中华人民共和国签证申请表 打印/Print
Visa Application Form of the People's Republic of China (Q-1)
(此表须用电脑填写、打印/This form MUST be filled out in computer) e-Form 重填/Reset
1 外文姓/Last Name 外文名/First Name
中文姓名/Chinese Name 性别/Sex
别名/Former Name 出生日期/Date of Birth
2英吋护照照片1张
出生地点/Place of Birth 国籍/Nationality
1 Passport Photo
职业/Occupation 曾有何国籍/Former Nationality
2
工作单位名称、地址/
Name and Address of Employer
市/City 州/State AL 邮编/Zip 工作电话/Office Tel
3 家庭住址/Home Address
市/City 州/State AL 邮编/Zip 家庭电话/Home Tel
4 护照种类/Passport Type 护照有效期/Passport Expiration Date
护照号码/Passport Number 电子信箱/Email
5 前往中国事由/Purposes of Your Visit to China
前往中国地点(省、区、市、县)/Cities
or Counties, Provinces to Visit in China
6 计划入境次数(何种签证及签证次数将由领事决定)/Intended Number
of Entries(Type of visa and number of entries will be decided by consuls)
预计入境的日期/Intended Date of Your First Entry into China
预计在华最长停天数/Utmost Duration of All Entries into China 天/Days
预计取证日期(加急和特急需加收服务费)/Intended Pickup
Date(Extra fee should be paid for express or rush service)
7 邀请单位/个人姓名、地址、电话、Name, Address and
Phone No. of the Organization or Person to Be Visited in China
8 你是否申请过赴华签证/Have you ever applied for a Chinese visa before?
你是否北拒绝过赴华签证或入境记录/Have you ever been declined for Chinese visa application or entry into China?
如果是,请说明被拒绝时间、地点/If yes, please specify when and where.
我谨声明,我已如实和完整地填写了上述内容,并对所填写的内容负责。
I hereby declare that the information above is true, correct and complete and I shall bear all responsiblilities for the information.
填表日期/Current Date 申请人签名/Signature of Applicant