Personal Information (for visa purposes)

Surname (as shown on passport)/姓: Given Name (as shown on passport)/名:

Date of Birth/出生日期(dd/mm/yyyy): Nationality/国籍:

City of Birth/出生城市: Gender/性别:

Personal Email address /个人邮箱: Marital status/婚姻状况:

Chinese Z-visa city/country of application & Visa

Centre/Chinese Embassy/Consulate (once
confirmed, this cannot be changed. If you are
Telephone number/电话号码:
not in your home country, please make sure you
have the right to apply for a Z-visa) 申请办理中
国签证的国家和城市:

Declaration:
声明：
I hereby declare that all particulars given in this form are true and correct and will update the visa team as and when there are changes to my
personal details.
我声明此表所载信息真实正确。如有任何个人信息变化，我会向签证官员说明。
Signature: Date:
签名 日期