官方填写OFFICIALUSEONLY

1、官方填写 （OFFICIAL USE ONLY）授权号签证种类偕行人数发证日期有效日期接证录入制证校对发证壹次 贰次 多次签 证 申 请 表1、姓名照片Surname Given name 中文姓名性别PhotoName in ChineseSex 2、国籍出生地点出生日期年月日NationalityPlace of birthDate of birth YrMthDay3、护照种类 外交护照 公务护照 普通护照Passport typeDiplomatic passport Service passportOrdinary passport4、护照号码护照有效期 年月日Passport nu

2、mberValid until Yr Mth Day5、现在职业在华住址电话号码Present occupationAddress in chinaTel No.6、来华事由邀请单位电话号码Purpose of journeyHost unit in chinaTel No.7、入境日期拟在中国停留期限Date of entryDuration of stay in China8、入境后前往地点Intended destinations in China9、使用同一护照的偕行人Accompanying persons using the same passport(If any)姓名性别出生日

3、期与申请人的关系Full nameSexDate of birthRelationship to applicant我保证以上填写的全部内容属实I guarantee that the statement given above is true and correct.申请人签字填写日期Applicants signatureDate of applicationVISA APPLICATION FORM警察提示Police Reminder欢迎您到中国来，预祝旅途愉快！很荣幸向您提示如下：根据中华人民共和国有关法律规定，请您自入境24小时内办理临时入境住宿登记。如果您在宾馆、饭店、旅店、学校

4、或者其他中国机构内住宿，可以在上述单位办理临时住宿登记；如果您居住在其他地方，请到当地派出所办理。Welcome to China. You are requested by the laws and regulations of the Peoples Republic of China to register for temporary residence within 24 hours upon arrival.If you are staying at a hotel, guesthouse, school or other institution in China, please r

5、egister with these organizations.If you are staying elsewhere, please register with the nearest local police station.以下项目由申请人填写： The following items should be filded out by the applicant ：姓 名 停留期限Surname Name Duration of stay 具体行程Details of Travel自 到 住宿地址（城市、宾馆或居住地址）From(mm/dd) to(mm/dd) Temporary residence (C