Denied Instructions
I , (申请人姓名)have applied for a (申请签证的领馆)visa at (申请签证时的年月). And the visa type is . (按实际签证类型填写,如 "Tourist Visa" and " Visit Friends and Relatives Visa" and "Business Visa")
My application was denied because follow reasons:
(请填写导致被拒签的原因). (如不知道原因,请填写unknown reasons)
I confirm the above is true and faithful。
Declarant: (本人用黑色水笔中文签名,与护照末页保持一致)
Date:日/月/年
**参考示例