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(第一页 / Page1) 签证发给申请表 APPLICATION FOR VISA (探亲签证模版) *签证发给认定号码 Confirmation No.

: 仅限于在大韩民国出入国管理事务所・办事处收到签证发给认定书的人 1. 个人信息 / PERSONAL DETAILS *手机号码 Cell Phone No.

13322222222 PHOTO 护照规格照片 (35L*45L) 6个月内拍摄的正面免冠 彩色相片,相片背景颜色 须为纯白色 A color photo taken within la st

6 months(full face without hat, front view against whit e or off-white background) 1.1 护照上的英文名/Full name in English (as shown in your passport) 姓/Family Name ZHANG 名/Given Names SAN 1.2 中文名字 Chinese Name 张三 1.3 性别/Sex 男/Male[ V ] 女/Female[ ] 1.4 出生日期 Date of Birth 1993/01/01 1.5 国籍 Nationality 中国 1.6 出生国及出生地 Country of Birth/Place of Birth 中国广东省广州市 1.7 国家身份证号码 National Identity No.

440101199301010001 1.8 您以前出境或入境韩国时是否使用过其他姓名? Have you ever used any other names to enter or depart Korea? 否No [ V ] 是Yes [ ] → 如您选择"是",请写具体内容 If'Yes'please provide details (姓Family Name , 名Given Name ) 1.9 您是否拥有双重国籍? Are you a citizen of more than one country ? 否No [ V ] 是Yes [ ] → 如您选择"是",请写具体内容 If'Yes'please write the countries ( ) 2. 访问信息 / DETAILS OF VISIT 2.1 访韩目的 Purpose of Visit to Korea 观光/通过 Tourism/Transit [ ] 参加会议/Meeting, Conference [ ] 医疗观光 Medical Tourism [ ] 短期商务 Business Trip [ ] 留学/研修 Study/Training [ ] 就业 Work [ ] 贸易/投资/驻在 Trade/Investment/ Intra-Corporate Transferee [ ] 探亲 Visiting Family/Relatives/Friends [ V ] 结婚移民 Marriage Migrant [ ] 外交/公务 Diplomatic/Official [ ] 其他 Other [ ] → 如您选择"其他",请写具体内容 If'Other'please provide details ( ) 2.2 预定停留时间Intended Period of Stay 6个月 2.3 访韩预定日 Intended Date of Entry 2015年9月1日2.4 韩国联系地址(包括酒店) Address in Korea(including hotels) 首尔市* 2.5 韩国联系电话 Contact No. in Korea 010-22222222 2.6 最近5年内是否访问过韩国 Have you travelled to Korea in the last

5 years ? 否No [ ] 是Yes [ V ] → 如您选择"是",请写具体内容 If'Yes'please provide etails of any trips to Korea (

1 ) 次times, 最近访韩目的 Purpose of Recent Visit ( 旅游 ) 2.7 最近5年内是否访问过其他国家(韩国除外) Have you travelled outside your country of residence, excluding to Korea, in the last

5 years ? 否No [ V ] 是Yes [ ] → 如您选择"是",请写具体内容 If'Yes'please provide details of these trips 国家 Name of Country (in English) 访问目的 Purpose of Visit 停留期间 Period of Stay (yyyy/mm/dd)~ (yyyy/mm/dd) 印花税票粘贴处 (签证票粘贴处) 领事馆审核栏 FOR OFFICIAL USE ONLY ????? ???? S D M ???? ???? ???? ???? ??? ???? ???? ???? ? ? ??? ???? ?? ?[ ] ?[ ] ???? (??)??/ ???? / (??)??/ 1??? / (第二页 / Page2) 2.8. 同行家属 Are you travelling to Korea with any family member ? 无No [ V ] 有Yes [ ] → 如您选择"有",请写具体内容 If 'Yes' please provide details of the family members you are travelling with 姓名 Full name in English 出生日期 Date of Birth (yyyy/mm/dd) 国籍 Nationality 关系 Relationship to you * 注:家属范围-配偶, 子女, 父母, 兄弟姐妹 Note: Definition of a Family Member - your spouse, father, mother, children, brothers and sisters 3. 职业 / EMPLOYMENT 3.1 职业 What are your current personal circumstances ? 企业家 Entrepreneur [ ] 个体经营 Self-Employed [ ] 工作者 Employed [ ] 公务员 Civil Servant [ ] 学生 Student [ ] 退休者 Retired [ ] 无职 Unemployed [ V ] 其他 Other [ ] → 如您选择"其他",请写具体内容 If'Other'please provide details ( ) 3.2. 职业详细信息 Employment Details a) 单位/机构/学校(名称) Name of Company/Institute/School b) 职位/课程 Your Position/Course c) 单位/机构/学校(地址) Address of Company/Institute/School d) 电话号码 Telephone No. 4. 邀请人信息 / DETAILS OF SPONSOR 4.1 邀请人/邀请单位 Do you have anyone sponsoring you for the visa ? 无No [ ] 有Yes [ V ] → 如您选择"有",请写具体内容 If'Yes'please provide details a) 邀请人/邀请单位 (名称) Name of your visa sponsor (Korean, foreign resident in Korea, company, or institute) 高三 b) 出生日期/营业执照号码 Date of Birth/Business Registration No. 1987/05/05 c) 关系 Relationship to you 夫妻 d) 地址 Address 首尔市* e) 电话号码 Phone No. 010-22222222 5. 访问经费 / FUNDING DETAILS 5.1 访问经费(以美元为准) Estimated travel costs(in US dollars) $500 5.2 访韩费用支付者 Who will pay for your travel-related expenses ? (any person including yourself and/or institute) a) 姓名/单位名称 Name of Person/Company(Institute) 自费 b) 关系 Relationship to you 本人 c) 支援内容 Type of Support 所有费用 d) 联系电话 Contact No.13129192999 6. 联系信息 / CONTACT INFORMATION 6.1 本国地址 Address in Your Home Country 广东省广州市天河区天和花园110号1001 6.2 现居住地 Current Residential Address *仅限于现居住地与本国地址不同者 / Write if it is different from the above address 6.3 电话号码 Telephone No. 020-22334455 6.4 电子邮件 E-mail 121212121@qq.com 6.5 紧急联系人信息 Emergency Contact Information a) 姓名 Full Name in English 张妈妈 b) 居住国家 Country of residence 中国 c) 电话号码 Telephone No.

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