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001
材料编号____________
人员编号______________
档案编号______________
外国人签证、居留许可申请表
VISA AND RESIDENCE PERMIT APPLICATION FORM
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二寸、正面
免冠相片
Your recent
two-inch full-faced
passport photograph |
1．英文姓Surname_____________________________________________________
英文名Given name___________________________________________________
中文姓名______________________________________ 国籍/地区____________
Name in Chinese (if applicable) Nationality
性别 男 女 职业/身份____________
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 其它____________
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
_______________________________________________________________________________________________
申请人在华住址、电话Address and telephone number of applicant in china
_______________________________________________________________________________________________
5．住址辖区所属公安派出所_________________________________________________________________________
Local police station of this address
6．使用同一护照的偕行人Accompanying persons included in passport
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姓名 性别 出生日期 与申请人关系
Name Sex Date of birth Relationship to applicant
______________ ________ ____________ _________________________
______________ ________ ____________ _________________________
7．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
8．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
9．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 家属 就业 家属
Taking up post Family member employment Family member
有效期至 年 月 日
Valid until Y M D
10．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
11．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
liens’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___________________ _________年_____月_____日
Applicant signature Agent signarure Y M D
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