阿塞拜疆签证申请表

1、Azrbaycan Respublikas Xarici İlr NazirliyiMinistry of Foreign Affairs of the Republic of AzerbaijanViza almaq haqqnda anketApplication form for visaQeyd: Blank doldurarkn ap hrflrindn istifad edinNote: Use block letters to fill the application formSoyadnz/Surname: XUAdnz v atanzn ad:First and middle

2、 names JIANCinsi/Sex:kii/maleqadn/femaleDoum tarixiniz: (gn, ay, il)Date of birth: (day, month, year)02 AUG 1981Doulduunuz yer: (lk v hr)Place of birth (country and city)JIANGSUVtndalnz: Citizenship:CHINAVtndalnz dyiilibmi? (gr dyiilibs, n zaman v vvlki vtndal gstrin)Has your citizenship been change

3、d? (if yes, when and previous citizenship ) NOPasportun nmrsi: Passports number: G24902742Etibarldr: (gn, ay, il)Valid until: (day, month, year) 23 SEP 2017Tam ev nvannz v ev telefon nmrsi:Full home address & home phone number:No. 545 Qianhu Rd, Qianqiao, Wuxi, Jiangsu, China86-510-83217802İ yeriniz

4、 v vzifniz/Occupation and position:Sr. EngineerAssembly Department, Guangcai MachinerySfrinizin mqsdi: Purpose of visit: Turizm/Tourismİ/Business İdman-Mdni Sport-CulturalDigr (gstrmk) Other (identify)Sfrinizi kim maliyyldirir?Who will pay for your trip? The Inviting PartyVizann nv/Type of visa Bird

5、fli/Single İkidfli/Double oxdfli/Multiple Tranzit/TransitTibbi sortanz varm: Do you have medical insurance: Bli/YesXeyr/NoAzrbaycana dvt edn xsin v ya tkilatn (tam ad) nvan, telefonu Full name, address and phone number of person or organization inviting you to AzerbaijanAzrbaycanda qalacanz yerin ad

6、, nvan v telefon nmrsi:Name, address and phone number of the place of your stay in Azerbaijan:Mn tsdiq edirm ki, anketd gstriln suallarn hamsn oxuyub baa ddm v onlara dzgn cavabverdim. Baa drm ki, hr hans yanl mlumat nticsind mn Azrbaycan vizasnn alnmasnda etirazoluna bilr.I certify that I have read, understood and correctly responded at all questions of this application form. I understand that any misinformation may result in the refusal for entry visa to Azerbaijan.rizinin imzas/Applicants signature Tarix/Date Yalnz xidmti istifad n/ Only for official useSndlrin qbul edildiyi tarix