Professional Documents
Culture Documents
Visa China Application
Visa China Application
2013
VisaApplicationFormofthePeoplesRepublicofChina
(FortheMainlandofChinaonly)
Theapplicantshouldfillinthisformtruthfully
completelyandclear.PleaseytypetheanswerincapitalEnglish
lettersinthespaceprovidedortick()therelevanboxtoselectIfsome.oftheitemsdonotapply,pleasetypeN/AorNone.
Part1:PersonalInformation
Lastname
1. 1
FullEnglishname
asinpassport
Middlename
Firstname
Affixonerecentcolorpasspor
12.
NameinChinese
14. Sex M
16.
Currenationalityt(ies)
/Photo
photo(fullface,frontview,
13.
Othername(s)
15.
DOB(yyyy-mm)-dd
bareheadedandagainstaplain
lightcoloredbackground)
1. 7 Formernationality(ies)
18. ( / )
Placeofbirth(city,province/state,country)
19. /
LocalID/Citizenshipnumber
110. / Passport/Traveldocume
type
Diplomatic ServiceorOfficial
Ordinary ( )Other(Pleasspecify):
1.31
1.21
Dateofissue(yyyy-mm)-dd
1.41
Placeofissue
Dateofexpiry(yyyy-mm)-dd
1.11
Passportnumber
Businessperson
Companyemployee
Entertainer
/ Industrial/Agricultworker
1.51
Current
occupation(s)
Student
Crewmember
Self-employed
Unemployed
Retired
/ Former/incumbentemberofparliam
Position________________________
/ Former/incumbgovernmentnt
official
Position____________________
M ilitarypersonnel
Position____________________
NGO staff
Religiouspersonnel
Stafofmedia
( )Other(Pleasspecify):
1.16
Education
Postgraduate
( )Other(Pleasspecify):
1.17 /
Name
Phonenumber
Address
ZipCode
Employer/Sch
College
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1.18
Homeaddress
1.19
ZipCode
1.20 /
Home/mobilephonenumber
121.
E-mailaddress
Name
National
1.24
Name
Emergency
Contact
Relationshipwiththeapplicant
1.25 Countryorterritorywherethe
applicantislocatedwhenapplyingforthisvisa
Occupation
Relationsh
Mobilephonenumber
Part2:TravelInformation
OfficVisital
Non-businessvisit
Asresidentdiplomatconsulorstafofintern alt
organization
Aspermanentresident
Business&Trade
Work
Asintroducedtalent
Aschildinfostercare
Tourism
Ascrewm ember
2.1
Major
purpose
ofyourvisit
Transit
2.2
Intendednumber
ofentries
Short-termstudyforlessthan180day
Long-termstudyforover180days
Asjournalistfortemporarynew
coverage
( )Other(Pleasspecify)
Asresidentjournal
( 3 )Oneentryvalidfor3monthsfromthedateofissue
(
3-6
)Twoentriesvalidfor3to6monthsfromthedateofissue
6 )Multiplentriesvalidfor6monthsfromthedateofissue
1 )Multiplentriesvalidfor1yearfromthedateofissue
Other(Pleasspecify):
2.3 Areyouapplyingforexpressservice?
Note:Expressservicneedsapprovalof
consularofficials,andextrafeesmayapply.
Yes
No
2.4
ExpecteddateofyourfirstentryintoChinaonthistrip(yyyy-mm)-dd
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25.
LongesintendedstayinChinaamongallentries
Days
Date
Detaileaddress
26.
,
Itineraryin
China(intime
sequencemay
typeonsepara
paper)
27.
Who willpayforyourtraveland
expensesduringyourstayinChina?
Name
2. 8
Address
Informationof
inviterinChina
Phonenumber
Relationshipwiththeapplicant
2.9
HaveyoueverbeengrantedaChinesevisa?Ifapplicablepleas
specifythedateandplaceofthelasttimeyouweregrantedthevisa.
2.10 12 Othercountriesorterrit
youvisitedinthelast12months
Part3:OtherInformation
3.1
residencepermintChina?
Yes
No
3.2 , HaveyoueverbeenrefusedavisaforChina,or
beenrefusedentryintoChina?
Yes
No
3.3 Do youhaveanycriminalrecordinChinaoranyothe
country?
3.4 Areyouexperiencinganyofthefollowingconditions?
Seriousmentaldisorder
Infectiouspulmonarytuberculosis
Otherinfectiousdiseaseofpublichealthhazards
Yes
No
Yes
No
3.5 30 Didyouvisitcountriesorterritoriaffecs
byinfectiousdiseasesinthelast30days?
3.6 3.1 3.5
IfyouselectYestoanyquestionsfrom3.1to3.5,pleasegivedetailsbelow.
Yes
No
Haveyoueveroverstayedyourvisaor
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3.7
Ifyouhavemoreinformatiaboutnyourvisaapplicationotherthantheabovetodeclare,pleasegivedetailsbelowortypeona
separatepaper.
3. 8 Ifsomeoneelsetravelsandshares
thesamepassporwiththeapplicant,pleaseaffixtheirphotosandgivetheinformationrbelow.
Information
1
Person1
2
Person2
3
Person3
AffixPhoto
here
AffixPhoto
here
AffixPhoto
here
Fullname
Sex
DOB(yyyy-mm-dd
Part4:Declaration&Signature
4.1
IherebydeclarethatIhavereadandunderstoodallthequestionsinthisapplicationandshallbearallthelegalconsequencesforthe
authenticityoftheinformationandmaterialsIprovided.
4. 2
Iunderstandthatwhethertoissueavisa,typeofvisa,numberofentries,validityanddurationofeachstaywillbedetermineby
consularofficial,andthatanyfalse,misleadingorincompletestatementmayresulintherefusalofavisaforordenialofentryint
China.
4.3
Iunderstandthat,accordingtoChineselaw,applicantmayberefusedentryintoChinaevenifavisaisgranted.
Applicantssignature:
Date(yyyy-mm)-d:d
18 Note:Theparentorguardianshallsignonbehalofaminorunder18yearsofage.
5.2
withtheapplicant
5.3 Addre
5.4 Phonenumber
Relation
5.5 Declaration
IdeclarethatIhaveassistedinthecompletionofthisformattherequesoftheapplicanandthattheapplicantunderst and
agreesthattheinformatiprovidednistrueandcorrect.
/Signature
/Date(yyyy-mm):-dd
4 4 /Page4
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