China Visa Application Form

中华人民共和国签证申请表
Visa Application Form of the People’s Republic of China

(For the Mainland of China only) — Form V.2013

申请人必须如实、完整、清楚地填写本表格。请逐项在空白处用中文或英文大写字母打印填写，或在□内打√选择。如有关项目不适用，请写“无”。 The applicant should fill in this form truthfully, completely and clearly. Please type the answer in capital English letters in the space provided or tick (√) the relevant box to select. If some of the items do not apply, please type N/A or None.

一、个人信息 Part 1: Personal Information

1.1 英文姓名 Full English name as in passport

1.8 出生地点(市、省/州、国) Place of birth

1.9 身份证/公民证号码 Local ID/Citizenship number

1.10 护照/旅行证件种类 Passport/Travel document type

1.15 当前职业（可选多项） Current occupation(s)

1.16 受教育程度 Education

1.17 工作单位/学校 Employer/School

二、旅行信息 Part 2: Travel Information

1.22 婚姻状况 Marital status

1.23 主要家庭成员 Major family members

(spouse, children, parents, etc., may type on separate paper)

1.24 紧急联络人信息 Emergency Contact

1.25 申请人申请签证时所在的国家或地区 Country or territory where the applicant is located when applying for this visa

2.1 申请入境事由 Major purpose of your visit

2.2 计划入境次数 Intended number of entries

2.3 是否申请加急服务 Are you applying for express service?

2.4 本次行程预计首次抵达中国的日期 Expected date of your first entry into China on this trip

2.5 预计行程中单次在华停留的最长天数 Longest intended stay in China among all entries

2.6 在中国境内行程 Itinerary in China

2.7 谁将承担在中国期间的费用？ Who will pay for your travel and expenses during your stay in China?

2.8 中国境内邀请单位或个人信息 Information of inviter in China

2.9 是否曾经获得过中国签证？如有，请说明最近一次获得中国签证的时间和地点。Have you ever been granted a Chinese visa?

2.10 过去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

三、其他事项 Part 3: Other Information

3.1 是否曾在中国超过签证或居留许可允许的期限停留？ Have you ever overstayed your visa or residence permit in China?

3.2 是否曾经被拒绝签发中国签证，或被拒绝进入中国？ Have you ever been refused a visa for China, or been refused entry into China?

3.3 是否在中国或其他国家有犯罪记录？ Do you have any criminal record in China or any other country?

3.4 是否具有以下任一种情形 Are you experiencing any of the following conditions?

① 严重精神障碍 Serious mental disorder

② 传染性肺结核病 Infectious pulmonary tuberculosis

③ 可能危害公共卫生的其他传染病 Other infectious disease of public health hazards

3.5 近30日内是否前往过流行性疾病传染的国家或地区？ Did you visit countries or territories affected by infectious diseases in the last 30 days?

3.6 如果对3.1到3.5的任何一个问题选择“是”，请在下面详细说明。

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。

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。

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 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 law, applicant may be refused entry into China even if a visa is granted.

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 under 18 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

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.