签证申请表 APPLICATION FOR VISA ※ 签证发给认定号码[反签号] (CONFIRMATION OF VISA ISSUANCE NO. ) : | ||||||||||||||||
照 片 PHOTO 3.5㎝× 4.5㎝ | 1.姓(拼音) Surname ZHANG | 3.汉字姓名 张三 | 4.性别 Gender [√]M [ ]F | |||||||||||||
2.名(拼音) Given Names SAN | 5.出生日期 Date of Birth 1985-05-12 | |||||||||||||||
6.国籍 Nationality 中国 | 7.出生地点 Country of Birth 上海 | |||||||||||||||
8.现住所 Home Address 上海市北京西路100号201室 | ||||||||||||||||
9.固定电话号码 Phone NO. 021-54895621 | 10.手机号码 Cell Phone 13912345678 | |||||||||||||||
11.电子邮箱 E-mail zhangsan@163.com如实填写（没有请填写“无”） | 12.身份证号 National Identity Number 3300713198505130123 | |||||||||||||||
护照 Passport | 13.护照号码 Passport NO. G54784512 | 14.护照类型 Classification | 外交, 公务, 公务普通, √因私 其他 DP, OF OF, OR, OTHERS | |||||||||||||
15.签发地点 Place of Issue 上海 | 16.签发日期 Date of Issue 2010-05-21 | 17.有效期至 Date Of Expiry 2020-05-20 | ||||||||||||||
职业 Occupation | 18.职业 Occupation 职员 自由职业者请在“职业”一栏中填写从业类别，如：（自由职业：专职炒股）、（自由职业：个体经营服装）、（自由职业：自由作家）等 | 19.单位电话 Business Phone NO. 021-54891256 | ||||||||||||||
20.单位名称 Name of Present Employer 上海携程国际旅行社有限公司 如实填写（没有请填写“无”） 单位地址 Address of Present Employer 上海市福泉路99号 如实填写（没有请填写“无”） | ||||||||||||||||
婚姻状况 Marital status | 21.[ ]未婚 Single [√ ]已婚 Married [ ]丧偶 Widowed [ ]离婚 Divorced | |||||||||||||||
22.配偶者姓名 Spouse's Name 王慧 | 23.配偶者出生日期 Spouse's Date of Birth 1986-05-01 | |||||||||||||||
24.配偶者国籍 Spouse's Nationality 中国 | 25.配偶者联系电话 Spouse's TEL 13645124578 | |||||||||||||||
26.赴韩目的 Purpose of Entry 旅游 | 27.在韩停留时间 Potential Length of Stay 4天 | |||||||||||||||
28.预定赴韩日期 Potential Date of Entry 2013-05-12 | 29.过去有无访韩经历 Previous Visit (If Any) 有 √无 | |||||||||||||||
30.韩国内停留地 Address in Korea 首尔（填写观光城市名称） | 31.韩国内联系电话 Phone NO. in Korea 如实填写（没有请填写“无”） | |||||||||||||||
32.此次赴韩费用支付者 Who Will Pay For The Expense For Your Stay? 本人 如实填写（没有请填写“无”） | ||||||||||||||||
33.最近5年内旅行过的国家 Countries You Have Traveled During The Past 5 Years 日本 如实填写（没有请填写“无”） | ||||||||||||||||
34. 同伴家族 Accompanying Family 如直系亲属不同行，此栏所有空格请填“无”。 | 关系 Relationship | 国籍 Nationality | 姓名 Name | 出生日期 Date of Birth | 性别 Gender | |||||||||||
妻子 | 中国 | 王慧 | 1986-05-01 | 女 | ||||||||||||
儿子 | 中国 | 张磊 | 2012-01-01 | 男 | ||||||||||||
35. 韩国内担保人 Guarantor or Reference in Korea | 关系 Relationship | 国籍 Nationality | 姓名 Name | 出生日期 Date of Birth | 性别 Gender | |||||||||||
如实填写（没有请填写“无”） | 如实填写（没有请填写“无”） | 如实填写（没有请填写“无”） | 如实填写（没有请填写“无”） | 如实填写（没有请填写“无”） | ||||||||||||
I declare that the statements made in this application are true and correct to the best of my knowledge and belief, that I will observe the provisions of the Immigration Law of the Republic of Korea and that I will not engage in any activities irrelevant to the purpose of entry stated herein. Besides, I am fully aware that any false or misleading statement may result in the refusal of a visa, and that possession of a visa does not entitle the bearer to enter the Republic of Korea upon arrival at the port of entry if he/she is found inadmissible. | ||||||||||||||||
申请日 DATE OF APPLICATION 2013-05-14 申请人署名 SIGNATURE OF APPLICANT 张三（申请人亲笔中文签名） | ||||||||||||||||
공 용 란 FOR OFFICIAL USE ONLY 以下信息无需填写 | ||||||||||||||||
收入印纸（签证邮票）粘贴处 수입인지 부착란 | B/L: 출입국사항: 복수대상사유: 사 건 부: 불허경력: 기 타: | 사증종류 | S D M | 접수일자 |
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체류자격 |
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유효기간 |
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결 재 | 가 · 부 |
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불허시 사유 : 고 지 사 항 : | ||||||||||||||||
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