Express
Express service
service
service
service needs
needs
needs
needs approval
approval
approval
approval o o o o f f f f
consular
officials,
and
extra
fees
may
apply.
consular
consular
consular officials,
officials,
officials, and
and
and extra
extra
extra fees
fees
fees may
may
may apply.
apply.
apply.
2 2 2 2 . . . . 4 4 4 4 本次行程预计首次抵达中国的日期
Expected
Expected
Expected d d d d ate
ate
ate
ate of of of of y y y y our
our
our
our f f f f irst
irst
irst
irst e e e e ntry
ntry
ntry
into
into
China
China
China on on on on this
this
this
trip
trip
trip ( ( ( ( yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd
yyyy-mm-dd) ) ) )
Expected
ntry into
into China
this trip
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