外国人签证、居留许可申请表
VISA AND RESIDENCE PERMIT APPLICATION FORM
1、英文姓名___________________________________________________
Name in En glish (as it appears in your passport)
中文姓名________________________ 国籍 ______________________
2、护照或者证件种类外交□ 公务口普通□其他____________________________
Type of passport of certificate Diplomatic Service Ordinary Others
护照或者证件号码 ___________________________ 有效期至_________ —月—日Passport or certificate number Valid until Y M D
3、现持签证或者居留许可号码___________________ 签发机关_____________________
Current visa or reside nee permit nu mber lssued by
签证种类或者居留事由 _________________ 有效期至___________ 年_月_日
Type of visa or purpose of reside nee Valid un til Y M D
4、在华邀请单位名称或者个人的姓名、地址和电话_________________________________
Compa ny or pers on to vistit in China ,n ame (s), address and teleph one nu mber
申请人在华住址、电话Address and teleph one nu mber of applica nt inn China
5、使用同一护照的偕行人Accompa nying persons in cluded in psaaport
姓名性别出生日期与申请人关系
Name Sex applica nt Date of birth Relati on ship to
昭
八、
、
片
性别男□女□职业
Sex M F Occupati on
出生日期年月日出生地Date of birth Y M D Place of birth
Name in Chin ese (if applicable) Nati on ality
F商务乘务□J-2 记者□ G过境
Busin ess Crew Corresp ondent Tran sit
L探亲旅游因其他私人事务
Visit ing relatives sight see ing for other private purposes
7、申请签证的有效次数和有效Number of entries and validity of visa you are applying for
零次□ 一次□二次□ 多次□ 有效期至
Zero once twice Multiple Valid un til Y M D
8、申请居留许可能性
居留事由Appl ying for reside nee
permit
学习
记者□记者家属□
Purpose of resi dence Study
家属Corresp ondent Fan ily membeof Correspondent
任职就业□家属□
TaKing up post Family member employme nt family member
有效期至
Valid un til
9、申请居留情况变更登记
Register such cha nges
住址□就读院校□任职或者就业单位□ 其他□Address Educati onal in stitute Place of work Others
10、申请其他证件Applyi ng for other certificate
外国人出入境证人外国人旅行证其他
Aliens ' Exit-Entry Permit Aliens 'Travel Permit Others
我谨声明我已如实和完整地填写了上述内容并对此负责
（如属代办，代办人签字）
I hereby declare that the information given above is true,correct and complete .1 shall take full resp on sibility for the above in formari on.
申请人签字代办人签字年月曰
Applicant sig nature Age nt sig nature。