材料编号____________

人员编号______________

档案编号______________

外国人签证、居留许可申请表

VISA AND RESIDENCE PERMIT APPLICATION FORM

1．英文姓Surname_____________________________________________________

   英文名Given name___________________________________________________

   中文姓名___________________________________ 国籍/地区_________  ___

   Name in Chinese (if applicable)                  Nationality

   性别     男□           女□                职业/身份___  _________

Sex      M              F                  Occupation

出生日期____________年______月_____日       出生地___________________________________

Date of birth          Y       M     D       Place of birth

2．护照或者证件种类            外交□      公务□ 　       普通□ 　   其它：____________

Type of passport or certificate    Diplomatic.   Service          Ordinary     Others

护照或者证件号码： ___________________           有效期至           年      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 residence permit number                       Issued by

   签证种类或者居留事由：______________________________有效期至          年      月        日

   Type of visa or purpose of residence                   Valid until          Y        M         D

4．在华邀请单位名称或者个人的姓名、地址和电话：___________________________________________________

   Company or person to visit in China , name (s) , address and telephone number

   _______________________________________________________________________________________________

5．申请人在华住址：       市              路      号      室 （      区（县）         派出所）

Address In china         city            Road      No.     Room      District (County)    Police Station

6．使用同一护照的偕行人Accompanying persons included in passport                                                                                                  

  姓名               性别               出生日期                 与申请人关系

 Name              Sex                Date of birth              Relationship to applicant

______________     ________           ____________            _________________________

请看背面

                                                                                       See the back

7．申请签证的种类：  Type of visa you are applying for

   F商务□  C乘务□  J-2记者□    G过境□   L探亲□       L旅游□     L因其他私人事务□

Business   Crew    Correspondent   Transit   Visiting relatives   Sight seeing   For other private purposes

8．申请签证的有效次数和有效期：   Number of entries and validity of visa you are applying for

   零次□　   一次□　     二次□      多次□　      有效期至          年      月        日

   Zero        Once         Twice      Multiple       Valid until          Y      M         D

9．申请居留许可   Applying for residence permit

   居留事由：          探亲□          学习□    记者□　       记者家属□　

   Purpose of residence   Visiting relatives   Study     Correspondent   Family member of correspondent

   任职□　       任职者家属□　   就业□　    就业者家属□　     投靠□

   Taking up post   Family member   employment    Family member     Seeking refuge with family members

   置房□            置房者家属□      赡养□             寄养□       其他□

   Purchase housing    Family member    Maintaining parents    Fosterage     Others

   有效期至          年       月        日

   Valid until          Y       M         D

10．申请居留情况变更登记：______________________________________________________________________

Register such changes

住址□　                  就读院校□　             任职或者就业单位□　         其他□　

Address                 Educational institute            Place of work                 Others

11．申请其他证件  Applying for other certificate

   外国人出入境证□　               外国人旅行证□