FormV.2013中华人民共和国签证申请表VisaApplicationFormofthePeople’sRepublicofChina(FortheMainlandofChinaonly)申请人必须如实、完整、清楚地填写本表格。请逐项在空白处用中文或英文大写字母打印填写，或在□内打√选择。如有关项目不适用,请写“无”。Theapplicantshouldfillinthisformtruthfully,completelyandclearly.PleasetypetheanswerincapitalEnglishlettersinthespaceprovidedortick(√)therelevantboxtoselect.Ifsomeoftheitemsdonotapply,pleasetypeN/AorNone.一、个人信息Part1:PersonalInformation姓Lastname粘贴一张近期正面免冠、浅色背英文姓名1.1景的彩色护照照片。FullEnglishname中间名Middlenameasinpassport照片/Photo名FirstnameAffixonerecentcolorpassportphoto(fullfacefrontview1.2中文姓名1.3别名或曾用名,,NameinChineseOthername(s)bareheadedandagainstaplainlightcoloredbackground).1.5出生日期1.4性别Sex男M女FDOB(yyyy-mm-dd)1.6现有国籍1.7曾有国籍Formernationality(ies)Currentnationality(ies)1.8出生地点(市、省/州、国)Placeofbirth(city,province/state,country)1.9身份证/公民证号码LocalID/Citizenshipnumber1.10护照/旅行证件种类外交Diplomatic公务、官员ServiceorOfficialPassport/Traveldocumenttype普通Ordinary其他证件(请说明)Other(Pleasespecify):1.11护照号码1.12签发日期PassportnumberDateofissue(yyyy-mm-dd)1.13签发地点1.14失效日期PlaceofissueDateofexpiry(yyyy-mm-dd)商人Businessperson前/现任议员Former/incumbentmemberofparliament职位公司职员CompanyemployeePosition________________________演艺人员Entertainer前/现任政府官员Former/incumbentgovernmentofficial职位工人/农民Industrial/AgriculturalworkerPosition________________________当前职业1.15学生Student军人Militarypersonnel（可选多项）职位Current乘务人员CrewmemberPosition________________________occupation(s)自雇Self-employed非政府组织人员NGOstaff无业Unemployed宗教人士Religiouspersonnel退休Retired新闻从业人员Staffofmedia其他(请说明)Other(Pleasespecify):1.16受教育程度研究生Postgraduate大学CollegeEducation其他(请说明)Other(Pleasespecify):名称联系电话1.17工作单位/学校NamePhonenumberEmployer/School地址邮政编码AddressZipCode中国驻美国大使馆/Page1of41.18家庭住址1.19邮政编码HomeaddressZipCode1.20电话/手机1.21电子邮箱Home/mobilephonenumberE-mailaddress1.22婚姻状况Maritalstatus已婚Married单身Single其他Other(Pleasespecify):姓名Name国籍Nationality职业Occupation关系Relationship1.23主要家庭成员(配偶、子女、父母等,可另纸)Majorfamilymembers(spouse,children,paren