Chinese Visa Application Form

Chinese Visa Application.pdf Complete this visa form and return the the Chinese Consulate nearest where you reside.Download

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1� k4� / Page 	1 of 4 	
 	
 	Form V	.201	1A 	
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Visa Application Form of the People’s Republic of China	 	
 	
*_A#��M�����\
��	X=�h A#E�:�M�U�A#Kp	3�A : 	Applicant  should  fill  out  th	is form 	truly	 and  co	mpletely	. Please  type  your  answer 	
in capital English letter	s in the space provided or 	cross	 the appropriate box to select.	 If there is more information to declare, 	
please	 type on	 a separate	 sheet	. 	
�*_A#\	Y)	�	*��	U�B:�&��=x�	8=xU�	B9T)1y)*_A#0�@�U��EL,	
��0�@�	*_A#=�	Kp=�	(Form 	
V.2011B)	 If you 	are	 apply	ing	 to work	 or study	 in China	, or	 if someo	ne else 	travelling with you shar	es the same passport,	 or 	
if  you  are  applying  for  a  visa  in  a  country  or 	territory	 other  than 	the	 country	 of your 	current  nationality	,  you  should  fill  out 	
the 	Supplement	ary 	Visa Application Form	(Form V.2011	B). 	
 	
,	V�	
�	Section 	1: Personal 	information	 	
 
1.18�	�	9	 	
Full 	English 	
name	 as  in 	
passport	 	
�	Surname	U� 	1.2	SW	 	
Sex	 	
�  *c M 	
�   �	F 	&�'s	 / Photo	 	 	A#2	1LD�K �L�y	�"q7�5��+��7��&�&�'s1�B`� � 	 	 Please affix one recent	 	identical	 color photo	  	( full face	, front view	, 	unmo	unted	 and against a 	plain light backgrou	nd ). 	
	9	Given 	name	U�  	
1.3	Y��	9	U��5U�	A#*T!u�U�	 	
Name 	in Chinese c	haracter	  	
( if applicable	) 	
 	
1.4W	9B**T	9	 	
Other 	name	s you are	,  	or have been known by	 	
 	
1.5 	*TX)A?,��+�	9�	 	
Name in ethnic script	 	 	
1.6(�5)1y	 	
Current 	 nationality	 	 	1.7*5)1y	 	
Former	 nationality	 	 	
1.8	8"�5+�	)1y	 	
Other	  nationalit	y(ies) 	 	
1.9&*KK	 	
Date of 	birth	 	
 (yyyy	-mm	-dd) 	
 	
1.10	&*K\%�	(),-	/.) 	
Place	 	of 	birth 	(city, 	
province	/state	, country	) 	 	1.11	\	C�)@�	#--	 	
Local	 ID card	 number	 	 	
1.1	2�''��	 	
Mar	ital	 status	 	
 
�

�	Married          	       	 
�

V�	 Never Married      	       
�

.��	Div	orced	 	
 
�S�	Widowed	            	     
� �	U�A#A :U�	Other	 (Please s	pecify	):          	            	     	              	. 	
1.1	3y	5xF	
U�	E5	FM�	U� 	
Current	 	
occupation(s)	 	

�  
r�	Businessman 	 	

�  �	$5x	�	Company employee	 	

�  �4	 Teacher 	 	

�  �*K	Student	 	

�  ��g�	Housewife	 	

�  F	Unemployed	 	

�

)F@�		�	Member of national parliament	 

�  k��	�	Government official	 	

�  �K'�F�	�	Staff of media	 	

�  ���	Religious 	worker	 	

�  (����	Active duty military personnel	 	

�  E,=	Retired	 	

�  ���	�	Crew 	member	 	

�



�	(A#A :	) Other (Please specify):	                                          	      	      	                                     	. 	
1.14�&�.�1�	 	
Passport	 type	 	
   
�  B�	Diplomatic           	                    	            
�  ���	�	Service or 	official 	 	
   
�  �EF	Ordinary	 	
   
�  �@�"	(A#A :	) Other (Please specify):	                 	       	           	                                                	 . 	
1.1	5�&�	#--	 	
Passport  
number	 	
 	1.1	60��K	  	
Date of 	issue	  	
(yyyy-mm	-dd) 	
 	 	
1.1	70��\%�	(,-/.�)�	)  	
Place 	 of   issue 	   (city	, 	province	/state	,  country) 	 	
 	1.1	8]tK	 	
Expiration 	date	 	
(yyyy	-mm	-dd) 	
 	
1.19 �)20�@�EFdL,>�	4V�	 �L,�	QU�	
A#":	U�rM�	B4`Be 	Normally  visa  processing 	
takes  4	 working  days. 	Extra  fees  are  charged  for 	
express or rush service	. 	

�    �EF	(4V�	) Regular for 4 working days;	 	

�    �Q	(2-3V�	) Express for 2	-3 working days;	 	

�    '�Q	Rush for 	1 working 	day	.

2� k4� / Page 	2 of 4 	
 	
 
�B�z�=x	
�	 Section 	2: Travel	 information	 	
2.1B�Y)	
g>��*]
U�	E5	F	
M�U�Major 	
purpose(s) 
of  	your 	
visit(s) to 
China	 	
  �#d	 Tourism	 	
  ��	 Family visit	 	
  @��	 Visiting 	friends	 	
  
r�	 Business 	trip	 	
  F@�	 Meeting	 	
  D�
�	 Transit	 	
  '5x]F	 Employment	 	
  @�51dO�	 As 	resident 	journalist	 	
 @�51`"F�@�	 As 	journalist 	for 	temporary 	news 	coverage	 	
  dO�	B�M���		� As 	resident 	diplomat or 	consul 	 	
  
rF$@&	 Commercial 	performance	 	
  �=x��	 As 	crew 	member 	 	
  *��	 Study	 	
  ��@�K	 Official	 visit	 	
  �	(A#A :	) Other (Please specify):	                                         	                	                            	        	. 	
2.2 	@�>�	

� M�	 	
Intended 
number of 
entries 	 	
    , M�
�	 (7*_A#B�	3V4�5t	)  One	 entry valid 	for	 3 months	 from application	 	
   � M�
�	 (7*_A#B�	3-6V4�5t	)  Two	 entr	ies valid 	for	 3 to 6 months	  from 	application	 	
   v�	F M�
�	U�7*_A#B�v	��	5tU�	Multi	ple 	entr	ies valid for	  6 months	 from application	 	
   ,�	F M�
�	U�7*_A#B�	,��	5tU�	Multi	ple 	entr	ies valid 	for	  12 	 months	 from application	 	
    �U�A#A :U�	 Other (Please specify)	:        	                	                    	                                                 	     	. 	
2.3N� M	=x/7	�D�Y)+�K	 	
 Date of 	your 	first 	 entry (	yyyy-mm	-dd) 	 	
2.4	M�@�	=x/7Y� M	Tz�*�+�,J�U�	 	
Your  	longest 	intended 	stay 	among all entries of your 	intended	 visits 	in China	 	Days	 	
2.5TY)	EC*�	K	
K +�{l�*aA		
U�5"K M��U�
Residence	(s)  and 	
phone number(s) 
during 	your stay	 in 	
China	 (in a time 	
sequence	) 	
A3�	E�k	\l	 	
Detailed 	mailing	 address	 	
*aA		 	
Phone number	 	

	
	

	
	

	
	

	
	
2.6A-2���EY)�TY)+�	
Be*TU�	Who 	will pay	 for your cost of 	
travelling and living during your stay	 	
in China	? 	
  �X�	 Yourself 	       	 	
  E�A#�yBV�	 Inviter	 	
  'b �	B"
�+���	Parent	(s) or legal 	guardian	(s) 	
  �U�A#A :U�	 Other (Please specify):	      	                     	                    	         	. 	
2.7TzKK 	5g*�	K�	?�5U�A#
��			
K��	$		9/�	K�BR	# 	Do you have medical 	
insurance covering your visit in China? If 	‘Yes’, 	please fill out 	the 	name of 	the 	medical i	nsurance 	
company and 	your 	account number	. 	
 	
2.8TzE�A#	
5�2'+��y	9
/	\l�*a	
A	 
Name	,  address 	
and  phone 
number  of  your 
inviter	 	or 	
contact	 unit	 in 	
China	 	
 
 
 	
2.9	Tz	��		
5�2'�	+�	�	
	9		\l	*a	
A	 
Name	,  address, 	
phone  number 
of your  relative	, 	 	friend  or 	
contact  person	 	
in China

3� k4� / Page 	3 of 4 	
 	
5��	�	B��	
�	 Section 	3: Information about your family	, work	 or study	 	
 	
�	��	 Section 	4: Oth	er information	 	
4.1[	R*3�@�KD�Y)	U����	
A#A :	,D�, M��	 Have  you  ever 	
visited  Chin	a before	? If 	‘Yes’, please 	
specify 	date	, places  and 	purpose	 of  the 	
recent visit	. 	
 	
4.2	TD��+�	12	V4	F�[	R@�KD��	
)�B\f ���A#	A :	 	
Have	 you ever	 visited other countries or 	
territories	 in  the  last  12  mont	hs?  If 	
‘yes	’, please  specify	 date	,  name  of 	
countries  or  territories  and	 purpose  of 	
the 	visits.	 	
 	
4.3[	R*TY)B�D�0�@�Bq*�@�	m@�	+�KK|�*�U�	 	
Have you ever 	over	stayed your visa or 	residence	 permit in China?	 	�;(	Yes	 	�-	No	 	
4.4[	R*3�=��4	M��Y)0�@�	,B=��4	E�Y)U�	 	
Have you ever been refused a	 visa 	for China, or been refused entry into China?	 	�;(	Yes	 	�-	No	 	
4.5[	R	TY)B�)�5E	"
@��	U� 	
Do you have 	any criminal record in China or any other country	?  	�;(	Yes	 	�-	No	 	
4.6[	R�57',.�*�*�	Are	 you 	affiliated with 	any of the following diseases? 	  	

VQF�	1�.�*�*�	Seri	ous m	ental	 disorder	 	

WL�S5�3�d*�	Infectious pulmonary t	uberculosis	 	

X	6)%���*KEL<��+��	L�*�	Other 	infectious disease	 of public health	 hazards	 	
�;(	Yes	 	�-	No	 	
4.7	D�	30	�[	Ry�D�"m=xS*�*�L�+�)�B\fU�	 	
Did you visit countries or 	territories	 infected by infec	tious diseases	 in the last 30 days	?  	�;(	Yes	 	�-	No	 	
3.1A3�	��	E�k{	
l 
Detailed	 home 	
mailing a	ddress	 	
 	
3.2��	*aA		 	
Home p	hone	 number	 	 	3.3wf	#--	 	
Mobile	 phone	 number	 	 	
3.4*a|
0�	 	
Email address	 	 	
3.5�	
�y	B�	
M 
Current 
employer 
or school	 	
	9/	 	
Name	 	 	
E�k\l	 	
Mailing	 address	 	 	
*aA		 	
Phone number	 	 	
3.6g>�	
��<	�	 	
Major 
family 
members	 	
�	9	 	
Name	 	
)1y	 	
Nationality	 	
5xF	 	
Occupation	 	
�2'	 	
Relationship	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
3.7	2SQ��7+�5�	
2'�	Contact  person 	
in case of emergency	 	
 	3.8	*aA		#--	 	
Contact person	’s 	
phone number

4� k4� / Page 	4 of 4 	
 	
4.8	��%	4.3	\	4.7	+�'�,VKM�E5
[
U�A#T7L�A3�A : 	 	
If you select 	Yes	 to any questions 	from 4.3 to 4.7	, please give detail	s below	.  	
 
�	5�	:	 Section 	5: Relevant	 declaration	 	
5.1	�@�>B�Y)�*��U�B�*T+��&�65,	8�=x+�f=x�U�B[TL�)1y)*_A#0�@�U�A#	
��	0�@�*_	
A#=�Kp=�	(Form V.2011B)	U�:X=�,	8E>� 	If you are seeking to work or study in China, or i	f someone else travelling 	
with you shar	es the same passport	 with you, or if you  are making this visa application in a  country or territory other than 	
the  country  of    your  nation	ality, 	please	 fill	 out 	the  Supplementary  Visa  Application  Form	 (Form  V.2011B) 	 and  submit 	
with this application form.	 	
5.2	��5X=�V"��58L,?KKtE+��	:0�@�*_A#,$�+�	�M�U�A#T �A :	  If  you  have	 more	 information	 	
about your visa application other than the above to declare, please gi	ve details below.	 	
 
�0�	9	 Section 6	: Sign	ature	 	
6.1	=K1A'�)2? �=�l5	��>�!n	U��%&�'s�
��	��	+�,K�S	��-�SBKBO 	I  have  read  and  understood 	
all the questions in this application. I shall be fully responsible for the answers and the photo, which are true and correct	. 	
6.2	=)2?U�	6)	R8��	0�@�	8���	.�0�@�	�
� M�	�	5tK	�*�K	0u2*]M��	�	�	��U�'�9�A	
(B
��9��s	6)(7 0�@�*_A#=��4	B=��4	E�Y) 	I  understand  that 	whether 	to issue  a  visa, 	type  of 	
visa	, number of entries	, validity	 and	  duration of each stay will be decided by consul	ar officers	, and any false	, misleading 	
or incomplete state	ment may result in the refusal of a visa for or denial of entry into China.	 	
 
 	
*_A#�0�	9	                                                                           	     K	 	
Applicant	’s signature:	                    	         	     	          	                	     Da	te (yyyy-mm	-dd):           	      	      	          	          	. 	 "U�V$
	18	��	+�V	<��	*]'b �B+���0� 	Note: Parent	 or guardian may sign on behalf of a	 minor aged	 less than	 18 years.	 	
 
/�	
�*_A#=�	"
��7��	 Section 	7U�If the  a	pplication 	form 	is completed	 by 	another 	person	 on 	the	 	
applicant	’s behalf	, please fill out the following:	 	
7.1 
�	*_A#=�	�+��	9	 	
Name 	of 	the  person 	
completing	 this  form  on 	
the applicant	’s behalf 	 	
 	7.2:*_A#��2'	
Relationship to 	 	
the 	applicant	 	
 	
7.3	\l	 	
Address 	 	
 	
7.4	*aA		 	
Phone number	  	
 	
7.5	l-C�)@�".�1�	 	
Type of ID document 	 	
 	7.6	@�"	#--	 	
Number of ID	 	
 	
7.7	:	 Declaration	 	
=:X�[e�*_A#�>�!n58{�
�=�U��@�:*_A#�)2?�-�@�=�Yl
�����-�A 	 	
I declare	 that  I  have  assisted  in  the  completion  this  form  at  the  request  of  the  applicant  and  the  applicant  understands 	
and agrees that the information provided is correct. 	 	
 

��	0�	9 /Signature	U�                          	                            	     K	/Date	 (yyyy-mm	-dd):                  	                      	      . 	
 
 
7	��M���	�
��	Official use only	 	
0�@�.�1�	 	 	5tK	 	 	�*�K	 	 	
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