China Visa Application Form

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Reginald Miles
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1 China Visa Application Form Please be aware that the China Embassy has made it mandatory to capture biometrics at the time of submission. Please choose the desired location for your presence and post your documents accordingly: MANCHESTER Visa24, 53 Fountain street, Manchester M2 2AN LONDON Visa24, 4 Lombard street, London EC3V 9HD 1. Personal Information 1.1A Family name as in passport * 1.1B Middle name 1.1C Given name as in passport * 1.1D Other name(s) - Leave empty if not applicable 1.1E Name as written in native language * 1.1F Upload your photo *

2 Browse Files 1.2 of birth(yyyy-mm-dd) *

3 1.3 Gender * 1.4 Place of birth 1.4A Country / Region * 1.4B Province / State * 1.4C City * 1.5 Marital status * 1.6 Nationality and permanent residence 1.6A Current nationality * 1.6B National ID number Do you have any other nationality(ies)? *

4 If answered YES, please give details: Nationality, ID number of other Nationality, Passport Number? Do you have permanent residence of any other country or region? * If answered YES, please give details of other permanent residence of any other country or region? Have you ever held any other nationality(ies)? * If answered YES, please give details of Former nationality(ies)? Please provide the following information if you have ever held Chinese nationality ( Chinese name, in Chinese / Former Chinese ID number / Number of your last Chinese passport ) 1.7 Passport 1.7A Type of passport / travel document *

5 Ordinary Official Service Special Diplomatic Others 1.7B Passport / travel document number * 1.7C Issuing country or region * 1.7D Issuing place * 1.7E Issuing authority * 1.7F Issuing date - (yyyy-mm-dd) * 1.7G Expiration date - (yyyy-mm-dd) * 1.8 Have you ever lost a passport/travel document or had one stolen? * If answered YES, please give details: number of the lost or stolen document, issuing country/region, issuing authority, where did you lose or have it stolen, when did you lose or have it stolen? 2 Visa Details 2.1A Types of visa and major purpose of your visit to China *

6 2.1B Validity of visa (months) * 2.1C Maximum duration of longest stay (days) * 2.1D Entries ( Single / Double / Multiple ) * Any decision pertaining to the entries, validity and duration of stay of each visa issued is made by the Chinese embassy/consulate, which may be inconsistent with your application. 2.2 Service * Express Normal 3. Work Information 3.1 Current occupation * 3.2 Annual income (EUR) * 3.3 Work experience ( If applicable ) 3.3A you started your job 3.3B you stop working

7 mm-dd-yyyy 3.3C Name, address and telephone of your current and previous employer 3.3D Supervisor's name and telephone 3.3E Position 3.4F Duty 4. Education 4.1 Language skills(conversational level or above) * You may enter more than one language if required 4.2A from 4.2B to 4.2C Name and address of institution

8 4.2D Diploma / degree 4.2E Major 5. Family Information 5.1 Current residence address * Street Address Street Address Line 2 City State / Province Postal / Zip Code 5.2 Phone number * - Area Code Phone Number 5.3 Cellphone * - Area Code Phone Number 5.4 address example@example.com 5.5 Family members

9 5.5A Father: Name First Name Last Name 5.5A Father: Nationality 5.5A Father: Occupation 5.5A Father: of birth 5.5A Father: Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Is your father in China? If answered YES, please give details of his status in China ( Citizen / Permanent / Resident / Stay )? 5.5B Mother: Name First Name Last Name 5.5B Mother:

10 5.5B Mother: Occupation 5.5B Mother: of birth 5.5B Mother: Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Is your mother in China? If answered YES, please give details of his status in China ( Citizen / Permanent / Resident / Stay )? 5.5C Child(ren): Name First Name Last Name 5.5C Child(ren): Nationality 5.5C Child(ren): Occupation 5.5C Child(ren): of birth

11 5.5C Child(ren): Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please, use this box below to add more children. 5.5D Spouse: Name First Name Last Name 5.5D Spouse: Nationality 5.5D Spouse: Occupation 5.5D Spouse: of birth 5.5D Spouse: Country of birth 5.5D Spouse: City of birth

5.5D Spouse: Address Street Address Street Address Line 2 City State / Province Postal / Zip Code 5.5E Do you have any immediate relatives, not including parents, in China?

12 5.5D Spouse: Address Street Address Street Address Line 2 City State / Province Postal / Zip Code 5.5E Do you have any immediate relatives, not including parents, in China? * If answered YES, please give details of their name, relationship to you and status in China? 6. Travel Information 6.1 Itinerary 6.1A Intended date of arrival - (yyyy-mm-dd) * 6.1B Number of arrival train / ship / flight 6.1C City of arrival * 6.1E Intended date of departure - (yyyy-mm-dd) *

13 6.1F Number of departure train / ship / flight 6.1G City of departure * Destinations: 6.1J City * 6.1K County * 6.1L Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code 6.1M of arrival * 6.1N of departure *

14 6.2 Inviting person or organization / hotel or temporary residence in China (if applicable) 6.2A Name First Name Last Name 6.2B Relationship to you 6.2C Phone number - Area Code Phone Number 6.2D address example@example.com 6.2E Address Street Address Street Address Line 2 City State / Province Postal / Zip Code 6.2F Serial number of invitation letter of the authorised organization (if applicable) 6.3 Emergency contact 6.3A Family name * First Name Last Name

15 6.3B Relationship to you * 6.3C Phone number * - Area Code Phone Number 6.3D address example@example.com 6.3E Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code 6.4 Who will pay for this travel (Name / Address / Telephone / / Relationship to you) * 6.5 Travel companion(s) for this visit 6.5A Are you travelling with someone else? * If answered YES, please give details of their full name, gender, date of birth,?

16 6.5B Will the person use the same passport? If answered YES, please upload photo of the travel companion Browse Files 7. Past Travel Information 7.1 Have you been to China in the past 3 years? * If answered YES, please give details of cities visited, counties visited, date of arrival, date of departure? 7.2 Have you ever been issued a Chinese visa? * If answered YES, please provide the most recent Chinese visa for more information: type of visa, number of visa, place of issuance, date of issuance? 7.3 Do you currently hold any valid visas issued by other countries? * If answered YES, please list below

17 7.4 Have you traveled to any other countries in the past 5 years? * If answered YES, please list below 8. Other Information 8.1 Have you ever been refused a visa for China, or been refused entry into China? * If answered YES, please specify 8.2 Has your Chinese visa ever been cancelled? * If answered YES, please specify 8.3 Have you ever entered China illegally, overstayed, or worked illegally? * If answered YES, please specify

18 8.4 Do you have any criminal record in China or in any other country? * If answered YES, please specify 8.5 Do you have any serious mental disorder or infectious disease? * If answered YES, please specify 8.6 Have you ever visited countries or territories where there is an epidemic in the last 30 days? * If answered YES, please specify 8.7 Have you ever been trained or do you have any special skills in the field of firearms, explosives, nuclear devices, biological or chemical products? * If answered YES, please specify

19 8.8 Have you ever served in the military? * If answered YES, please give details of country or region of service, branch of service, rank in military, military specialty, start and end date of service? 8.9 Have you served or participated in any paramilitary organisations, civil armed units, guerilla forces or rebellion organisations, or been a member thereof? * If answered YES, please specify 8.10 Have you belonged to, contributed to, or worked for any professional, social or charitable organisations? * If answered YES, please specify 8.11 Is there anything else you want to declare? * f answered YES, please specify

20 9. Declaration 9.1 Are you applying for this visa for yourself or assisting another applicant? * Personal Application Assisting another applicant I hereby declare that I have read and understood all the questions in this application and shall bear all the legal consequences for the authenticity of the information and materials I provide. I understand that whether to issue a visa, the type of visa, number of entries, validity and duration of each stay will be determined by consular officials, and that any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China. I understand that express and urgent visa applications need approval of consular officials, and extra fees may apply. I understand that, according to Chinese law, applicant may be refused entry into China even if a visa is granted. I have read and understood all of the above Submit

1.2 Please type your Chinese name, if applicable. (This applies to anyone who has ever had a Chinese name including children adopted from China.

1.2 Please type your Chinese name, if applicable. (This applies to anyone who has ever had a Chinese name including children adopted from China. MyChinaDocs, LLC Document Authentications & Visas 1860 FM-359 Rd., #125 Richmond, TX 77406 832-368-1844 Instructions for Visa Application Form(V2013) of the People s Republic of China Use the free Adobe