1
2CHINA 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 ___________________
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