VISA APPLICATION FORM OF THE PEOPLE'S REPULBIC OF CHINA
1. Surname Given name 3. Chinese Name (If any) 2. Sex： □M □F 4. Previous name (If any) Photo 5. Date of birth Y 7. Nationality M D 8. Former nationality (If any) 9. Occupation 6. Place of birth
10. Name of your company/employer
11. Office phone №
12. Home address □ Diplomatic M D □ Service (Official) Passport № Issued by
13. Home phone № □ Ordinary
14. Passport type: Valid until Y
□ Other travel document
15. Purpose of journey to China
16. Places to visit in China
17. Name, address and phone of the company or person to be visited in China 18. Number of entries requested: □ Single RM30 □ Double (RM50) □ Half-year Multiple (RM80) □ Two-year Multiple (RM120) 20.Duration of (each) stay: days □ One-year Multiple (RM120) 19. Intended date of entry: Y M D
21.Regular 9.00am-11.45am 第四个工作日 The 4th working day Expected collection time Urgent 9.00am-11.45am The 2nd or 3rd working day *RM100 Express fees will be charged. Top-urgent 4.30pm-5.00pm The same day afternoon） *RM140 Express fees will be charged. 22. Have you ever applied for a Chinese visa before? □ Yes □ No □是/Yes □否/No
23. Have you ever been declined for your Chinese visa application? If ever declined, when and where?
24. I hereby declare that the information given above is true, correct and complete. I shall bear the responsibility for the above information. Signature: Date: Y M D