中国签证申请表CHINESEVISAAPPLICATIONFORM中国大使馆地址/AddressofChineseEmbassyinCanberra:15CoronationDrive,Yarralumla,Canberra,ACT2600办证时间/OfficeHours:星期一至五Monday-Friday上午9:00am-12:30pm电话咨询时间/TelephoneInquiryHours:下午2:00pm-4:00pm电话/Tel:02-62734783传真/Fax:02-62739615网址/Website:http://au.china-embassy.orgPleasereadimportantinformationonthereversepriortocompletionofthisform.Allboxesintheformmustbecompleted.1.中文姓名/ChineseName(ifany)2.曾用名/PreviousName(ifany)请在此处贴本人近3.外文姓外文名4.性别Gender期护照相片一张SurnameFirstName男□M女□F5.出生日期6.出生地PleaseaffixonerecentDateofbirthPlaceofbirthpassportphotohere7.现有国籍8.曾有何国籍CurrentNationalityFormerNationality9.职业10.工作单位OccupationNameofemployer/business11.单位电话12.手机或家庭电话OfficephoneMobileorDaycontactnumber13.家庭住址Residentialaddress14.现持护照种类外交□公务□普通□其它□TypeofPassportDiplomatic□Service(Official)□Ordinary□Other□护照号码护照有效期至年月日PassportNo.ValiduntilYearmonthday15.申请赴华事由16.前往地点（省、市、县）PurposeofjourneytoChinaPlacestovisit（Province\city\county）17.邀请单位名称或邀请人姓名,地址和电话Name,addressandtelephonenumberofcompaniesorpersonsyouintendtovisitinChina/Nameoftourandtourcompany18.未来3个月内计划入境日年月日19.每次在华停留天数天Intendeddateofentryinthenext3monthsYearmonthdayIntendeddurationofeachstaydays20.拟入境次数PlannednumberofentriestoChina21.取证日期PreferredCollectingDay□正常（第4工作日）一次,自现在起3个月内入境□Oneentrywithin3monthsfromnowNormal(Forthworkingday)两次,自现在起6个月内入境□Twoentrieswithin6monthsfromnow□加急（第3工作日，加付A$30）多次,自现在起6个月内出入境□Multipleentrieswithin6monthsfromnowExpress(Thirdworkingday,A$30extra)□特急（第2工作日，加付A$50）多次,自现在起12个月内出入境□Multipleentrieswithin12monthsfromnowRush(Secondworkingday,A$50extra)22.是否通过邮寄办理？★邮寄办理,请同时附上一个写明收件人地址、姓名的,邮资已付的回邮信封和邮寄手续费10澳元/件Doyouapplyforavisabymail?是Yes□否No□★Note:Apre-paid,self-addressedreturnenvelopeandA$10extraperpackagemustbeprovidedforvisaapplicationbymail.23.是否申请过中国签证？HaveyoueverappliedforaChinesevisabefore?是Yes□否No□24.是否被拒绝过中国签证？HaveyoueverbeendeclinedaChinesevisa?是Yes□否No□25.我谨声明，我已如实和完整地填写了上述内容，并对此负责。Iherebydeclarethattheinformationgiven