1.

1
uII EngIIsI
nume us In
pussporL
llSurnume : 1.z

Sex
_ uM
_ u
lllPIoLo
l


PIeuse uIIIx one recenL
IdenLIcuI coIor pIoLo
( IuII Iuce, IronL vIew
unmounLed und uguInsL u
pIuIn IIgIL buckground).
llGIven Nume :
1. llll llll
Nume In CIInese cIurucLer
(II uppIIcubIe)
1.q
OLIer numes you ure,
or Iuve been known by
1.
Nume In eLInIc scrIpL
1.6
CurrenL nuLIonuIILy
1.;
ormer nuLIonuIILy
1.8
OLIer nuLIonuIILy(Ies)
1.q
DuLe oI bIrLI
(yyyy-mm-dd)
1.1o l l l
PIuce oI bIrLI (cILy,
provInceJsLuLe, counLry)
1.11
ocuI D curd number
1.1z
MurILuI sLuLus
_ uuMurrIed _ uuNeverlMurrIed _ uuDIvorced
_ uuWIdowed _ uuuu uuuuOLIer (PIeuse specIIy): ...............................
1.1
ll ll
CurrenL
occupuLIon(s)
_ uuBusInessmun
_ uuCompuny empIoyee
_ uuTeucIer
_ uuSLudenL
_ uuHousewIIe
_ uuUmempIoyed
_ uuMember oI nuLIonuI purIIumenL
_ u( ) OLIer (PIeuse specIIy):
.............................................................................
1.1q
PussporL Lype
_ uuDIpIomuLIc _ uuServIce or oIhcIuI
_ uuOrdInury
_ ( ) OLIer (PIeuse specIIy):
......................................................................
1.1
PussporL number
1.16
DuLe oI Issue
(yyyy-mm-dd)
1.1; l l l
PIuce oI Issue (cILy,
provInceJsLuLe, counLry)
1.18
ExpIruLIon duLe
(yyyy-mm-dd)
1.1q lll
NormuIIy vIsu
processIng Lukes q workIng duys. ExLru Iees ure
cIurged Ior express or rusI servIce.
_ u(

ll )

ReguIur Ior q workIng duys;
_ u(

ll )

Express Ior workIng duys;
_ u(

ll )

RusI Ior z workIng duys.
q.8 lq. lq.;
I you seIecL Yes Lo uny quesLIons Irom q. Lo q.;, pIeuse gIve deLuIIs beIow.
.1
(Iorm V.zo::) I you ure seekIng Lo work or sLudy In CIInu, or II someone eIse
LruveIIIng wILI you sIures LIe sume pussporL wILI you, or II you ure mukIng LIIs vIsu uppIIcuLIon In u counLry
or LerrILory oLIer LIun LIe counLry oI your nuLIonuIILy, pIeuse hII ouL the Supplementcr Visc Applicction
Iorm (Iorm V.zo::) und submIL wILI LIIs uppIIcuLIon Iorm.
.z I you Iuve more InIormuLIon
ubouL your vIsu uppIIcuLIon oLIer LIun LIe ubove Lo decIure, pIeuse gIve deLuIIs beIow.
6.1 I hcte recd cnd
understood cll the questions in this cpplicction. I shcll be jull responsible jor the cnsuers cnd the photo,
uhich cre true cnd correct.
6.z
I understcnd thct uhether to issue c tisc, tpe
oj tisc, number oj entries, tclidit cnd durction oj ecch stc uill be decided b consulcr ojjcers, cnd cn
jclse, mislecdin or incomplete stctement mc result in the rejuscl oj c tisc jor or denicl oj entr into Chinc.
lllllllllll ll
lllllllllllApplicants signature:
.................................................
llll l18 NoLe: PurenL or guurdIun muy sIgn on beIuII oI u mInor uged Iess LIun 18 yeurs.


;.1
Nume oI LIe person
compIeLIng LIIs Iorm on
LIe uppIIcunLs beIuII
;.z l l l l l
ReIuLIonsIIp Lo
LIe uppIIcunL
;.
Address
;.q
PIone number
;.
Type oI D documenL
;.6
Number oI D
;.; DecIuruLIon
lllll
decIure LIuL Iuve ussIsLed In LIe compIeLIon LIIs Iorm uL LIe requesL oI LIe uppIIcunL und LIe uppIIcunL
undersLunds und ugrees LIuL LIe InIormuLIon provIded Is correcL.
lll lJSIgnuLure:
.................................................
JDuLe (yyyy-mm-dd):
..........................................
z.1

Mujor
purpose oI
your vIsIL
Lo CIInu
_ uuTourIsm
_ uuumIIy vIsIL
_ uuVIsILIng IrIends
_ uuBusIness LrIp
_ uuMeeLIng
_ uuTrunsIL
_ uuEmpIoymenL
_ u( )lOLIer (PIeuse specIIy): ...................................................................................
z.z

nLended
number oI
enLrIes
_ u u ( l

) One enLry vuIId Ior monLIs Irom uppIIcuLIon

_ u u ( l
-6
) Two enLrIes vuIId Ior Lo 6 monLIs Irom uppIIcuLIon
_ u u ( l
6
) MuILIpIe enLrIes vuIId Ior 6 monLIs Irom uppIIcuLIon
_ uu( l
1z
l) MuILIpIe enLrIes vuIId Ior 1z monLIs Irom uppIIcuLIon
_ uu( l) lOLIer (PIeuse specIIy): .......................................................................................
z.
DuLe oI your IIrsL enLry (yyyy-mm-dd)
z.q
Your IongesL InLended sLuy umong uII enLrIes oI your InLended vIsILs In CIInu
Duys
z.

l l
ResIdence(s) und
pIone number(s)
durIng your sLuy In
CIInu (In u LIme
sequence)

DeLuIIed muIIIng uddress

PIone number
ll
ll
ll
ll
z.6
l WIo wIII puy Ior your cosL
oI LruveIIIng und IIvIng durIng
your sLuy In CIInu?
_ uuMyseII
_ uunvILer
_ uuPurenL(s) or IeguI guurdIun(s)
_ uu( l) lOLIer (PIeuse specIIy): ................................................
z.; ll
Do you Iuve medIcuI Insurunce
coverIng your vIsIL In CIInu? I Yes, pIeuse hII ouL
LIe nume oI LIe medIcuI Insurunce compuny und
your uccounL number.
z.8
l

Nume, uddress
und pIone
number oI your
InvILer or conLucL
unIL In CIInu
z.q


Nume, uddress,
pIone number oI
your reIuLIve,
IrIend or conLucL
person In CIInu
q.1
Huve you
ever vIsILed CIInu beIore? I Yes,
pIeuse specIIy duLe, pIuces und
purpose oI LIe recenL vIsIL.
q.z 1z
l
Huve you ever vIsILed oLIer
counLrIes or LerrILorIes In LIe IusL 1z
monLIs? I yes, pIeuse specIIy duLe,
nume oI counLrIes or LerrILorIes und
purpose oI LIe vIsILs.
q.
Huve you ever oversLuyed your vIsu or resIdence permIL In CIInu?
llllllll
_
Yes
llllllll
_
No
q.ql l,
Huve you ever been reIused u vIsu Ior CIInu, or been reIused enLry InLo CIInu?
llllllll
_
Yes
llllllll
_
No
q.l l
Do you Iuve uny crImInuI record In CIInu or uny oLIer counLry?
llllllll
_
Yes
lllllll
_
No
q.6l Are you uIhIIuLed wILI uny oI LIe IoIIowIng dIseuses?
llSerIous menLuI dIsorder
llnIecLIous puImonury LubercuIosIs
llOLIer InIecLIous dIseuse oI pubIIc IeuILI Iuzurds
llllllll
_
Yes
lllllll
_
No
q.;l lo
DId you vIsIL counLrIes or LerrILorIes InIecLed by InIecLIous dIseuses In LIe IusL o duys?
llllllll
_
Yes
lllllll
_
No
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DeLuIIed Iome muIIIng
uddress
.z
Home pIone number
.
MobIIe pIone number
.q
EmuII uddress
.
CurrenL empIoyer or
scIooI

Nume

MuIIIng uddress

PIone number
.6
Mujor IumIIy members

Nume

NuLIonuIILy

OccupuLIon

ReIuLIonsIIp
.;
lConLucL person In
cuse oI emergency
.8
ConLucL persons
pIone number
z.1

Mujor
purpose oI
your vIsIL
Lo CIInu
_ uuTourIsm
_ uuumIIy vIsIL
_ uuVIsILIng IrIends
_ uuBusIness LrIp
_ uuMeeLIng
_ uuTrunsIL
_ uuEmpIoymenL
_ u( )lOLIer (PIeuse specIIy): ...................................................................................
z.z

nLended
number oI
enLrIes
_ u u ( l

) One enLry vuIId Ior monLIs Irom uppIIcuLIon

_ u u ( l
-6
) Two enLrIes vuIId Ior Lo 6 monLIs Irom uppIIcuLIon
_ u u ( l
6
) MuILIpIe enLrIes vuIId Ior 6 monLIs Irom uppIIcuLIon
_ uu( l
1z
l) MuILIpIe enLrIes vuIId Ior 1z monLIs Irom uppIIcuLIon
_ uu( l) lOLIer (PIeuse specIIy): .......................................................................................
z.
DuLe oI your IIrsL enLry (yyyy-mm-dd)
z.q
Your IongesL InLended sLuy umong uII enLrIes oI your InLended vIsILs In CIInu
Duys
z.

l l
ResIdence(s) und
pIone number(s)
durIng your sLuy In
CIInu (In u LIme
sequence)

DeLuIIed muIIIng uddress

PIone number
ll
ll
ll
ll
z.6
l WIo wIII puy Ior your cosL
oI LruveIIIng und IIvIng durIng
your sLuy In CIInu?
_ uuMyseII
_ uunvILer
_ uuPurenL(s) or IeguI guurdIun(s)
_ uu( l) lOLIer (PIeuse specIIy): ................................................
z.; ll
Do you Iuve medIcuI Insurunce
coverIng your vIsIL In CIInu? I Yes, pIeuse hII ouL
LIe nume oI LIe medIcuI Insurunce compuny und
your uccounL number.
z.8
l

Nume, uddress
und pIone
number oI your
InvILer or conLucL
unIL In CIInu
z.q


Nume, uddress,
pIone number oI
your reIuLIve,
IrIend or conLucL
person In CIInu
q.1
Huve you
ever vIsILed CIInu beIore? I Yes,
pIeuse specIIy duLe, pIuces und
purpose oI LIe recenL vIsIL.
q.z 1z
l
Huve you ever vIsILed oLIer
counLrIes or LerrILorIes In LIe IusL 1z
monLIs? I yes, pIeuse specIIy duLe,
nume oI counLrIes or LerrILorIes und
purpose oI LIe vIsILs.
q.
Huve you ever oversLuyed your vIsu or resIdence permIL In CIInu?
llllllll
_
Yes
llllllll
_
No
q.ql l,
Huve you ever been reIused u vIsu Ior CIInu, or been reIused enLry InLo CIInu?
llllllll
_
Yes
llllllll
_
No
q.l l
Do you Iuve uny crImInuI record In CIInu or uny oLIer counLry?
llllllll
_
Yes
lllllll
_
No
q.6l Are you uIhIIuLed wILI uny oI LIe IoIIowIng dIseuses?
llSerIous menLuI dIsorder
llnIecLIous puImonury LubercuIosIs
llOLIer InIecLIous dIseuse oI pubIIc IeuILI Iuzurds
llllllll
_
Yes
lllllll
_
No
q.;l lo
DId you vIsIL counLrIes or LerrILorIes InIecLed by InIecLIous dIseuses In LIe IusL o duys?
llllllll
_
Yes
lllllll
_
No
.1
DeLuIIed Iome muIIIng
uddress
.z
Home pIone number
.
MobIIe pIone number
.q
EmuII uddress
.
CurrenL empIoyer or
scIooI

Nume

MuIIIng uddress

PIone number
.6
Mujor IumIIy members

Nume

NuLIonuIILy

OccupuLIon

ReIuLIonsIIp
.;
lConLucL person In
cuse oI emergency
.8
ConLucL persons
pIone number
1.1
uII EngIIsI
nume us In
pussporL
llSurnume : 1.z

Sex
_ uM
_ u
lllPIoLo
l


PIeuse uIIIx one recenL
IdenLIcuI coIor pIoLo
( IuII Iuce, IronL vIew
unmounLed und uguInsL u
pIuIn IIgIL buckground).
llGIven Nume :
1. llll llll
Nume In CIInese cIurucLer
(II uppIIcubIe)
1.q
OLIer numes you ure,
or Iuve been known by
1.
Nume In eLInIc scrIpL
1.6
CurrenL nuLIonuIILy
1.;
ormer nuLIonuIILy
1.8
OLIer nuLIonuIILy(Ies)
1.q
DuLe oI bIrLI
(yyyy-mm-dd)
1.1o l l l
PIuce oI bIrLI (cILy,
provInceJsLuLe, counLry)
1.11
ocuI D curd number
1.1z
MurILuI sLuLus
_ uuMurrIed _ uuNeverlMurrIed _ uuDIvorced
_ uuWIdowed _ uuuu uuuuOLIer (PIeuse specIIy): ...............................
1.1
ll ll
CurrenL
occupuLIon(s)
_ uuBusInessmun
_ uuCompuny empIoyee
_ uuTeucIer
_ uuSLudenL
_ uuHousewIIe
_ uuUmempIoyed
_ uuMember oI nuLIonuI purIIumenL
_ u( ) OLIer (PIeuse specIIy):
.............................................................................
1.1q
PussporL Lype
_ uuDIpIomuLIc _ uuServIce or oIhcIuI
_ uuOrdInury
_ ( ) OLIer (PIeuse specIIy):
......................................................................
1.1
PussporL number
1.16
DuLe oI Issue
(yyyy-mm-dd)
1.1; l l l
PIuce oI Issue (cILy,
provInceJsLuLe, counLry)
1.18
ExpIruLIon duLe
(yyyy-mm-dd)
1.1q lll
NormuIIy vIsu
processIng Lukes q workIng duys. ExLru Iees ure
cIurged Ior express or rusI servIce.
_ u(

ll )

ReguIur Ior q workIng duys;
_ u(

ll )

Express Ior workIng duys;
_ u(

ll )

RusI Ior z workIng duys.
q.8 lq. lq.;
I you seIecL Yes Lo uny quesLIons Irom q. Lo q.;, pIeuse gIve deLuIIs beIow.
.1
(Iorm V.zo::) I you ure seekIng Lo work or sLudy In CIInu, or II someone eIse
LruveIIIng wILI you sIures LIe sume pussporL wILI you, or II you ure mukIng LIIs vIsu uppIIcuLIon In u counLry
or LerrILory oLIer LIun LIe counLry oI your nuLIonuIILy, pIeuse hII ouL the Supplementcr Visc Applicction
Iorm (Iorm V.zo::) und submIL wILI LIIs uppIIcuLIon Iorm.
.z I you Iuve more InIormuLIon
ubouL your vIsu uppIIcuLIon oLIer LIun LIe ubove Lo decIure, pIeuse gIve deLuIIs beIow.
6.1 I hcte recd cnd
understood cll the questions in this cpplicction. I shcll be jull responsible jor the cnsuers cnd the photo,
uhich cre true cnd correct.
6.z
I understcnd thct uhether to issue c tisc, tpe
oj tisc, number oj entries, tclidit cnd durction oj ecch stc uill be decided b consulcr ojjcers, cnd cn
jclse, mislecdin or incomplete stctement mc result in the rejuscl oj c tisc jor or denicl oj entr into Chinc.
lllllllllll ll
lllllllllllApplicants signature:
.................................................
llll l18 NoLe: PurenL or guurdIun muy sIgn on beIuII oI u mInor uged Iess LIun 18 yeurs.


;.1
Nume oI LIe person
compIeLIng LIIs Iorm on
LIe uppIIcunLs beIuII
;.z l l l l l
ReIuLIonsIIp Lo
LIe uppIIcunL
;.
Address
;.q
PIone number
;.
Type oI D documenL
;.6
Number oI D
;.; DecIuruLIon
lllll
decIure LIuL Iuve ussIsLed In LIe compIeLIon LIIs Iorm uL LIe requesL oI LIe uppIIcunL und LIe uppIIcunL
undersLunds und ugrees LIuL LIe InIormuLIon provIded Is correcL.
lll lJSIgnuLure:
.................................................
JDuLe (yyyy-mm-dd):
..........................................

Nume In EngIIsI
l
PussporL number

DuLe oI bIrLI (yyyy-mm-dd)
1.
EducuLIon
_
uBucIeIor
_
u MusLers
_
u DocLoruLe or IIgIer
_
OLIer (PIeuse specIIy):
........................................................
z.
Nume oI your IusL scIooI, coIIege,
unIversILy or oLIer educuLIonuI InsLILuLIon
.
Your mujor or Iocus In sLudIes
q.
Your proIessIonuI or LecInIcuI quuIIhcuLIons
.
Your occupuLIon In CIInu
6.
Nume, uddress und pIone number oI your
empIoyer In CIInu
;.
AIIen EmpIoymenL Icense Number
1.
EducuLIon
_
uBucIeIor
_
u MusLers
_
u DocLoruLe or IIgIer
_
OLIer (PIeuse specIIy):
........................................................
z.
Nume oI your IusL scIooI, coIIege,
unIversILy or oLIer educuLIonuI InsLILuLIon
.
Your mujor or Iocus In sLudIes
q.
Your proIessIonuI or LecInIcuI quuIIhcuLIons
. l
Nume, uddress und pIone number oI your
scIooI In CIInu
6.
Your mujor or course In CIInu
1J Person 1 lzJ Person z lJ Person
1.
uII nume
z.
Sex
.
DuLe oI bIrLI
(yyyy-mm-dd)
q.
PIoLo(s) oI
LIe person(s)
LruveIIng wILI
you sIurIng
LIe sume
pussporL
Affx here Affx here Affx here
1.
DuruLIon oI your sLuy In LIIs counLry
or LerrILory
_
u6l ll ess LIun 6 monLIs
_
u6l ll More LIun 6 monLIs
_
u1zl ll More LIun 1z monLIs
z.

WIuL kInd oI vIsu or resIdence
permIL oI LIIs counLry or LerrILory
do you IoId?
_
u u VuIId resIdence permIL
_
u u VuIId vIsu
_
u u None
.
Number oI your vIsu or resIdence
permIL und ILs expIruLIon duLe
lNumber
ll
ExpIruLIon duLe (yyyy-mm-dd)
q.
Do you Iuve permIssIon Lo reLurn Lo LIIs counLry or LerrILory wILI LIe
vIsu or resIdence permIL ubove?
_
u u Yes
_
u u No
.
MuIIIng uddress oI your resIdence In
LIIs counLry or LerrILory
6.
Your pIone number In LIIs counLry
or LerrILory