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1.18 家庭住址
Home address
1.19 邮政编码
Zip Code
1.20电话/手机
Home/mobile phone number
1.21电子邮箱
E-mail address
1.22 婚姻状况 Marital status □ 已婚 Married □ 单身 Single □ 其他 Other(Please specify):
姓名 Name
国籍 Nationality
职业 Occupation 关系 Relationship
1.23 主要家庭成员
(配偶、子女、父母
等,可另纸)
Major family
members（spouse,
children,parents,et
c.,may type on
separate paper）
姓名
Name
手机
Mobile phone number
1.24
紧急联络人信息
Emergency
Contact
与申请人的关系
Relationship with the applicant
1.25 申请人申请签证时所在的国家或地区 Country or territory where the
applicant is located when applying for this visa
二、旅行信息 Part 2: Travel Information
□ 官方访问 Official Visit
□ 旅游 Tourism
□ 常驻外交、领事、国际组织人员
As resident diplomat，consul or staff of international
organization
□ 交流、考察、访问 Non-business visit □ 永久居留 As permanent resident
□ 商业贸易 Business & Trade □ 工作 Work
□ 人才引进 As introduced talent □ 寄养 As child in foster care
□ 执行乘务 As crew member
□ 过境 Transit
□ 短期探望中国公民或者具有中国永久居留资格的
外国人 Short-term visit to Chinese citizen or
foreigner with Chinese permanent residence status
□ 与中国公民或者具有中国永久居留资格的外国人
家庭团聚居留超过180日 Family reunion for over 180
days with Chinese citizen or foreigner with Chinese
permanent residence status
□ 短期探望因工作、学习等事由在中国停留居留的外
国人 Short-term visit to foreigner residing in China
due to work, study or other reasons
□ 长期探望因工作、学习等事由在中国居留的外国人
As accompanying family member of foreigner
residing in China due to work, study or other reasons
□ 短期学习 Short-term study for less than 180 days
□ 长期学习 Long-term study for over 180 days
□ 短期采访报道 As journalist for temporary news
coverage
□外国常驻中国新闻机构记者 As resident journalist
2.1 申请
入境事由 Major
purpose
of your visit
□ 其他(请说明)Other (Please specify)：
2.2 计划
入境次数
Intended number
of entries
□ 一次(自签发之日起 3 个月有效) One entry valid for 3 months from the date of issue
□ 二次(自签发之日起 3-6 个月有效) Two entries valid for 3 to 6 months from the date of issue
□ 半年多次（自签发之日起 6 个月有效) Multiple entries valid for 6 months from the date of issue
□ 一年多次（自签发之日起 1 年有效) Multiple entries valid for 1 year from the date of issue
□ 其他（请说明）Other (Please specify):
2.3 是否申请加急服务 Are you applying for express service?
注：加急服务须经领事官员批准，将加收费用。Note: Express service needs approval of
consular officials, and extra fees may apply.
□ 是 Yes □ 否 No
2.4 本次行程预计首次抵达中国的日期
Expected date of your first entry into China on this trip (yyyy-mm-dd)
2.5 预计行程中单次在华停留的最长天数
Longest intended stay in China among all entries
Days
