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Immigration Department,
the Government of the Hong Kong Special Administrative Region
(ID 1003A)
Supplementary Sheet to Application for Entry for Visit/Transit in Hong Kong (ID 1003A)
:
(ID 1003A)

Note : Please fill in this Supplementary Sheet if the included spouse/children/siblings in applicants travel
document is/are travelling with the applicant. This Supplementary Sheet should be submitted together
with the applicants Application for Entry for Visit/Transit in Hong Kong (ID 1003A).

Particulars of Accompanying Spouse/Children/Siblings who is/are included in Applicants Travel Document


(Please continue to complete on a photocopy or an additional downloaded copy of this sheet if necessary.
accompanying spouse/children/siblings who is/are travelling on independent travel document.)

Separate application form is required for


Name in Chinese (if applicable)

Surname in English

Given names in English

Alias (if any)

Sex

Male

Female

Male

Female

Date of birth
dd

mm

dd

yyyy

mm

yyyy

Place of birth

Relationship with applicant

Photograph

Photograph of accompanying
spouse/child/sibling

Photograph

Affix one recent photograph here

Affix one recent photograph here

55 45
50 40

55 45
50 40

(Photograph should not be


larger than 55mm x 45mm
and not smaller than 50mm x 40mm)

(Photograph should not be


larger than 55mm x 45mm
and not smaller than 50mm x 40mm)

The information given on this sheet is correct, complete and true.

Name of applicant

Applicants travel document number

Date

Signature of applicant

ID 1003A (10/2008)

Supplementary Sheet to ID 1003A (10/2008)

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