CHINA VISA APPLICATION FORM

1.1 Full name in English as shown on your passport 1.2 Surname of Applicant

Given name

1.2 Sex
Male Female Not applicable

1.3 Chinese name (if applicable, please enter it by using Chinese characters)

1.4 Other names which you are known by or have been known by in the past

Not applicable

1.5 Name in native language script or alphabet

Not applicable

1.6 Current nationality

Are you applying for your Chinese visa in the country of your citizenship? Yes No Not applicable

1.7 Former nationality(ies)

1.8 Other nationality(ies)

Not applicable

1.9 Date of birth (format:yyyy-mm-dd)

1.10 Place of birth (city, province/state, country)

Country

Province/State

1.11 Local ID card number

Not applicable

1.12 Marital status

Married Divorced Never married Widowed

Other (Please specify):

1.13 Current occupation(s) (You can make multiple choices)

Businessman Government official Staff of media

Company employee Teacher Student Housewife Unemployed

Religious worker Active duty military personnel Retired Crew member

Member of national parliament Other (Please specify):

1.14 Passport type:

Ordinary/regular Service or official Other (Please specify): Diplomatic

1.15 Passport number:

1.16 Date of issue of passport(format: yyyy-mm-dd)

1.17 Place of issue of passport (city,province/state,country)

Country

Province/State

1.18 Expiration date of passport (format:yyyy-mm-dd)

1.19 Processing option and processing time

Apply at visa center? Regular Express

Urgent For processing option and detailed processing time, please click Apply by post?

here

Section 2. Travel information 2.1 Major purpose(s) of your visit(s) to China (You can make multiple choices)
Tourism As resident journalist Family visit As journalist for temporary news coverage Visiting friends As resident diplomat or consul Business trip Commercial performance Meeting As crew member Transit Study Employment Official visit Other (Please specify)

2.2 Intended number of entries

One entry Two entries Multiple entries valid for 6 months from date of application Multiple entries valid for 12 months from date of application Other (Please specify)

2.3 Date of your first entry (format:yyyy-mm-dd)

2.4 Longest intended stay in China among all entries of your intended visits
Days

2.5 Address(es) and phone number(s) during your stay in China listed in time sequence
No Detailed mailing address Telephone number

Section 2. Travel information 2.6 Who will pay for the cost of your travel and stay in China

Myself Inviter Parent(s) or legal guardian(s) Other (Please specify)

2.7 Do you have medical insurance covering your visit to China? If yes, provide name of the insurance company and your insurance policy or account number(Maximum 300 characters can be entered.)
Not applicable

2.8 Name, address and phone number of your inviter or contact unit or organization in China
applicable No Name Detailed mailing address Telephone number

Not

Click here to add detailed information

2.9 Name, address and phone number of your relative, friends or contact person in China
applicable No Name Detailed mailing address Telephone number

Not

Click here to add detailed information

Section 3. Information about your family, work or study 3.1 Detailed home mailing address

3.2 Home phone number

3.3 Mobile phone number

3.4 Email address

3.5 Current employer or school

Name

Not applicable

Mailing address

Phone number

3.6 Major family members

No Name Nationality

Not applicable Occupation Relationship

Click here to add detailed information

3.7 Contact person in case of emergency

3.8 Phone number of contact person in case of emergency

Section 4. Other information 4.1 Have you ever visited China before? if yes, please specify date(s), place(s) and purpose(s) of the most recent visit(Maximum 200 characters can be entered.)
Not applicable

4.2 Have you ever visited other country(ies) of territory(ies) in the last 12 months? If yes, please specify date(s), name of country(ies) or territory(ies) and purpose(s) of the visit(s)(Maximum 200 characters can be entered.)
Not applicable

4.3 Have you ever overstayed in China beyond the limit of your visa or residence permit?
Yes No

4.4 Have you ever been refused a visa for China, or been refused entry into China?
Yes No

4.5 Do you have any criminal record in China or any other country(ies)?
Yes No

4.6 Do you have any of the following diseases 1.Serious mental disorder 2.Infectious pulmonary tuberculosis 3. Other infectious disease hazardous to public health
Yes No

4.7 Have you ever visited country(ies) or territory(ies) infected by infectious disease(s) in the past 30 days?

Yes No

4.8 If you select "Yes" to any question(s) from 4.3 to 4.7, please give details below(Maximum 300 characters can be entered.)

Section 5. Declaration and additional information If you have information or declaration about your visa application other than those provided, please give details below(Maximum 200 characters can be entered.)
Not applicable

Section 6. Signature 6.1 I have read and understood all the questions, contents and requirements of this application form. I shall be fully responsible for the answers and the photo, which are true and correct. 6.2 I understand that whether to issue a visa, type of visa, number of entries, validity and duration of each stay will be decided by consular officers, and any false, misleading or incomplete statement may result in the refusal of a visa or denial of entry into China.
Applications Signature Note: Parent or guardian may sign on behalf of a minor aged less than 18 years. Please sign here on the printed form.

C If someone sharing the same passport with you, travels together with you, please provide that persons details below. person 1 1 Name

2 Sex

Male

Female

3 Date of birth (format:yyyy-mm-dd)

person 2 1 Name 2 Sex

Male Female

3 Date of birth (format:yyyy-mm-dd)

person 3 1 Name 2 Sex

Male Female

3 Date of birth (format:yyyy-mm-dd)