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外国人签证、居留许可申请表VISAANDRESIDENCEPERMITAPPLICATIONFORM1.英文姓照SurnameinEnglish(asitappearsinyourpassport)英文名片NameinEnglish(asitappearsinyourpassport)中文姓名国籍PHOTONameinChinese(ifapplicable)Nationality性别男女职业SexMFOccupation出生日期年月日出生地DateofbirthYMDPlaceofbirth2.护照或者证件种类外交公务普通其他TypeofpassportorcertificateDiplomaticServiceOrdinaryOthers护照或者证件号码有效期至年月日PassportorcertificatenumberValiduntilYMD3.现持签证或者居留许可号码签发机关CurrentvisaorresidencepermitnumberIssuedby签证种类或者居留事由有效期至年月日TypeofvisaorpurposeofresidenceValiduntilYMD4.在华邀请单位名称或者个人的姓名、地址和电话CompanyorpersontovisitinChina,name(s),addressandtelephonenumber申请人在华住址、电话AddressandtelephonenumberofapplicantinChina5.使用同一护照的偕行人Accompanyingpersonsincludedinpassport姓名性别出生日期与申请人关系NameSexDateofbirthRelationshiptoapplicant6.申请签证的种类TypeofvisayouareapplyingforF商务C乘务J-2记者G过境BusinessCrewCorrespondentTransitL探亲L旅游L因其他私人事务VisitingrelativesSightseeingForotherprivatepurposes7.申请签证的有效次数和有效期Numberofentriesandvalidityofvisayouareapplyingfor零次一次二次多次有效期至年月日ZeroOnceTwiceMultipleValiduntilYMD8.申请居留许可Applyingforresidencepermit居留事由学习记者记者家属PurposeofresidenceStudyCorrespondentFamilymemberofcorrespondent任职家属就业家属TakinguppostFamilymemberemploymentFamilymember有效期至年月日ValiduntilYMD9.申请居留情况变更登记Registersuchchanges住址就读院校任职或者就业单位其他AddressEducationalinstitutePlaceofworkOthers10.申请其他证件Applyingforothercertificate外国人出入境证外国人旅行证其他Aliens’Exit-EntryPermitAliens’TravelPermitOthers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)Iherebydeclarethattheinformationgivenaboveistrue,correctandcomplete.Ishalltakefullresponsibilityfortheaboveinformation.申请人签字代办人签字年月日ApplicantsignatureAgentsignatureYMD