外国人签证、居留许可申请表

外国人签证、居留许可申请表

VISA AND RESIDENCE PERMIT APPLICATION FORM

照 Name in English(as it appears in your passport) 片 中文姓名_____________ 国籍 ________________ Name in Chinese(if applicable) Nationality PHOTO 性别 男□ 女□ 职业 __________________

1．英文姓名 _____________________

Sex M F Occupation 出生日期_______年______月_______日 出生地 _______________ Date of birth Y M D Place of birth

2．护照或者证件种类 外交□ 公务□ 普通□ 其他___________

Type of passport or certificate Diplomatic Service Ordinary Others

护照或者证件号码________________有效期至_______ 年______ 月_____ 日

Passport or certificate number Valid until Y M D

3. 现持签证或者居留许可号码 _________________ 签发机关_____________

Current visa or residence permit number Issued by

签证种类或者居留事由 _______ 有效期至 ______ 年_____ 月 _______日

Type of visa or purpose of residence Valid until Y M D

4．在华邀请单位名称或者个人的姓名、地址和电话__________________________ Company or person to visit in China, name（s）,address and telephone number

_____________________________________________________________________ ____________________________________________________________________

5．使用同一护照的偕行人 Accompanying persons included in passport

申请人在华住址、电话 Address and telephone number of applicant in China

姓名 性别 出生日期 与申请人关系

Name Sex Date of birth Relationship to applicant

______________ ________ _________________ _______________________________ ______________ ________ _________________ _______________________________

6．申请签证的种类 Type of visa you are applying for

F商务□ C乘务□ J-2记者□ G过境□

Business Crew Correspondent Transit

L探亲□ L旅游□ L因其他私人事务□

Visiting relatives Sight seeing For other private purposes

7．申请签证的有效次数和有效期 Number of entries and validity of visa you are applying for

零次□ 一次□ 二次□ 多次□ 有效期至_______年_____月_____日

Zero Once Twice Multiple Valid until Y M D

8．申请居留许可 Applying for residence permit

居留事由 学习□ 记者□ 记者家属□

Purpose of residence Study Correspondent Family member of correspondent

任职□ 任职者家属□ 就业□ 就业者家属□

Taking up post Family member employment Family member

有效期至________- 年_________ 月_________ 日

Valid until Y M D

9. 申请居留情况变更登记________________________________________________

Register such changes

住址□ 就读院校□ 任职或者就业单位□ 其他□

Address Educational institute Place of work Others

10.申请其他证件 Applying for other certificate

外国人出入境证□ 外国人旅行证□ 其他□

Aliens’Exit-Entry Permit Aliens’Travel Permit Others

我谨声明我已如实和完整地填写了上述内容并对此负责

（如属代办，代办人签字）

I hereby declare that the information given above is true, correct and complete. I shall take full

responsibility for the above information.

申请人签字 _______________ 代办人签字____________

Applicant signature Agent signature

年 月 日

Y M D

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