吉爾吉斯簽證申請(qǐng)表

1、CONSUL DIVISION OF THE EMBASSY OF THE KYRGYZ REPUBLIC TO THE PEOPLES REPUBLIC OF CHINA吉爾吉斯共和國駐華大使館領(lǐng)事處Affix the photo here近三個(gè)月免冠照片 VISA APPLICATION FORM 簽證申請(qǐng)表Application form should be filled in fully and accurately in capital letters, submitted with passport, which is valid. Please, ensure that the

2、photograph is attached.請(qǐng)準(zhǔn)確、完整地填寫申請(qǐng)表并提交護(hù)照及其復(fù)印件和照片.1. Full Name 姓名 (as in passport) (pinyin)2. Nationality 國籍： 3. Sex 性別： 4. Marital Status 婚姻狀況： 5. Date of Birth 出生日期： 6. Place of Birth 出生地點(diǎn)： 7. Passport Number： 護(hù)照號(hào)碼： 8. Issued by 簽發(fā)單位： 9. Expiration Date: 有效期至： 10. Permanent Home Address: 家庭地址: _ Co

3、untry: City/Province: Apartment No. 國家: _ 省/市_ 樓, 房號(hào):_ Street/Village: Phone: Mobile: 街道/鄉(xiāng)村_ 電話_ 手機(jī)_ 11. ID card Place of issue: 身份證編號(hào): 簽發(fā)單位： 12. If any children accompanying applicant are included in his/her passport, give the details 如有孩子同行, 請(qǐng)寫明: Name姓名, Place and date of birth出生日期, 地點(diǎn) Sex性別 _ 13.

4、 Occupation, office address, tel: 申請(qǐng)者工作單位地址, 電話和職務(wù): 14. Purpose of trip： 去吉爾吉斯共和國的目的： 15. Type of Visa Requested: 簽證類型：: 16. Date of Entry: 進(jìn)入吉爾吉斯共和國日期： 17. Date of Exit： 離開吉爾吉斯共和國日期： 18. Places to be visited： 去的地點(diǎn)： 19. Do you intend to work in Kyrgyzstan: 是否打算在吉爾吉斯共和國工作? 20. Names, Address and Phon

5、e No. of the Inviting Party in Kyrgyzstan: 邀請(qǐng)方名稱、地址和電話: 21. Number of previous trips to Kyrgyzstan? 去過吉爾吉斯共和國次數(shù)？ 22. Date of the latest trip? 最后一次去吉爾吉斯共和國日期？ 23. If permission to visit to Kyrgyzstan or extend stay in Kyrgyzstan has been refused previously, if so, when & by whom? 在辦理簽證或者簽證延期時(shí)，是否有

6、過被拒絕，如果有，什麼時(shí)間？被什麼機(jī)構(gòu)？在什麼地方？ _ 24. . Was this Application prepared by another person on your behalf, if so, His/Her name: Relationship to Applicant: Occupation: Address: Phone: His/Her Signature: 如果該申請(qǐng)表由他人代為填寫，請(qǐng)注明填寫人姓名、與簽證申請(qǐng)人的關(guān)系、聯(lián)系地址、電話、職業(yè)。 _ 25. I hereby declare that the information given above is true, correct and complete. I understand that any false or misleading statement may result in the permanent refusal of a visa or denial of entry into the Kyrgyz Republic. 我確認(rèn)，以上填寫內(nèi)容真實(shí)、完整。我明白，任何虛假內(nèi)容或者誤導(dǎo)都可導(dǎo)致永久拒簽。 Date 填表