臨時(shí)住宿登記表派出所版三聯(lián)

1、臨時(shí)住宿登記表Registration Form of Temporary Residence申報(bào)NO.英文姓Surn ameSEKIGUCHI英文名YUKIHIRO Give n Name中文姓名Name in Chin ese關(guān)口幸寬性別Sex'男 ( M ) 女(F) O國(guó)籍（地區(qū)）亠日本Nati on ality/Regi on職業(yè)Occupati on工程技術(shù)人員出生日期Date of Birth09日03月年身份證號(hào)dd mm YYIde ntity停留事由Purpose of Stay在華工作機(jī)構(gòu)Employer in China接待單位Received By外國(guó)人oFo

2、reig ners臺(tái)灣居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts華僑oOversea Chin ese入出境證件種類Type ofTravel Docume nt證件號(hào)碼No. ofTravel Docume nt證件有效期Validity ofTravel Docume nt簽證/簽注種類Type ofVisa/E ndorseme nt簽證/簽注號(hào)碼No. ofVisa/E ndorseme nt簽證/簽注有效期Validity ofVisa/E ndorseme nt何處來(lái)Where from何處去Where to入住

3、日期Move- in Dat e日月年ddmmYY擬離開(kāi)日期Date of Departure日月年ddmmYY住房種類宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自購(gòu)房屋 Self-purchased HouseO其它 OthersO在蘇住址本人聯(lián)系電話Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份證件號(hào)碼ID N0. of House Own er房主電話HouseOw ner' S Teleph one Numb)

4、er緊急情況下的聯(lián)系人Con tact in Emerge ncy聯(lián)系電話Teleph one Number備注Remarks填表日期：日 月年Date：dd mm YY臨時(shí)住宿登記表Registrati on Form of Temporary Reside nee備查NO.英文姓Surn ame英文名Give n Name中文姓名Name in Chin ese性別Sex男（M） O 女（F） O國(guó)籍（地區(qū)）Nati on ality/Regi on職業(yè)Occupati on出生日期Date of Birth日月年身份證號(hào)dd mm YYIde ntity停留事由Purpose of St

5、ay在華工作機(jī)構(gòu)Employer in China接待單位Received By外國(guó)人oForeig ners臺(tái)灣居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts華僑oOversea Chin ese入出境證件種類Type ofTravel Docume nt證件號(hào)碼No. ofTravel Docume nt證件有效期Validity ofTravel Docume nt簽證/簽注種類Type ofVisa/E ndorseme nt簽證/簽注號(hào)碼No. ofVisa/E ndorseme nt簽證/簽注有效期Validity

6、ofVisa/E ndorseme nt何處來(lái)Where from何處去Where to入住日期Move- in Dat e日月年ddmmYY擬離開(kāi)日期Date of Departure日月年ddmmYY住房種類宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自購(gòu)房屋 Self-purchased HouseO其它 OthersO在蘇住址本人聯(lián)系電話Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份證件號(hào)碼ID N0. of House

7、 Own er房主電話HouseOw ner' S Teleph one Numb）er緊急情況下的聯(lián)系人Con tact in Emerge ncy聯(lián)系電話Teleph one Number備注Remarks填表日期：日 月年Date：dd mm YY臨時(shí)住宿登記表交本人Registrati on Form of Temporary Reside neeNO.英文姓Surn ame英文名Give n Name中文姓名Name in Chin ese性別Sex男（M） O 女（F） O國(guó)籍（地區(qū)）Nati on ality/Regi on職業(yè)Occupati on出生日期Date of

8、 Birth日月年身份證號(hào)dd mm YYIde ntity停留事由Purpose of Stay在華工作機(jī)構(gòu)Employer in Ch ina接待單位Received By外國(guó)人oForeig ners臺(tái)灣居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts 華僑oOversea Chin ese入出境證件種類Type ofTravel Docume nt證件號(hào)碼No. ofTravel Docume nt證件有效期Validity of Travel Docume nt簽證/簽注種類Type ofVisa/E ndorseme

9、nt簽證/簽注號(hào)碼No. ofVisa/E ndorseme nt簽證/簽注有效期Validity ofVisa/E ndorseme nt何處來(lái)Where from何處去Where to入住日期Move- in Dat e日月年ddmmYY擬離開(kāi)日期Date of Departure日月年ddmmYY住房種類宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自購(gòu)房屋 Self-purchased HouseO其它 OthersO在蘇住址本人聯(lián)系電話Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份證件號(hào)碼ID NO. of House Own er房主電話HouseOw ner' S Teleph one Numb）er緊