PDF《照片/Photo》

12 个月中访问的其他国 家或地区 Other countries or territories you visited in the last

12 months 第4页共4页/Page

4 of

4 3.7 如果有本表未涉及而需专门陈述的其他与签证申请相关的事项,请在此或另纸说明.If you have more information about your visa application other than the above to declare, please give details below or type on a separate paper. 3.8 如申请人护照中的偕行人与申请人一同旅行,请将偕行人照片粘贴在下面并填写偕行人信息.If someone else travels and shares the same passport with the applicant, please affix their photos and give their information below. 偕行人

1 Person

1 粘贴照片于此 Affix Photo here 姓名 Full name 偕行人

2 Person

2 粘贴照片于此 Affix Photo here 姓名 Full name 性别 Sex 男M女F性别 Sex 男M女F生日 DOB(yyyy-mm-dd) 生日 DOB (yyyy-mm-dd)

四、声明及签名 Part 4: Declaration & Signature 4.1 我声明,我已阅读并理解此表所有内容要求,并愿就所填报信息和申请材料的真实性承担一切法律后果. I hereby declare that I have read and understood all the questions in this application and shall bear all the legal consequences for the authenticity of the information and materials I provided. 4.2 我理解,能否获得签证、获得何种签证、入境次数以及有效期、停留期等将由领事官员决定,任何不实、误导或填 写不完整均可能导致签证申请被拒绝或被拒绝进入中国. I understand that whether to issue a visa, type of visa, number of entries, validity and duration of each stay will be determined by consular official, and that any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China. 4.3 我理解,根据中国法律,申请人即使持有中国签证仍有可能被拒绝入境. I understand that, according to Chinese laws, applicant may be refused entry into China even if a visa is granted. 我已阅读并完全接受以上内容.I have read and accepted all the above contents. 申请人签名 日期 Date (yyyy-mm-dd): Applicant's signature: 注:未满

18 周岁的未成年人须由父母或监护人代签.Note: The parent or guardian shall sign on behalf of a minor under18 years of age.

五、他人代填申请表时填写以下内容 Part 5:If the application form is completed by another person on the applicant's behalf, please fill out the information of the one who completes the form 5.1 姓名 Name 5.2 与申请人关系 Relationship with the applicant 5.3 地址 Address 5.4 电话 Phone number 5.5 声明 Declaration 我声明本人是根据申请人要求而协助填表,证明申请人理解并确认表中所填写内容准确无误. I declare that I have assisted in the completion of this form at the request of the applicant and that the applicant understands and agrees that the information provided is true and correct. 代填人签名/Signature: 日期/Date (yyyy-mm-dd):