外国人签证证件申请表VISA / STAY PERMIT / RESIDENCE PERMIT APPLICATION FORM近期两寸正面免 冠彩色白底照片 Xcm full facerecent photowith whitebackgro und（请用黑色墨水笔填写内容）Please complete the form in black ink1、姓名中文姓名Surname Given name Name in Chinese国籍出生日期年 月 日出生地Nationality Date of birth YMD Place of birth 性别： 男女电子邮件地址Sex M. F. E-mail在华住址Address in China 在华单位/学校单位电话Compa ny/School in China Tel of company 在华工作地址Add of worki ng place 2、 护照种类外交公务（官员）普通其他Passport type Diplomatic Service （Official） Ordinary Other 护照号码有效期至年月日Passport No. Valid until YMD3、 现持有效签证证件种类签证 停留证件居留证件免签Current visa category Visa Stay permit Reside nee permit Visa free 证件号码有效期至年月日Visa No. Valid until YMD4、 使用同一护照的偕行人Depe ndents on same passport姓名性别出生日期与申请人关系Surn ameGive n n ameSexDate of birthRelati on ship5、申请签证填写For visa onlyF访问Non-commercial businessS2私人事务Personal affair 团体签证分离L旅游Tourist 匚|X2学习Stude nt I团签M贸易Q2团聚Business |Family reunion R人才G过境Tale nt Tran sit 申请本次停留至年J2记者Journalist 匸C乘务Crew 月 日Separation from group visa Group visa Valid untilYMD换发补发入境次数停留天数 入境有效期至年 月 日Renew| | Reissue, | Entries Duration of stay Entry before . YMD请填写双面 Please fill out both sides6、申请停留证件填写For stay permit o nly免签船员退籍Visa free Crew Renouncement |补发申请停留期限至年月Reissue Valid un tilYM7、申请居留证件填写For reside nee permit only工作学习记者Employee Student IJournalist 换发补发申请居留期限至人道主义其他Humanitarian Others 日D团聚私人事务Family reunion Personal affair 年月日YMD8 申请其他证件填写For other docume nts外国人旅行证Foreign citizen travel documents 外国人出入境证Foreign citizen exit-entry permit 勤工助学或校外实习加注Study-work / Internship 旅行目的地Dest in ati on申请日期至年月日Valid un tilYMD申请日期至年月日Valid un tilYMDRen ew| Reissue Valid until9、申请变更填写For cha nge of the follow ing姓名护照号码事由增/减偕行人数Name Passport No. Purpose of stay Add/Reduce number of dependents 其他注明Or others 10、备注 Notes我保证以上填写的内容真实、准确、完整，并保证在停留居留期间遵守中华人民共和国的法律。I hereby declare that the information given above is true, correct and complete. I shall abide by theChin ese laws and regulati ons duri ng my stay in the People Republic of China.申请人签字Applicants sig nature代办人签字Age nts sig nature联系电话Applica nts Tel联系电话Age nts Tel申请日期年月日Applicati on dateYMD单位印章Company/School s seal