$ Q

Confirmation of Online Visa Application

9Y#½$4A)A/You need to submit your visa application at:

Chinese Visa Application Service Center in Mumbai
7Q/Name:ALI ASGAR AKBARALI RAMPURWALA
½>/Gender:Male
N06/Date of Birth:1983-02-05
$[‰/Current Nationality:India
VZ /Intended date of arrival:2024-04-22
QIC/Current occupation:Bussinessperson
$4#½ /Types of Visa:M
$4#½& /Entries:Single
$4A "6(0)/ Duration of Stay (days):30
$4#½A$Y6($)/Validity (months):1
KB/U'½ /Type of Passport/Travel Document:Ordinary
KB/U'½ ª¾/Number of Passport/Travel Document:Z4777786
$4 Y /Application Finished on:2024-04-05
$4(ª/Application ID:BOM2240403AL2584226

(48#½$4Q—@ Y)
(Please Present together with the Application Form)

O./Declaration
DO.,D5 ;@J0SQ $! G<,@ M /P$4V:AN ½2 —
FHg1。I hereby declare that I have read and understood all the questions in this application and shall bear all
the legal consequences for the authenticity of the information and materials I provide.
$4ß#Q
06
Applicant's signature:
Date(yyyy-mm-dd):
 V2023

$ ß g ¾ № M Q
Visa Application Form of the People’s Republic of China

ф;<8” († †VþŒ *‡。;½’ №[Çnøǁ*¡6™ *, n ◻ ™ {。 ^

’§v@[,;*“G”。
The applicant should fill in this form truthfully, completely and clearly. Please type the answers in Chinese or
English capital letters in the space provided or tick (√) the relevant box to select. If some of the items do not apply,
please type N/A or None.

— ß Personal Information
1.1A E/ Family name: 1.1B p/Given name(s):

RAMPURWALA ALI ASGAR AKBARALI

1.1 Ep/Name
1.1C pn‰[p/ Other name(s) or Former name(s): 1.1D ÇEp( ^,;[Ç *)/ Chinese name (if
applicable, in Chinese):
NA NA

1.2 [gQo/ Date of birth (yyyy/mm/dd):1983-02-05 1.3 ½/ Gender: ✔□ Q/ Male □ / Female
1.4A c4nŒE/ Country or region:
India 1.5 \)7/ Marital status:
1.4 1.4B ¾ƒ/ Province/State: ✔□ 2 / Married □ / Single
[gŒ+/ MADHYA PRADESH □ ß`/ Divorced □ Ž / Widowed
Place of birth
1.4C Aa/ City: □ AN/ Other(Please specify):
MANASA
1.6A #^c‡/ Nationality: 1.6F ANc4(ŒE)}—•/Other permanent resident
India countries
or region:
1.6B c‡c ƒ½dªO/ National ID number: 1.6G ‰^c‡/ Former nationality(ies):

1.6 1.6C ANc‡/ Other nationality(ies): 1.6H ‰^cc‡,;№,UtS /Please provide the
c‡ª}—• following information if you have ever held Chinese nationality:
/Nationality and
1.6D ANc‡ ƒ½dªO/ ID number(s) of other ‰^c ƒ½ªO/ Former Chinese ID number:
permanent
residence nationality(ies):

1.6E ANc‡&œªO/ Passport number(s) of other ‰[^№Yq—c&œªO/ Number of your last Chinese
nationality(ies): passport:

1.7A &œ/5y½dg¥/ Type of passport/travel document: 1.7C Qc4nŒE/ Issuing country or region:
□ s1/Diplomatic □ ‡/ Service India
□ % / Official □ / Special 1.7D QŒ+/ Place of issue:
1.7 ✔□ ½/ Ordinary MUMBAI
&œS / □ AN½d(;9f)/ Other(Please specify): 1.7E }“Qo/ Expiration date:
Passport

1.7B &œ/5y½dªO/ Passport/travel document number: 2028-02-19

Z4777786

M Type of Visa

2.1 ф; ½g¥@˜Ÿ¤ $ф/ Type of visa and major purpose of your visit to China
□ A <5ƒ/ Independent tourist ½“B”,; */If choose B, please provide the following information:
c 5y{pC/Travel Agency in China:
(L)
□
5ƒ/Tourism □ BД 5ƒ/ Group member
5y{ffi‡/] Z½Xª/Travel Agency License No.:

(M) ✔□ A iA‚fi/ Trade

□✔ ›ffiiA‚fi/ □ B ?-:ƒ/ Participation in Competition(s)
Commercial trade
□ C AN›ffi‚fi/ Other commercial activities
activities
(F)1Š† 3† □ A }1Š‚fi/ Academic exchanges
□
LMŞ/ □ B Çx1Š‚fi( 1Š½b[)/ Cultural exchanges (e.g. a non-profit performance)

1/
 Exchanges, visits, □ C 6$NŠfi/ Religious exchanges
study tours or other
relevant activities □ D "¸:@DNŠfi/ NGO activities
□ E d¾o±}f(ŸЫ3 90 Q)/ Volunteering (no more than 90 days)
□ F |¹œ‚ÇSÝÚÎ]!»№œ‚ÇS/ Foreign expert with pre-approved letters of invitation
□ G ¶xŠRfi/ Geographic surveying and mapping activities
□
A §SIД·ф]9*ÈÄ№À‚ $№SI‹ / Family member of ]•u A(w / Please
Chinese citizen applying for residence in China for family reunion provide the following information:
(Q1±Q2) □ B §SIД·ф]9*ÈÄ№M~À‚«}Èē´№œ‚^№SI‹
À‚ $M~À‚ À‚ $/Y½gÓ^/M~«}Èē´№œ‚
/ Family member of foreigner(s) with permanent residence status in ^e—/ Name of the Chinese
«}Èē´№œ‚
^№SI‹ W China who is applying for residence in China for a family reunion citizen(s)/Guardian(s)/ Foreigner(s) with
□
/ C §Y½ŞF§ф]9*ÈÄ№^ / Residence visa for child to be permanent resident status:
□ Family member or fostered in China
relative of Chinese □ D 9*a–<W(ŸЫ3 180 Q)№È½°À‚*.№À‚ $№W /
citizen(s) or Relative of Chinese citizen(s) living in China applying for a visa for ë№ j/ Relationship(s) to you:
foreigner(s) with visit no more than 180 days
permanent residence
status in China □ E 9*a–<W(ŸЫ3 180 Q)№M~À‚«}Èē´№œ‚^№ ƒ½ÈĽƒªr/ ID or permanent
W / Relative of foreigner(s) with permanent residence status in residence permit number(s) :
China applying for a visa for visit no more than 180 days

□ A 9*ʖ<W(Ы3 180 Q)№§f ± Ş7ф°À‚*.ÈÄ

]•u A(w / Please
№œ‚^№š&±ӲU±$_ 18 3№Ç ±š&№ӲU/ Spouse, parent,
(S1±S2) provide the following information:
child under the age of 18 or parent-in-law of foreigner(s) residing in
À‚*. ÄÈÄ№ China for work, study or other purposes who visit China for more ¾<Ž^e—/ Name of the residing foreigner(s):
œ‚^№SI‹  than 180 days
§ApC^7‡\Ø □ B §ApC^7‡\Ø° À‚*.ÈÄ№^ / Person who needs to reside
°À‚*. Ä№^ ë№ j/ Relationship to you:
in China for other personal matters
□ / Family □ C 9*a–<W(ŸЫ3 180 Q)№§f ± Ş7ф°À‚*.
member of ÄÈÄ№œ‚^№SI‹ / Family member of foreigner(s) staying or ÈĽƒªr ½ªr/ Residence permit(s)
foreigner(s) staying residing in China for work, study or other purposes who visit China number or visa number:
or residing in China
for no more than 180 days
or person who
needs to come to □ D §ApC^7‡((№x9-±ï$±Ç 7‡±Ïx°ÚØ}Ş) (½ B  D Â,][„7ф/ If B or D, please
China for personal \Ø°À‚*. Ä№^ / Applying for a visa to stay in China for specify the matters:
matters other personal matters, such as handling litigation, inheritance, real
estate or medical treatment
□ A 9*f №œ‚ÇS/ Foreign expert working in China
□ B }ffi½[/ For commercial performance
□ C œ‚;ffiφÃÀ‚y‡² №Ü¯y‡±y‡/ Chief representative or representative of a foreign company
(Z)
□ f / □ D 1hH ffi/ Offshore oil operations
Work □ E d¾o±}f(Ы3 90 Q)/ Volunteering (more than 90 days)
□ F Apn4À‚¸:Ì'OLÉQ№f +{9*f №^ / Foreigner working in China with a Work Permit issued by the
Chinese government

(X1±X2) □ A ʖ (Ы3 180 Q)/ Long term study (more than 180 days)
□
/Study □ B a– (ŸЫ3 180 Q)/ Short term study (no more than 180 days)
(J1±J2) □ A 9*G¥a–1/?£№œ‚½o/ Foreign journalist visiting China for short-term news coverage
□ ½o/Journalist □ B œ‚φÃÀ‚ƒX² №œ‚φýo/ Resident foreign journalist of permanent office of a foreign news agency in China
□ A ‚ƒ§µ ‡ / Crew member performing duties on board an international train

(C) □ B ‚ƒ† ²@‹ / Crew member performing duties on board an international aircraft
□ ‡/ Crew member □ C ‚ƒ†¥”i№” @” Ù¥S / Crew member performing duties on board an international vessel or accompanying family member
□ D l7‚ƒ£V=ƒ№ µÅ% / Vehicle driver engaged in international transportation services
□ (G)3*/ Transit KÀ‚3*/ Transit through China
(D)«}ÈÄ/ 9*«}ÈÄ№^ / Person coming to China to take up permanent residence
□ Permanent residence
□
(R)^Ë/ A ‚S\Ø№œ‚;Ƒ^˪3\‡@ÇL^Ë/ Foreigner of high talent or specialist needed by the State
□ Foreigner of high ^˒G ¡—c/ Name of the talent recruitment programme: applyinfo_TalentProgrammeName
talent or □
B |¹œ‚;`^Ëg !»^ / Foreigner with Confirmation Letter for High Level Foreign Talents
specialist
□
A ƒÎ9*/Q№œ‚‚SÐܱ¸:Üv±œNOÊz@ApM~•Ş ƒ№8 @Ù¥š&±$‹@Ç / Head of state or government,
foreign minister or other official with equivalent rank invited for an official visit and accompanying spouse and/or
child(ren) under the age of 18
□ B |œN>Տ4ƒ‚ƒT¥½ƒ§ ‡7ф9*№œ‚±‚ƒ@D8 AÙ¥š&±$‹@Ç / Government official, official of
œN ½/ international organizations holding a diplomatic passport or other corresponding travel document visiting China for
□ Diplomatic visa
official purposes and accompanying spouse and/or child(ren) under the age of 18
□
C œNw,@Í7w,/ Diplomatic courier or consular courier
□
D §ApœN7ф9*№^ / Other personnel visiting China for diplomatic purposes

2/
 □ A a ‡(, )0ªs4ƒhƒA ½i§ ‡+ф9"№{hhƒ36, @¯ z $m@Ç / Government official,
official of international organizations holding a service/official passport or other corresponding travel document visiting
China for official purposes and accompanying spouse and/or child(ren) under the age of 18
□ B Œ ˜h–-{h–-shƒ36 №² ,9" ˜{q ?Šš§№a{? ‡(, )0ª№{hh ƒ36,
@¯ z $m@Ç / Holder of a diplomatic, service/official passport visiting China to implement a programme of
‡ ½/
□ Official visa exchange and cooperation according to relevant agreements between China and other countries or international
organizations and accompanying spouse and/or child(ren) under the age of 18
□
C ƒ¥9" ˜{7+?Šq š§№I @¯ z $m@Ç / Military personnel invited to implement military
programme of exchange and cooperation and accompanying spouse and/or child(ren) under the age of 18
□
D §AW ‡+ф9"№I / Other personnel visiting China for official purposes

□ A {h™°#¤¢φ™{?,¤+, – ˆI hƒ36™ Hv\ 4!|] /

° φ™I / Member of diplomatic missions, consular posts or Please provide the following information:
international organizations in China φ™ xL/ Name of the mission:
□
B φ™I №¯žz s$m@Ç / Spouse or dependent child(ren)
under the age of 18 accompanying the member
™°#¤¢hƒ □
C φ™I №AW¯?C / Other accompanying relative of the ªŽƒ?(!½“A”Hg¾)/ Is it a new job position
36™° 4 № member for the above mentioned mission (if choose A )?
I / □ D ¡z $m@Ç @AWC Kw/r™°#¤¢№φ™I □ ª/Yes
Member of / Spouse, child(ren) under the age of 18 or other relative visiting □ Ž,±?V¡/No. Name of previous occupant:
□ diplomatic missions, member of diplomatic missions, consular posts or international
consular posts and organizations for a short visit
international □ E ™°#¤¢hƒ36™° Kw’[(~Ы( 90 Q)№$
organizations and
(oZ5I$ )2 k/ Short-term (no more than 90
their accompanying φ™IPx(!½“B”“C”“D”Hg¾)/
days)employee (including private employee), intern in diplomatic
family members Name of the member of diplomatic missions,
missions, consular posts or international organizations
consular posts or international organizations (if
□ F ™°#¤¢hƒ36™° w’[(Ы( 90 Q)№$ (o choose B, C or D):
Z5I$ )2 k/ Long-term (more than 90 days)employee
(including private employee), intern in diplomatic missions,
consular posts or international organizations

(HEj)/ (Please specify)

AW+ф/
□ Other
purposes
„u ½ф ½ ¾.,Q@G¬@DŽu№I 。/ Courtesy visas are issued at the discretion of the Chinese authorities.

2.2 g‡g´/ Service: □✔ fφ/ Normal □ :3/ Express

2.3A фH ½№c›w/ Validity of visa: 1 b/ month(s) 2.3C t / Entries: ✔ □ 1 t/ Single

2.3
фH ½] / □ 2 t/ Double
Visa details 2.3B фH№` œw/ Maximum duration of longest stay: 30 Q/day(s)
□ ;t/ Multiple

Ξ Work Information

3.1 §±Šffi/ Current occupation: □ / Member of Parliament □ ‡I / Crew member

✔□ ¦I/ Businessperson □ –-, / Government official □ þ$/ Self-employed
□ ¾Š / Company employee □ "–-36I / NGO staff □ Qffi/ Unemployed
□ eDI / Entertainer □ 7I/ Military personnel □ J‚/ Retired
□ fI/‡$/ Industrial/Agricultural worker □ *$IJ/ Religious personnel □ V/Academic
□ k/Student □ ƒDTffiI / Media representative
□ AW(HEj)/Other (Please specify):

3.2 ½ 5 @f <%/ Work experience in the past 5 years

3.2A Qw/Date 3.2B ƒ/ ¾№xL”Ÿ€=/ 3.2C £ Px€= 3.2D Šƒ/ 3.2E Š_/
Name, address and telephone of your /Supervisor's name and
T/From ¾/To Position Duty
current and previous employers telephone
SAPPHIRE GLASS SOLUTION PVT LTD/D 55,TTC
INDUSTRIAL AREA MAZDA COLORS,MIDC,TURBH ALI ASGAR AKBARALI
2013-01 2024-03 E,NAVI MUMBAI,400703,MAHARASHTRA,INDIA,/989 RAMPURWALA/9892731172 MANAGING DIRECTOR ALL DUTIES
2731172

3/
A Education

4.1 =? /Highest diploma/degree

4.1A ?- /Name of institution 4.1B ? /?ƒ/Diploma/degree 4.1C Çffi/Major

RIZVI COLLEGE/ High school or other equivilent study SSC PASSED

d $ Family Information

5.1 ½0/ Current residence address 1802,E,RUSTOMJEE PARAMOUNT,18TH ROAD,KHAR WEST,MUMBAI 400052 MAHARASHTRA,
INDIA
5.2 ª2/ Phone number: 5.3 Jª2/ Mobile phone number:
9820003351 9892731172
5.4 ÇKH/ E-mail address:
ALIASGAR@SAPPHIRETUFF.COM
5.5 BQ/ Family member(s)
5.5A X / Spouse
8 / FATEMA ALI ASGAR ^T/ Iffi/
Name RAMPURAWALA Nationality India Occupation Other
[RQ6/ [R^ / [R<G/
Date of birth 1985-06-17 Country of birth India City of birth MANASA
"0/
Address 1802,E,RUSTOMJEE PARAMOUNT,18TH ROAD,KHAR WEST,MUMBAI 400052 MAHARASHTRA,INDIA
5.5B ӲM/ Father
8 / AKBARALI ^T/ [RQ6/
Name RAMPURAWALA Nationality India Date of birth 1948-02-27
Uª,7N* L^№ @/If so, the status in China
ª( L^/Is your father in China? □
$/ Citizen □ ,} / Permanent resident
□
/ Resident □ /Stay
□ f (!W6 90 Q2 5 @)/ □f ½(!W6Vƒ 90 Q)/
□ ª/Yes □✔ (/No
Work-type resident valid for 90 days to five years Z visa valid for less than 90 days
□ "f (!W6 180 Q2 5 @)/ □ "f ½(!W6Vƒ 180 Q)/Visas
Non work-type resident valid for 180 days to five other than Z valid for less than 180 days
years
5.5C EM/ Mother
8 / ^T/ [RQ6/
Name MUNIRA RAMPURAWALA Nationality India Date of birth 1959-01-06
Uª,7N* L^№ @/If yes, the status in China
ª( L^/Is your mother in China? □ $/ Citizen □ ,} / Permanent resident
□ / Resident □ /Stay
□ f (!W6 90 Q2 5 @)/ □ f ½(!W6Vƒ 90
□ ª/Yes □✔ (/No
Work-type resident valid for 90 days to five years Q)/ Z visa valid for less than
□ "f (!W6 180 Q2 5 @)/ 90 days
Non work-type resident valid for 180 days to five □ "f ½(!W6Vƒ 180 Q)/Visas
years other than Z valid for less than 180 days
5.5D ÇP/ Child
8 / ^T/ [RQ6/
ARWA RAMPURAWALA India Date of birth 2010-07-15
Name Nationality
8 / BURHANUDDIN ^T/ [RQ6/
Name RAMPURAWALA Nationality India Date of birth 2016-04-08
8 / ^T/ [RQ6/
Name Nationality Date of birth
5.5E ª(!ӲE №+ M1 L^/ Do you have any immediate relatives, not including parents, in China? □ ª/Yes □✔
(/No U!,7N* 4 )/If yes, please provide the following information:

8 /Name 9ë№ /Relationship to you

L^№ @/Status in China

□ $/ Citizen □ ,} / Permanent resident
□ / Resident □ /Stay
□
f (!W6 90 Q2 5 @)/ Work-type resident valid □ f ½(!W6Vƒ 90 Q)/ Z visa valid for less than 90
days for 90 days to five years
□
"f (!W6 180 Q2 5 @)/Non work-type resident □ "f ½(!W6Vƒ 180 Q)/Visas other than Z valid for less than 180
days valid for 180 days to five years
[D¾/&/ List on a separate page if there is not enough space

4/
 Information About Your Intended Trip
6.1A №½Q'/ Date of arrival: 6.1B №½ /!/@>- / Arrival train /ship 6.1C №½2</ City of arrival:
/flight number:
2024-04-22 FLIGHT Shanghai

6.1D 2</ City 6.1E %/ Address 6.1F ¾½Q'/ Date of arrival 6.1G ß9Q'/ Date of departure
NO 328,GUANGHUA ROAD,
SONGJIANG SCIENCE
Shanghai TECHNOLOGY ZONE, 2024-04-22 2024-05-06

6.1 M/ Itinerary

6.1H ßZQ'/ Date of departure: 6.1J ßZ /!/@>- / Departure train /ship 6.1K ßZ2</City of departure:
/flight number:
2024-05-06 FLIGHT Shanghai
6.2A + : /Name of person or organization: 6.2B(F K),ë№ /Relationship to you (if invited by an
individual):
SHANGHAI NORTH GLASS TECHNOLOGY
6.2 E^Z ) INDUSTRIAL CO.,LTD BUSINESS ASSOCIATES
fi/F K:?C 6.2C ª&/ Phone number: 6.2D ÇA=/ E-mail address:
Inviting person or
organization in 8613564529620 JERRY@NORTHGLASS.COM
China 6.2E %(2<I¾/þ"EIAM &)/ Address (city, province /state, postal code):

Qingpu Qu¸Shanghai¸ShangHai¸201614
6.3A /3F K+ / Name of emergency contact: 6.3B ,ë№ / Relationship to you:

HUSAIN PANDHARPURWALA BROTHER IN LAW

6.3 /3F K/
Emergency contact 6.3C ª&/ Phone number: 6.3D ÇA=/ E-mail address:

9820003351 HUSAIN2776@GMAIL.COM

6.4A □ þ5/ Self

6.4B □ K/ Other
6.4 3B 🎧 P + /Name /Telephone A=/Email
\[/Who will
pay for this 6.4C □✔ Lƒ:?C/Organization
travel
/Name /Relationship to you %/Address ^ /Country
D 55,TTC INDUSTRIAL AREA MAZDA
SAPPHIRE GLASS SOLUTION PVT COLORS,MIDC,TURBHE,NAVI MUMBAI,400 India
LTD EMPLOYER
703,MAHARASHTRA,INDIA
6.5A ª ] K(¾ [ —🎧D6)/ Are you travelling with someone else this time(using the same passport)?
□ ª/ Yes ✔□ / No
6.5B ] K+ /
Name(s) of travelling
companion(s)
□ Q/ Male □ Q/ Male □ Q/ Male □ Q/ Male
6.5C ½0/ Gender
□ H/ Female □ H/ Female □ H/ Female □ H/ Female
6.5D [QQ'/
6.5
Date of birth
] K/
Travel
companion(s)
for this visit ] K ] K ] K 3 ] K 4
1 2
6.5E )J] K6ƒ 6ƒ 6ƒ 6ƒ 6ƒ
#X N/ Photo of person Photo of person Photo of person Photo of person
please affix their sharing the same sharing the same sharing the sharing the same
photo(s) passport passport same passport passport

5/
5 Past Travel Information

7.1 ª’°&›q/ Have you been to China? □ ª/ Yes ✔□ ’/ No

7.2A ª’‰"%›q ½/ Have you been issued a Chinese visa? □ ª/ Yes ✔□ ’/ No
( ª,O№<g½—}›q ½№G‰b )/(If yes, please give details of your last Chinese visa)
7.2B ½g²/ Type of Visa: 7.2C ½ª_/ Number of Visa:

7.2D Q—7/ Place of issue: 7.2E QQ~/ Date of issue:

7.2
; ½b /
Previous 7.2F фO›q ½aª’‰¾$ ¦¾¾(/ Have you ever been fingerprinted when applying for a Chinese visa? □ ª/ Yes □ ’/ No
Chinese Visa
$ —7/ Where were you fingerprinted? $ aH/ When were you fingerprinted?
ª,O№< b / If yes, please provide
the following information:

7.2G ª’‰"%›q¢ž½s/ Have you ever been issued a Chinese residence permit? □ ª/ Yes □ ’/ No

ª’imZm~!№A]qF ½/ Do you currently hold any valid visas issued by other countries?
7.3 m№A □ ª/ Yes □✔ ’/ No ª,Oƒ¨/ If yes, please list below:
]qF ½/
Valid visas

7.4 ½ 12 ™ &‡ 12 ™jª’¾ &A]qF/ Have you travelled to any other countries in the past 12 months?
✔□ ª/ Yes □ ’/ No
j‰ E№q
F/ Countries ª,Oƒ¨/ If yes, please list below. hcx¾Kt/ List on a separate page if there is not enough space:
visited in the
past 12 United Arab Emirates
months

fi Other Information

8.1 ª’‰@¾SI Q›q ½,|¾SI:9›q? Have you ever been refused a visa for □ ª/ Yes ✔□ ’/ No
China, or been refused entry into China? ( ª,OG‰Kt)/ (If yes, please specify)
□ ª/ Yes □ ’/ No
8.2 ª’‰¾WN&›q ½?/Has your Chinese visa ever been cancelled? ✔
( ª,OG‰Kt)/ (If yes, please specify)
8.3 ª’‰"L9 ›q|"LTž‘"L•ffi?/Have you ever entered China illegally, □ ª/ Yes ✔□ ’/ No
overstayed, or worked illegally? ( ª,OG‰Kt)/ (If yes, please specify)
8.4 ª’›q|A]qFm* ½©?/Do you have any criminal record in China or any other □ ª/ Yes ✔□ ’/ No
country? ( ª,OG‰Kt)/ (If yes, please specify)
8.5 ª’m – ф 0 Ÿ % |  P ½ 6 fi? /Do you have any serious mental disorder or □ ª/ Yes ✔□ ’/ No
infectious disease? ( ª,OG‰Kt)/ (If yes, please specify)
8.6 ½ 30 Q!ª’® &Š‚½6fiP№qF|—E?/Have you ever visited countries or □ ª/ Yes ✔□ ’/ No
territories where there is an epidemic in the last 30 days? ( ª,OG‰Kt)/ (If yes, please specify)
8.7 ª’Mm14‘3¥‘Ž+§‘vª| fi № X|/\& kƒ?/ □ ª/ Yes ✔□ ’/ No
Have you ever been trained or do you have any special skills in the field of firearms, ( ª,OG‰Kt)/ (If yes, please specify)
explosives, nuclear devices, biological or chemical products?
8.8 ª’(‰)D`r ?/ Are you serving or have you ever served in the military? □ ª/ Yes ✔□ ’/ No
( ª,O№<db )/ (If yes, please provide the following information)
8.8A r qF/ Country of service: 8.8B 9g/ Branch of service:

8.8C 9Œ/ Rank in military: 8.8D 9, £/ Military specialty:

8.8E l%r aH/ Date of service from(yyyy-mm): 8.8F ¾$r aH/ Date of service to (yyyy-mm):

8.9 ª’‰r‡ƒ|R=&‰9,½28‘$H˜z ƒ‘ƒ$`|^ 28,|‰@ªA □ ª/ Yes ✔□ ’/ No

›y k—?/ Have you served or participated in any paramilitary organization, civil armed
( ª,OG‰Kt)/ (If yes, please specify)
units, guerrilla forces or armed organizations, or been its member?

8.10 ª’?ƒ?№ffi“ ‘„Š“ ‘¡ “ ?/ □ ª/ Yes ✔□ ’/ No

Have you worked for any professional, social, or charitable organizations? ( ª,OG‰Kt)/ (If yes, please specify)

□ ª/ Yes ✔□ ’/ No
8.11 ª’mA]M¬ft№,œ?/ Is there anything else you want to declare?
( ª,OG‰Kt)/ (If yes, please specify)
(G‰Kt)/(Detailed description)

6/
 Signature & Declaration

9.1 🎧@ -/ For Applicant

9.1A Ya/ Declaration

gYa,g2CD U6’‡ ] 8‘ƒ, †‚ ,T ªф?Œ №A+½$¾—k> o 。
I hereby declare that I have read and understood all the questions in this application and shall bear all the legal consequences for the authenticity of the
information and materials I provide.
gU6,N % ½~ %№g ½~9 l X@]‰m~ ‹mŞcф&' ¾(,?№r+~=\j -r ZN\G ½ф?¾B9j
¾B9.9‡`。
I understand that whether to issue a visa, the type of visa, number of entries, validity and duration of each stay will be determined by consular officials,
and that any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China.
gU6, ½ф?/3_‡Š1Ž&' ‰,c/}4ƒe[。
I understand that express and urgent visa applications need approval of consular officials, and extra fees may apply.
gU6,| ‡`> ,ф?@ []‡` ½O]ZN¾B99 。
I understand that, according to Chinese law, applicant may be refused entry into China even if a visa is granted.

g№ ½ф?c№42ƒƒ Chinese Visa Application Service Center in (I^)№‡` ½ 。

My application will be submitted at Mumbai (City) to the Chinese visa issuing authority.
ф?@ n Qm
Applicant’s signature: Date (yyyy-mm-dd):
M:$F 18 3№$f@@ŠфӲ;j7*@W 。 Note: A parent or guardian should sign on behalf of a minor under the age of 18.

9.2 W @ -/ For person filling in the application on the applicant’s behalf

9.2A Kn/ Name: 9.2B sф?@№ P/ Relationship with the applicant:

9.2C „/ Address: 9.2D t2/ Telephone:

9.2E Ya/ Declaration

gYa🎧@ª| ф?@‘ƒS“4 ‡,½aф?@U6 g ‡‡ 8‰gL=。
I declare that I have assisted in the completion of this form at the request of the applicant and that the applicant understands and agrees that the
information provided is true and correct.

W @ n/ Signature: Qm/ Date(yyyy-mm-dd):

7/