CHINA VISA PRACTICE APPLICATION FORM

Section 1 Information about Yourself

1.1 Full Name

Surname ____________________________

Middle Name ________________________________

Given Name _________________________

1.2. Sex

M or F

1.3 Chinese Name if Applicable ____________________

1.4 Current Nationality ________________

1.5 Other or Former Name ________________________

1.6 Former Nationality ________________

1.7 Date of Birth (YY-MM-DD) ____________________ 1.8 Place (Province/State, Country) of Birth ___________________

1.9 Passport Type

Diplomatic // Service or Official // Regular // Other (Please Specify) ___________________

1.10 Passport Number: ___________________________

1.11 Date of Issue ( YY-MM-DD) ______________________

1.12 Place (Province/State, Country) of Issue _________________ 1.13 Expiration Date ( YY-MM-DD) __________________

1.14 Your Current Occupation(s):

Businessman

Teacher/Student

Government Official

Staff of Media

Crew Member of Airlines, Trains, Ships

Member of Parliament, Congressman or Senator

Clergy

Other (Please Specify):

Section 2 Your Visit to China

2.1 Major Purpose(s) of Your Visit(s) to China

Tourism

As Crew Member of Airlines, trains or Ships

Visiting Relatives

As Resident Journalist

Business Trip

As Journalist for Temporary News Coverage

Transit

As Resident Diplomat or Consul in China

Study

Official Visit

Commercial Performance

Employment

Other (Please Specify)

2.2 Intended Number of Entries

Single entry valid for 3 months

Double entry valid for 6 months

Multi-entry valid for 6 months

Multi-entry valid for 12 months

2.3 Date of Your First Possible Entry into Chine (YY-MM-DD) _____________________________

2.4 Your Longest Intended Stay in China

Days _________________________

2.5 Please list Countries/Cities and Provinces to visit in Chine in a time sequence

______________________________

2.6 Normally, visa processing takes 4 working days. Do you request express or rush service by paying extra fee? ________________

Express for 3 working days

Rush for 2 working day

Section 3 Your Health Condition and Previous Overseas Tour

3.1 Have you ever been refused a visa for China? Yes/No

3.2 Have you ever been refused an entry or deported from China? Yes/No

CHINA VISA PRACTICE APPLICATION FORM

Section 1 Information about Yourself

1.1 Full Name

Surname ____________________________

Middle Name ________________________________

Given Name _________________________

1.2. Sex

M or F

1.3 Chinese Name if Applicable ____________________

1.4 Current Nationality ________________

1.5 Other or Former Name ________________________

1.6 Former Nationality ________________

1.7 Date of Birth (YY-MM-DD) ____________________ 1.8 Place (Province/State, Country) of Birth ___________________

1.9 Passport Type

Diplomatic // Service or Official // Regular // Other (Please Specify) ___________________

1.10 Passport Number: ___________________________

1.11 Date of Issue ( YY-MM-DD) ______________________

1.12 Place (Province/State, Country) of Issue _________________ 1.13 Expiration Date ( YY-MM-DD) __________________

1.14 Your Current Occupation(s):

Businessman

Teacher/Student

Government Official

Staff of Media

Crew Member of Airlines, Trains, Ships

Member of Parliament, Congressman or Senator

Clergy

Other (Please Specify):

Section 2 Your Visit to China

2.1 Major Purpose(s) of Your Visit(s) to China

Tourism

As Crew Member of Airlines, trains or Ships

Visiting Relatives

As Resident Journalist

Business Trip

As Journalist for Temporary News Coverage

Transit

As Resident Diplomat or Consul in China

Study

Official Visit

Commercial Performance

Employment

Other (Please Specify)

2.2 Intended Number of Entries

Single entry valid for 3 months

Double entry valid for 6 months

Multi-entry valid for 6 months

Multi-entry valid for 12 months

2.3 Date of Your First Possible Entry into Chine (YY-MM-DD) _____________________________

2.4 Your Longest Intended Stay in China

Days _________________________

2.5 Please list Countries/Cities and Provinces to visit in Chine in a time sequence

______________________________

2.6 Normally, visa processing takes 4 working days. Do you request express or rush service by paying extra fee? ________________

Express for 3 working days

Rush for 2 working day

Section 3 Your Health Condition and Previous Overseas Tour

3.1 Have you ever been refused a visa for China? Yes/No

3.2 Have you ever been refused an entry or deported from China? Yes/No

3.3 Do you have any criminal record in China or any other country? Yes /No

3.4 Do you suffer from any of the following diseases? Yes/No

Mental Diseases

Venereal Diseases

Leprosy

Open Tuberculosis

HIV Positive or Aids

Other Infectious Diseases

3.5 Have you ever visited China before? Yes/No

3.6 If you select yes to any questions from 3.1 to 3.4 you do not lose eligibility for visa application. Please give detailed reasons for

your answer. ________________________________________________________________________

Section 4 Your Contact Information

4.1 Name of your Employer or School ___________________________ 4.2 Daytime Phone Number ________________________

4.3 Address of Your Employer or School _________________________ 4.4 Nighttime Phone Number _______________________

4.5 Your Home Address_______________________________________ 4.6 Your Email __________________________________

4.7 Inviter, Contact or Your Relative in China __________________________ 4.8 Phone Number of Your Contact ____________

4.9 Inviter, Contact or Your Relative in China _________________________ 4.10 Email of Your Contact ____________________

Section 5 Other Declaration

If there is more information to declare, please give the information below

________________________________________________________

Section 6 Application Form Completed by Another Person

If this application was completed by another person on behalf of you, please have that person complete this section.

6.1 Name of person _____________________________ 6.2 Relationship to the Applicant __________________________

6.3 Address and Phone Number of that Person _________________________________

6.4 Signature of that Person ___________________

"China Visa Practice Application Form" - China

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