CHINA VISA QUESTIONNAIRE

PLEASE ANSWER IN BOLD FONT

PERSONAL INFORMATION

Last Name: First Name:

Date of Birth
Gender: (YYYY-MM-DD):

Place & Country of Birth: Passport Number:

Passport’s Date of Expiry
Marital Status: (YYYY-MM-DD):
Passport’s Place &
Nationality: Country of Issuance:
Do you hold or held any other Nationality? (YES or NO) If yes, please advise:

Complete Home Address with Zip Code:

Personal Mobile Number: Personal Email Address:

BUSINESS OR EMPLOYMENT INFORMATION

OCCUPATION: POSITION:
o Business Person o Company Employee Business Name or Employer’s Business Name:
o Retired o Student
o Unemployed Annual Income (PHP):
Address of Business or Employer (Line 1, City, State/Province, Zip Code and Country):

Start date of Business or with Current Employer Email address of Business or Current Employer:

(YYYY-MM-DD):

Your duties and responsibilities:

Business or Employer’s Phone Number:

Supervisor’s Name: Supervisor’s Phone Number:

Name of School/Institution:
Your Diploma/Degree:
o Graduate
o Undergraduate
EDUCATION BACKGROUND
Major:
o PHD or above
o Higschool
 FAMILY INFORMATION
SPOUSE INFORMATION (if applicable)

Full Name: Birthdate (YYYY-MM-DD):

Nationality: Current Occupation:

Country of Birth: City of Birth:

Current Home Address:

FATHER’S INFORMATION

Full Name: Birthdate (YYYY-MM-DD):

Nationality: Is your father in China? YES OR NO

Current Home Address:

MOTHER’S INFORMATION

Full Name: Birthdate (YYYY-MM-DD):

Nationality: Is your mother in China? YES OR NO

Current Home Address:

CHILDREN’S INFORMATION
Date of Birth
Full Name: Nationality: (YYYY-MM-DD):

Complete Address:
Date of Birth
Full Name: Nationality: (YYYY-MM-DD):

Complete Address:
Date of Birth
Full Name: Nationality: (YYYY-MM-DD):

Complete Address:
Date of Birth
Full Name: Nationality: (YYYY-MM-DD):

Complete Address:
Date of Birth
Full Name: Nationality: (YYYY-MM-DD):

Complete Address:
 TRAVEL DETAILS

Type of Visa: o Single Entry o Multiple Entry (1yr) Purpose of Travel: o Tourist
o Double Entry o Business

Intended date of Arrival in Intended date of Departure

China (YYYY-MM-DD): from China (YYYY-MM-DD):

City of Arrival: City of Departure:

IF INVITED BY A PERSON OR ORGANIZATION

Name: Relationship To You:

Phone Number: Email Address:

Complete Address:

EMERGENCY CONTACT INFORMATION

Contact Person: Relationship to you:

Contact Number: Email Address:

Complete Address:

Who will pay for this travel: o SELF o OTHER o ORGANIZATION

Name of Sponsor: Relationship to you:

Phone Number: Email Address:

PAST TRAVEL INFORMATION

YES OR NO Have you been to China? NOTE: Hong Kong, Macau and Taiwan is a territory of China

YES OR NO Have you been issued a Chinese Visa?

If yes, please fill-up the details below:
NOTE: If you have more than 1 previous China Visa, just fill-up the most recent
Date of Issue
Type of Visa Visa Number Place of Issue
(YYYY-MM-DD)

YES OR NO Have you ever been fingerprinted when applying for China Visa?
If yes, provide the following: Place & Country: YYYY-MM:

YES OR NO Have you ever been issued a Chinese residence permit?

If yes, please provide residence permit:
 YES OR NO Do you currently hold any valid visas issued by other countries?

If yes, please enumerate:

YES OR NO Have you travelled to any other countries in the past 12 months?

If yes, please enumerate:

YES OR NO Have you ever been refused a visa for China, or been refused entry into China?
If yes, please specify or explain the details:

YES OR NO Has your Chinese visa ever been cancelled?

If yes, please specify or explain the details:

OTHER INFORMATION AND DECLARATION

YES OR NO Have you ever entered China illegally, overstayed, or worked illegally?
If yes, please specify or explain the details:

YES OR NO Do you have any criminal record in China or any other country?
If yes, please specify or explain the details:

YES OR NO Do you have any serious mental disorder or infectious disease?

If yes, please specify or explain the details:

YES OR NO Have you ever visited countries or territories where there is an epidemic in the last 30 days?
If yes, please specify or explain the details:

Have you ever been trained or do you have any special skills in the field of firearms,
YES OR NO explosives, nuclear devices, biological or chemical products?
If yes, please specify or explain the details:

YES OR NO Are you serving or have you ever served in the military?
If yes, please provide the details below:
Country or Region Branch of
of Service: Service:
 Military
Rank in Military:
Specialty:
Date of Service Date of Service
from (YYYY-MM-DD): to: (YYYY-MM-DD):

Have you served or participated in any paramilitary organization, civil armed units, guerrilla
YES OR NO forces or armed organizations, or been its member?
If yes, please specify or explain the details:

Have you belonged to, contributed to, or worked for any professional, social, or charitable
YES OR NO organizations?
If yes, please specify or explain the details:

YES OR NO Is there anything else you want to declare?

If yes, please specify or explain the details: