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: Given Name: Chinese Name if Applicable Other or Former Name: Middle Name:
1.2
Sex
Please affix one recent passport style color photo, with full face, front view, no hat, and against a plain light background
Current Nationality: Former Nationality:
Date of Birth (YY-MM-DD): Diplomatic
Passport Type
Place (Province/State, Country) of Birth: Service or Official Other (Please specify): Date of Issue (YY-MM-DD): Expiration Date (YY-MM-DD): Regular
Passport Number: Place (Province/State, Country) of Issue: Your Current Occupation(s): Businessman Crew Member of Airlines, Trains or Ships Member of Parliament, Congressman or Senator Other (Please specify):
Teacher or Student
Government Official Staff of Media Clergy
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; Multi-entry valid for 6 months; Intended Number of Entries Multi-entry valid for 12 months Multi-entry valid for 24 months 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:
2-3 Normally, visa processing takes 4 working days. Do you request express or rush service by paying extra fee
Express for 2-3 Business Days; Rush for 1 Working Day
Q-2007
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Section 3. Your Health Condition and Previous Overseas Tour
Have you ever been refused a visa for China? Have you ever been refused entry into or deported from China? Do you have any criminal record in China or any other country? Do you suffer from any of the following disease? Open Tuberculosis HIV Positive or AIDS Other infectious diseases No Yes No No No Yes Yes Yes
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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