哈萨克斯坦签证申请表.doc

Express 三天加急 Normal 七天Photo照片VISA APPLLICATION FORM签证申请表Application form should be filled in fully and accurately in capital letters, submitted with passport, which is valid. Please, ensure that the photograph is attached.请准确、完整地填写申请表并提交护照及其复印件和照片.1.Full name 姓名_(pinyin)_2.Date of birth 出生日期_3.Place of birth: 出生地点：City/Province 市/省_ Country国家_4.If applicant is married, his/her wifes/husbands full name and present nationality_已婚者请填写妻子或丈夫的姓名及其国籍_5. Applicants Permanent Address: 申请者固定地址：Present Nationality 国籍 _Country 国家 _City/Province市/省 _County/District 县/区 _Street/Village 街道/乡村_Flat & House No楼,房号 _ Contact Phone 联系电话_6.ID card 身份证编号_ Place of issue签发单位_7.Passport 护照编号_ Place of issue签发单位_8.Date of issue 签发日期 _ Date of expiry有效期至_9.Marital Status 婚姻状况: single 未婚 married 已婚 sex 性别: female女 widow(er) 丧偶 ivorced离婚 separated 分居 Male 男10. Applicants Place of work 申请者工作单位 _11.Address of work 单位地址_12.Occupation: 职务_ Office Phone电话_13.If any children accompanying applicant are included in his/her passport, give the details 如有孩子同行,请写：Name姓名 Place and date of birth出生地点日期 Sex 性别 Relation关系 _ 14. Dates and places of all your previous visits to Kazakhstan _ 您过去访问哈萨克斯坦的所有地点和时间_15.If permission to visit to Kazakhstan or extend stay in Kazakhstan has been refused previously, if so, when & by whom?以前是否被拒绝访问或延长停留在哈萨克斯坦? No Yes _16.Purpose of Visit (give details): 请详细填写访问目的_17.Approximate duration of stay in Kazakhstan 在哈萨克斯坦停留的时间_18.Period of stay 停留的时段：from自_ till 至 _19.Places of destination: 目的地点： _20.Port of First entry to Kazakhstan: 进入哈萨克斯坦的第一入口: _21.Inviting side( full name ,address, Tel/Fax) 邀请方（姓名、地址、电话/传真）_I undertake that I shall utilize my visit to the Republic of Kazakhstan for the purpose for which visa has been applied. I also understand that if any information given above is found to have withheld the visa and permission to enter Kazakhstan is liable to be refused. I also know that the given visa is not guarantee for entering the country if the immigration authorities have suspicion of its forgery correcting or disparity of visa with the true intention of its holder. Date: _ Signature: _我遵守我在此签证里所申请的访问哈萨克斯坦共和国的目的，我得知，如果所填写的内容中，有被限制的信息，前往哈萨克斯坦共和国的签证和许可将会被拒绝。我知道，如果移民当局怀疑该签证是隐瞒伪造或与其持有者的真实目的不相一致的，该签证则不能作为进入该国的保证书。 日期 _签名 _(pinyin)_DRUGS SMUGGLING WARNING: In the Republic of Kazakhstan there is a penalty stipulated for drugs smuggling. Drug traders may try to suborn departing persons. If Kazakhstan is the place of your destination, try to avoid any affairs connected with drugs.毒品走私警告：在哈萨克斯坦共和国