ࡱ>   !"#$%&'()*+,-./012345?789:;<=>@ABCDRoot Entry Fge7SummaryInformation(DocumentSummaryInformation8|WordDocument.j Oh+'0 , < HT `lt| YVN~{N3uh999[υQ Normal.dot1f2@lv@d7@9WMicrosoft Office Word՜.+,D՜.+,HPXx  www.in9.cn   (\dlKSOProductBuildVer2052-11.1.0.82140Table6Data WpsCustomData PD+KSKS.j.. h L w$h N "48Vlz H YVN~{N3uhVISA / STAY PERMIT / RESIDENCE PERMIT APPLICATION FORM(uўrb݄rX4l{kXQQ[ Please complete the form in black or blue inkY T -NeYTSurname Given name Name in Chinese VM| Queg t^ g e Nationality Date of birth Y M D '`+R 7u sY Qu0W Sex M. % F. % Place of birth (WNSOO@W 3uN5u݋Address in China Tel (WNSUSMO T|NYTT5u݋Company/School in China Contact person & tel. 20bgqy{| YN lQR([XT) nf vQN Passport type Diplomatic% Service (Official) % Ordinary% Other% bgqSx gHeg t^ g e Passport No. Valid until Y M D 30sc gHe~{Ny{| ~{ \PYuN E\YuN MQ~{ Current visa category Visa% Stay permit% Residence permit% Visa free%NSx gHeg t^ g e Visa No. Valid until Y M DO(u TNbgqvUPLN Dependents on same passport Y T '`+R Queg N3uNsQ| Surname Given name Sex Date of birth Relationship 503u~{kXQ For visa onlyF Le8n M8f Q2VZ J2Non-commercial business% Tourist% Business% Family reunion% Journalist% S2yNNR X2f[`N RNMb GǏX CXNR Personal affair% Student% Talent% Transit% Crew%VSO~{Ry V~{ 3u\PYugP t^ g eSeparation from group visa% Group visa% Valid until Y M D bcS eS eQX!kpe \PYu)Ype eQX gHeg t^ g e Renewal% Reissue % Entries Duration of stay Entry before Y M D603u\PYuNkXQ For stay permit onlyMQ~{ 9XT M| NS;NIN vQNVisa free% Crew% Renouncement% Humanitarian% Others%eS 3u\PYugP t^ g e Reissue% Valid until Y M D703uE\YuNkXQ For residence permit only]\O f[`N  VZ yNNR Employee% Student% Journalist% Family reunion% Personal affair%bcS eS 3uE\YugP t^ g eRenew% Reissue% Valid until Y M D3uvQNNkXQ For other documentsYVNeL eLvv0WForeign citizen travel documents% Destination YVNQeQX 3ueg t^ g eForeign citizen exit-entry permit% Valid until Y M DR]Rf[b!hY[`NRl 3ueg t^ g eStudy-work / Internship% Valid until Y M D903uSfkXQ For change of the followingYT bgqSx N1u X/QUPLNpe Name% Passport No.% Purpose of stay% Add/Reduce number of dependents%vQNlfOr others 100Yl Notes bON NkXQvQ[w[0Qnx0[te v^O(W\PYuE\Yugu[-NNSNlqQTVvl_0I hereby declare that the information given above is true, correct and complete. I shall abide by the Chinese laws and regulations during my stay in the People s Republic of China.3uN~{W[ NRN~{W[ Applicant's signature Agent's signature T|5u݋ T|5u݋ Applicant's Tel Agent's Tel 3ueg t^ g e Application date Y M D Sta StN eg R[a R[N eg [8ha [8hN eg [yba [ybN eg Yl gqGrPhoto  "   0 2 Z b d r ¹ztmib\UOI haJ\ >*haJ>*ho(aJ >*haJ5haJ\haJ5ho(aJ 5haJ5ho(aJhaJ 5haJ5ho(aJhaJhaJhaJhaJ ho(aJhaJUCJo(aJ5h\CJaJ5h\CJaJ56h\CJaJ5h\CJOJPJQJo(aJh\CJ0OJPJo(aJ$h\CJOJPJo(aJh\ & ( 0 < B H N R Z b d z ¼xrnhb[UQhaJ >*haJ>*ho(aJ >*haJ 5haJhaJ >*haJ>*ho(aJ >*haJ 5haJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ5ho(aJhaJ ho(aJhaJ5ho(aJ 5haJ>*haJ\5haJ\haJ >*haJ>*ho(aJ >*haJ5haJ\    " * , 2 B F T X ` d ž~xrlfb\VP >*haJ 5haJ ho(aJhaJ CJ$aJ$h haJ\ CJ$aJ$h haJ\5haJ\haJ5ho(aJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJ5ho(aJ haJ\ 5haJhaJ >*haJ>*ho(aJ >*haJhaJ >*haJ>*ho(aJ >*haJ  " $ D .02HJx»xrke_YRL >*haJ>*ho(aJ >*haJ 5haJ 5haJ5ho(aJ 5haJ5ho(aJ 5haJ5ho(aJ5ho(aJ\ >*haJ>*ho(aJ >*haJ>*ho(aJ >*haJ 5haJ5haJ\>*haJ\5aJ5>*haJ5ho(aJ 5haJ5ho(aJhaJ 5haJ >*haJ>*ho(aJ 6:<@Z^rvx~|xtnjd`ZVhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ 5haJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ5ho(aJ 5haJ>*ho(aJ >*haJ 5haJhaJ >*haJ>*ho(aJ >*haJ>*ho(aJ >*haJ>*ho(aJ (DTX`tv"$48:<RVſ}ysoke^X 5haJ5ho(aJ 5haJhaJhaJ >*haJhaJ >*haJhaJ >*haJ 5haJhaJ >*haJ 5haJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ5ho(aJ 5haJhaJ 5haJ5ho(aJhaJhaJ CJ$aJ$hhaJ CJ$aJ$h VZ^fnz(*BDFNP~ſ{uqkga]YhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ5ho(aJhaJ 5haJ5ho(aJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ 5haJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ! "68JL\^`t *,.rtzvrnhd^W>*ho(aJ >*haJhaJ ho(aJhaJhaJhaJ haJ\haJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ5ho(aJhaJhaJ >*haJhaJ >*haJhaJ >*haJ 5haJhaJ >*haJ 5haJ!tv|(,FHJNrv "$>JLÿ{uoie_[U CJ$aJ$hhaJ CJaJhhaJ CJ$aJ$h CJaJh CJ$aJ$h CJaJh CJ$aJ$h CJaJhhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ 5haJhaJ5ho(aJ 5haJ ho(aJ ho(aJ >*haJ ho(aJ>*ho(aJLlnprv~.0LNjlnzſ}ysoie_[U ho(aJhaJ ho(aJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ CJ$aJ$h ho(aJhaJ CJ$aJ$h ho(aJhaJ CJ$aJ$h ho(aJhaJ CJ$aJ$h ho(aJhaJ ho(aJhaJhaJ CJaJh CJ$aJ$h CJaJh!24P`bnpz|~ſ{wqmgc]YhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJhaJhaJ >*haJhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ""06X^x }wqkga]W ho(aJhaJ ho(aJhaJ ho(aJ 5haJ 5haJ5ho(aJ 5haJ5ho(aJ 5haJhaJhaJhaJ >*haJhaJ >*haJhaJ >*haJhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ >*haJ ho(aJhaJ ho(aJ ,4HLN`brt$&*,:<^prſ{wqmgc]YhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ ho(aJhaJ ho(aJhaJ"*.JRTfh ľ~ztpjf`\V ho(aJhaJ ho(aJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJaJhhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ5ho(aJ 5haJ ho(aJhaJ >*haJ!$28:FHVXZdf$T^`ſ}wsmgc]YhaJ CJ$aJ$hhaJ >*haJ ho(aJhaJ ho(aJ 5haJ5haJ\ 5haJ5ho(aJ ho(aJhaJ >*haJhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ DN\^lnz|~    4 8 T ^ l n | ~ }ysmic_YUhaJ ho(aJhaJ ho(aJhaJ ho(aJ CJaJhhaJ ho(aJ CJaJhhaJ >*haJhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJ CJaJh ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJ CJaJhhaJ ho(aJ CJaJhhaJ >*haJ! !!!!$!&!(!*!8!r!t!x!!!!!!!!!!!!!! """f"|xtnjd`ZVhaJ CJ$aJ$hhaJ CJ$aJ$hhaJ CJ$aJ$hhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ 5haJ5ho(aJ 5haJ ho(aJhaJ >*haJhaJ >*haJhaJ >*haJhaJ CJ$aJ$hhaJ CJaJh ho(aJ!f"h"j"r"t"" ######&######$ $h%j%l%v%%%%%&4&b&&}ysokga]W >*haJhaJ >*haJhaJhaJhaJ ho(aJhaJ ho(aJ ho(aJhaJhaJ5haJ\haJ ho(aJ5ho(aJ 5haJ >*haJ >*haJ 5haJhaJ5ho(aJ 5haJ ho(aJ>*ho(aJ >*haJhaJ >*haJ ho(aJhaJ CJ$aJ$h&&&&&&& '<'\'''''''''' ((.(:(<(L(N(Z(((((((}ysmke]CJaJ>*h CJo(aJo( ho(aJ ho(aJhaJ >*haJhaJ >*haJhaJ >*haJhaJhaJhaJ ho(aJhaJ ho(aJhaJ ho(aJhaJ ho(aJ ho(aJ >*haJhaJ >*haJhaJhaJhaJ ho(aJhaJ ho(aJ ho(aJ ((((()) ) )) )L)T)f)l))))))))))ûyqic[RJACJo(aJ>*hCJo(aJhCJo(aJ>*hCJaJ>*h CJo(aJCJo(aJhCJo(aJhCJo(aJ>*hCJo(aJ>*hCJo(aJhCJo(aJ>*hCJo(aJhCJo(aJ>*hCJaJ>*h CJo(aJCJo(aJhCJo(aJhCJo(aJ>*hCJo(aJ>*hCJo(aJhCJo(aJ>*hCJo(aJhCJo(aJ>*h))******H*P*b*h*~*****+ +"+$+&+*+,+Ǿ{rldZPF<OJQJo(aJ5OJQJo(aJ5OJQJo(aJ5OJQJo(aJ5OJQJaJ5 CJo(aJCJo(aJ>*hCJo(aJhCJo(aJhCJo(aJhCJo(aJ>*hCJo(aJ>*hCJo(aJhCJo(aJ>*hCJo(aJhCJo(aJ>*hCJaJ>*h CJo(aJCJo(aJhCJo(aJhCJo(aJ>*hCJo(aJ>*hCJo(aJh,+<+>+B+D+ CJo(aJOJQJo(aJ5OJQJo(aJ5 d d , $ dG$dG$WD<`<UD)]) dG$WD<`< dG$WD<`< dG$WD<`< dG$WD<`< & FdG$dG$a$$G$a$$G$a$$G$a$$G$a$$G$G$$ Jx :F`.w dG$WD;`; & FdG$dG$ dG$WD<`< dG$UD`]`dG$dG$ dG$WD<`<dG$dG$dG$WD<`<UD)]) dG$WD<`<dG$WD<`<UD\t]t.tvHrn~~dG$ dG$WD;`; dG$WD;`; dG$WD;`; dG$WD;`; dG$WD` dG$WD;`; da$$G$dG$dG$dG$ dG$WDI`I dG$WDI`IN,TrdG$VDN^NWD;`; dG$VDN^NdG$VDN^NWD;`;dG$VDN^NWD;`;dG$VDN^NWD;`;dG$VDN^NWD;`; dG$VDN^NdG$ da$$G$dG$dG$ YYxjxj^`50h^h`h50^`.p^p`p.@ ^@ `@ .^`.^`.^`.^`.P^P`P.h^h`h0^`.p^p`p.@ ^@ `@ .^`.^`.^`.^`.P^P`P.Y xj &66666666 0@P`p6666 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`pF@Fcke a$$1$CJKHmH sH nHtH_H$A@$؞k=W[SONi@Nnfh+@+B+a$$a$$a$$a$$a$$ dG$VDN^N dG$VDN^N dG$VDN^N dG$VDN^N dG$VDN^N dG$VDN^N dG$VDN^N dG$VDN^NB+D+ dG$VDN^N,. A!#"$%S2P18