赴南非签证申请表中英文

1、赴南非签证申请表中英文DEPARTMENT: HOME AFFAIRSREPUBLIC OF SOUTH AFRICA部门：南非共和国民政局APPLICATION FOR VISA OR TRANSIT VISASection 7(1)(g)read with section 10A and 10B;Regulation 8 (1)签证或过境签证申请表Failure to complete this application form in full may result in the visa being delayed orrefused.Please use block letters a

2、nd black ink only.如申请表没有填写完整，则会造成签证被推迟或拒绝。请使用大写字母、黑色墨水填写表格。PERSONAL PARTICULARS 个人资料Surname 姓First name(in full)名(全名)Maiden name婚前姓（女子）Previous name曾用名Y 年Y 年Y 年Y 年M月M月D日D日Date of birth出生年月日City of birth 出生城 市Countryofbirth出家生国豕Gender性别Mal e男female女Nationality 国籍Ifacquiredbynaturalization,stateorigin

3、al nationality如移民，原国籍为Where and when was present nationality obtained?地何年取得此国 籍Passport/Travel Document Number 护 照 / 旅 游证件 号Type of document: Diplomatic/ Official/ Ordinary Passport/Travel证件类型：外交/官方/普通般/护照/旅游 Document/Other(specify)证件 / 其它(详细说 明)Issuing authority: 签发机 关.Date of expiry:有效期至 Permanent

4、 residential address 永久居住地址Period residential at this address 此 地居住 限年 elephone()j number 电话(code区号)(number号码)Country of permanent residence 永 久居住 家国 F此Period residence in that country 比国居住年限 Occupation or profession职di/Name, address and telephone NO. of employer, organization, etc. to which yc atta

5、ched, or that you represent所属和代表的雇主的姓名，地址，电话，学校，组织，)u are If self-employed, state name, address, telephone NO. and nature of business 如是个 营，列举单位名称，地址，电话，营业性质J体经 Marital status 婚姻状 况Never marrie d未婚Married已婚Widowe d 寡 居Separate d 分居Divorced 离异First name(s) of spous配 偶名字Maiden name 婚前'姓氏Y 年Y 年Y 年Y

6、 年M月M月D日D日Nationality 国籍Date of birth出生年月日NB:SEPATE FORM MUST BA COMPLETED IN RESPECT OF PERSON OVER THEAGE OF 16 AND CHILDREN UNDER THE AGE OF 16 TRAVELLING ON THEIR OWN PASSPORTS注意：16岁以上人员需独立填表。未满 16岁的儿童旅游时，需持自己的护照。Particulars of children endorsed on your passport accompanying you: 随行儿童的详细资料：Surna

7、me 姓First name(s)名Date of birth出生日期Place of birth 出生 地(1)(2)(3)(4)Visit To SOUTH AFRICA 签证至U南非Expected date of arrival in the Republic 预期到达时间YPlace of arrival 到达地点 .Purpose of visit访冋目的 .Duration of stay (months, weeks or days)停 留期限 天)Number of entries required 要求进入次数年M月D日（几月，几周，或几single一此multiple 多

8、次two 二次Proposed residential address(physical) in the Republic, including the full name(s) host or hotel#划在南非暂居的地址，包括东道主全名，入住酒店全称of youName of organizations or persons you will be contacting during your stay in the Republi 在非期间联系的组织或个人的详细信息Name姓名Address 地址Relationship 关系Identity document number or pe

9、rmanent residence permit number of South African host 永居南非的证明文件或许可证号 Indicate by means of an X whichever is applicabl指 出通过何种方式申请Have you at any time applied for a permit to settle permanently in South Africa?是否曾申请永居南非？yes是no否Have you ever been restricted or refused entry into South Africa?是否曾被限制或拒绝进

10、入南非？yes是no否Have you ever been deported from or ordered to leave South Africa?是否曾被驱逐或命令离开南非？yes是no否Have you ever been convicted of any crime in any country?是 否曾被某国判邢？yes是no否Is a criminal action pending against you in any country是 否有 罪行在某国悬而未决？yes是no否Are you an unrehabilitated insolvent?你是一个无力偿债的破Jyes

11、no、/» -x 产者？是否Are you suffering from tuberculosis or any other infectious diseaseor any mental or physical deficiency?是否是结核病患 者或其匕传染病携带者，是否有心理或身体缺陷？yes是no否Have you ever been judicially declared incompetent?是否曾被 司法机关剥夺政治权利？yes是no否Are you a member of, or adherent to an association or organization

12、 advocating the practice of social violence or racia hatred or are youyes是no否or have you been a member of an organization or association utilizing crime or terrorism to pursue its ends?Give particulars if reply to one or more of the questions above is in the affirmative: 是否为是或曾是暴力和种族仇恨协会或组织的成员？是否是或曾

13、是以犯罪或暴力为手段 来达到最终目的的协会或组织的成员？ 如以上问题有填“是”的，请详细说明：To be completed by applicants applying for visit' permits exceeding three months:申请入境超过三个月的申请人，填写下面内容:In the case of a spouse or dependant minor child of the holder of a permit issued in terms of section 11, 13, 14, 15, 17, 19 or 22, submission of a

14、 marriage certificate or an unabridged birth certificate.按照11,13,14,15,仃,19,22条，如是持证人的配偶或未成年小孩请提交结 婚证或完整出生证明。Proof of academic sabbatical, if applicable 如是，提供学术休假证明Proof of non-remunerative voluntary or charitable activities to be undertaken, if applicable如从事自愿者活动或慈善活动，请出示证明。Proof of research to be

15、undertaken, if applicable.从事研究活动，请出示证明。Proof funds available for subsistence during period of visi 提供停留非洲期间可供生存的 资金证明。To be completed by applicants applying for diplomatic, official or courtesy visas :申请夕卜 交、官方或邀请签证的申请人，填写下面内容：In the case of an official visit, submission of a note verba如是 官方考察，提交普通照

16、会。In the case of a diplomatic placing in the Republic, proof of such placing如 在南非有外交 场合，请出示证明。To be completed only by passengers in transit to another country过境至 U其他国家的旅客 请填写：Destination after leaving the Republic离开南非后的目的地 Mode of travel to destination到达目的地的方式 Intended date and port of departure fro

17、m the Republic to that destination 戈 U从南非至 U达 目的地的日期与出发港Do you have a visa or permit for temporary or permanent residence in the country of yo destination? (Proof must be submitted).是否持有目的地国家的短期或长期居住的许可证 或护照？(需递交证明) .to be completed by persons wishing to work in the Republic. If the answer is yes, please provide details 由打算在南非工作的人员填写：如答案为“是”，请详细陈述I SOLEMNLY DECLARE THAT THE ABOVE PARTICULARS PROVIDED BY ME ARE TRUE IN SUBSTANCE AND IN FACT I FULL UNDERSTAND THE MEANING THEREOF. I FURTHER DE