Official --

use only
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Application Form for Notarization / Attestation
A. In Case of Use by the Company in Application

Name of the Company Telephone No.
in Application

Address of the Company

B. In Case of Personal Use

Name of the Person in Application Type of ID and No.

Nationality Occupation Sex

Date of Birth Y M D Place of Birth Province City

Company to Work with

Home Address Telephone No.

C. Application in Detail
/ Notarization /Attestation
Item of Application

Subject of the Document

Please Submit Original Documents and Photocopies

/Marriage /Power of Attorney /Lawsuit

Purpose of Notarization/Attestation /Apply for Dependent visa
/Import or Export Products
/Set up company or office in China
/Other
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Name of the Party/Authority in China to
which the Document will be registered

Please Mark here if the Document is to be Used in Number of Pages to be
Chinas Hong Kong or Macao Notarized / Attested

I hereby declare that the information given above is true, correct and complete. I shall bear all the
legal responsibility for the above information.

Date of Application: Y M D Signature of Applicant:
In Case of Unavailability of the Applicant (For Attestation only)

Name of the Representative Telephone No.

Address of the Representative