Form V.2013 - Visa Application Form Of The People'S Republic Of China Page 8

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3.7 如果有本表未涉及而需专门陈述的其他与签证申请相关的事项，请在此或另纸说明。

If If If If you

you

you have

have

have more

more information

information

information about

about

about your

your

your visa

visa

visa application

application

application other

other

other than

than

than the

the

the above

above

above to to to to declare,please

declare,please

declare,please give

give

give details

details

details below

below

below or or or or type

type

type on on on on a a a a

separate

paper

paper. . . .

separate

separate paper

3.8 如申请人护照中的偕行人与申请人一同旅行，请将偕行人照片粘贴在下面并填写偕行人信息。 If If If If someone

someone

someone else

else

else travels

travels

travels and

and

and shar

shar

shares es es es

the

same

passport

with

the

applicant

applicant , , , , please

please

affix

their

photos

and

give

their

information

below.

the

the same

same

same passport

passport

passport with

with

with the

the

the applicant

applicant

please

please affix

affix

affix their

their

their photos

photos

photos and

and

and give

give

give their

their

their information

information

information below.

below.

偕行人 1

偕行人 2

偕行人 3

Person

Person 1 1 1 1

Person

Person 2 2 2 2

Person

Person 3 3 3 3

偕行人信息

粘贴照片于此

Information

Affix

Affix Photo

Photo

Affix

Affix Photo

Photo

Affix

Affix Photo

Photo

here

姓名

Full

Full name

name

性别

Sex

生日

D D D D OB

OB(yyyy-mm-dd)

(yyyy-mm-dd)

四、声明及签名 Part

Part

Part 4: 4: 4: 4: Declaration

Declaration

Declaration & & & & Signature

Signature

4.1 我声明，我已阅读并理解此表所有内容要求，并愿就所填报信息和申请材料的真实性承担一切法律后果。

I I I I hereby

hereby

hereby declare

declare

declare that

that

that I I I I have

have

have read

read

read and

and

and understood

understood

understood all

all all all the

the

the questions

questions

questions in in in in this

this

this application

application

application and

and

and shall

shall

shall be be be bear ar ar ar all

all all all the

the

the legal

legal

legal consequences

consequences

consequences for

for

for the

the

authenticity

authenticity of of of of the

the

the information

information

information and

and

and materials

materials

materials I I I I provided

provided

provided. . . .

4.2 我理解，能否获得签证、获得何种签证、入境次数以及有效期、停留期等将由领事官员决定，任何不实、误导或填写不完整均

可能导致签证申请被拒绝或被拒绝进入中国。

I I I I understand

understand

understand that

that

that whether

whether

whether to to to to issue

issue

issue a a a a visa,

visa,

visa, type

type

type of of of of visa,

visa,

visa, number

number

number of of of of entries,

entries,

entries, validity

validity

validity and

and

and duration

duration

duration of of of of each

each

each stay

stay

stay will

will

will be be be be determined

determined

determined by by by by

consular

official,

and

that

any

false,

misleading

misleading or or or or incomplete

incomplete

statement

may

result

result in in in in the

the

refusal

refusal of of of of a a a a visa

visa

for

for or or or or denial

denial

denial of of of of entry

entry

into

consular

consular official,

official, and

and that

that any

any false,

false, misleading

incomplete statement

statement may

may result

the refusal

visa for

entry into

into

China.

4.3 我理解，根据中国法律，申请人即使持有中国签证仍有可能被拒绝入境。

I I I I understand

understand

understand that,

that,

that, according

according

according to to to to Chinese

Chinese

Chinese law,

law,

law, applicant

applicant

applicant may

may

may be be be be refused

refused

refused entry

entry

entry into

into

into China

China

China even

even

even if if if if a a a a visa

visa

visa is is is is granted.

granted.

申请人签名

日期

Applicant

Applicant’ ’ ’ ’ s s s s s s s s ignature:

ignature:

Date

Date ( ( ( ( yyyy-mm-dd

yyyy-mm-dd

yyyy-mm-dd): ): ): ):

Applicant

ignature:

Date

yyyy-mm-dd

注：未满 18 周岁的未成年人须由父母或监护人代签。

Note:

The

The p p p p arent

arent

arent or or or or guardian

guardian

shall

sign

sign on on on on behalf

behalf

behalf of of of of a a a a minor

minor

under

under 18 18 18 18 years

years

years of of of of age

age

age. . . .

Note:

Note: The

The

arent

guardian

guardian shall

shall

shall sign

sign

behalf

minor

minor under

under

years

age

五、他人代填申请表时填写以下内容 Part

Part 5 5 5 5 ： If If If If the

Part

the

application

form

form is is is is completed

completed

by by by another

another

person

on on on the

the

the application

application form

completed by

another person

person on

the

applicant's

applicant's behalf,

behalf,

behalf, please

please

please fill

fill

fill out

out

out the

the

the information

information

information of of of of the

the

the one

one

one who

who

who completes

completes

completes the

the

the form

form

5.2 与申请人关系 Relationship

Relationship

5.1 姓名 Name

Name

with

the

applicant

with

with the

the applicant

applicant

5.3 地址 Address

5.4 电话 Phone

Address

Phone

Phone number

number

5.5 声明 Declaration

Declaration

我声明本人是根据申请人要求而协助填表，证明申请人理解并确认表中所填写内容准确无误。

I I I I declare

declare

that

that I I I I have

have

assisted

assisted in in in in the

the

completion

completion of of of of this

this

form

form at at at at the

the

request

request of of of of the

the

applicant

and

that

the

applicant

understands

and

declare

declare that

that

have

have assisted

assisted

the

the completion

completion

this

this form

form

the

the request

request

the

the applicant

applicant

applicant and

and

and that

that

that the

the

the applicant

applicant

applicant understands

understands

understands and

and

agrees

agrees that

that

that the

the

the information

information

information provided

provided

provided is is is is true

true

true and

and

and correct.

correct.

代填人签名/Signature

日期/Date

/Signature

/Date

/Date ( ( ( ( yyyy-mm-dd

yyyy-mm-dd

yyyy-mm-dd): ): ): ):

/Signature：

第第第第 4 4 4 4 页页页页共共共共 4 4 4 4 页页页页 / Page

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