Visa Application Form of the People's Republic of China
Please type your answer in capital English letters in the spaces provided or
check the appropriate box to select.
Section 1. Information About Yourself
Full Name
Surname: Middle Name:
Given Name: 1.2 Sex
✔
Chinese Name if Applicable Current Nationality: PHOTO
2"X2" color photo, with
full face, front view, no hat,
Other or Former Name: Former Nationality: and against a plain light
background
Date of Birth (YY-MM-DD): Place (Province/State, Country) of Birth:
Diplomatic Service or Official ✔ Regular
Passport Type Other (Please specify):
Passport Number: Date of Issue (YY-MM-DD):
Place (Province/State, Country) of Issue: Expiration Date (YY-MM-DD):
Your Current Occupation(s):
✔ Businessman Teacher or Student Government Official
Crew Member of Airlines, Trains or Ships Staff of Media
Member of Parliament, Congressman or Senator Clergy
Other (Please specify):
Section 2. Your Visit to China
Major Purpose(s) of Your Visit(s) to China:
Tourism As Crew Member of Airlines, Trains or Ships
Visiting Relatives As Resident Journalist
✔ Business Trip As Journalist for Temporary News Coverage
Transit As Resident Diplomat or Consul in China
Study Official Visit
Commercial Performance Employment
Other (Please specify):
Single entry valid for 6 months;
Double entry valid for 6 months;
Intended Number of Entries ✔ Multi-entry valid for 6 months;
Multi-entry valid for 12 months
Multi-entry valid for 24 months (Only for qualified applicants)
Date of Your First Possible Entry into China (YY-MM-DD)
Your Longest Intended Stay in China Days
Please list Counties/Cities and Provinces to visit
in China in a time sequence:
Normally, visa processing takes 4-5 working days.
✔ 2-3 Express for 2-3 Business Days;
Do you request express or rush service Rush for 1 Working Day
by paying extra fee
Q-2007
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Section 3. Your Health Condition and Previous Overseas Tour
Have you ever been refused a visa for China? ✔ No Yes
Have you ever been refused entry into or deported from China? ✔ No Yes
Do you have any criminal record in China or any other country? ✔ No Yes
Do you suffer from any of the following disease?
Open Tuberculosis ✔ No Yes
HIV Positive or AIDS
Other infectious diseases
No ✔ Yes
If you select Yes to any question from 3.1 to 3.4, you do
not lose eligibility for visa application. Please give detailed reasons for your answer.
Section 4. Your Contact Information
Name of Your Employer or School: Office Phone Number:
Address of Your Employer or School: Cell Phone Number:
Your Home Address: Home Phone Number:
Phone Number of Your Contact in China:
Name of Inviter, Contact or Your Relative in China:
At What Address will You Stay in China
Address of Inviter, Contact or Your Relative in China:
Section 5. Other Declaration
If there is more information to declare, please give the information below.
Section 6. Application Form Completed by Another Person
If this application was completed by another person on behalf of you,
please have that person complete this section
Name of Person Completing the Form: Relationship to the Applicant:
Address and Phone Number of that Person: Signature of that Person:
Section 7. Important
I have read and understood all the questions in this application. I shall be fully responsible for the answers and the photo,
which are true and correct. I understand that type of visa, number of entries and duration of each stay will be decided by
consuls, and any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China.
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