China Visa Application Form

1. Applicant's Basic Information

Name (Native Lang)		Name (English)
Alien Reg. No. / ID		City of Birth
Mobile Phone		Marital Status	□ Single □ Married □ Divorced □ Widowed
Dual Citizenship	□ No □ Yes (Nationality: )	E-mail Address
Home Address

2. Applicant's Family & Education Information

Family Information (Must be filled out in English)
Highest Education	□ Graduate □ University □ High School □ Other ( )
School Name			Major
Relationship	Name (English)	Date of Birth	Occupation	Nationality	Country of Residence / Birth City
Father
Mother
Spouse
Child 1
Child 2

3. Emergency Contact & Additional Information

※ Please provide an emergency contact person who can verify your identity.

Emergency Contact Name		Relationship to You
Emergency Contact Phone		Emergency Contact City
Previous visits to China?	□ Yes □ No
Previously issued China Visa?	□ Yes (Recent Year: ) □ No
Fingerprints registered for China Visa?	□ Yes □ No
Hold valid visas for other countries?	□ Yes (Country: ) □ No
Countries visited in the past 12 months
Military Service	□ Completed (Period: Y M ~ Y M, Rank: ) □ Unfinished □ Exempted □ N/A (Female / No Conscription)

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4. Applicant's Employment & Education History (Past 5 Years)

※ Must provide all employment/education history for the past 5 years from the application date.
※ If current employment is less than 5 years, please fill in previous info to cover the full 5 years.

[1] Current Employer / School Information
Current Occupation	□ Office Worker □ Civil Servant □ Self-employed □ Student □ Unemployed □ Retired
Employer(School) Name		Period	Y M ~ Present
Position & Dept.		Work Phone
Supervisor's Name		Supervisor's Phone
Employer(School) Address
[2] Previous Employer / School Info (Required if less than 5 years)
Employer(School) Name		Period	Y M ~ Y M
Position & Dept.		Work Phone
Supervisor's Name		Supervisor's Phone
Employer(School) Address
[3] Previous Employer / School Info (If needed)
Employer(School) Name		Period	Y M ~ Y M
Position & Dept.		Work Phone

5. Flight & Inviting Party Information

※ For Tourist Visas, Inviting Party information can be left blank.

Inviting Person (or Inviting Company) Information
Date of Arrival	Y M D	Date of Departure	Y M D
City of Arrival		Flight Number
Intended Address in China
Inviter's Name		Relationship to You
Inviter's Phone		E-mail
Inviter's Address
Who will pay for travel?	□ Myself □ Inviter/Inviting Company □ Other ( )

I hereby declare that the information given above is true and correct.
I accept full responsibility for any consequences arising from false information.

Date of Application: 202 Y M D

Applicant's Signature:

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