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T02hn}fUUUU$&`#$/G$If$d,$&`#$/G$Ifa$kd $$IfT40($X! 6`044 laf4TjSBBB$&`#$/G$If$d,$&`#$/G$Ifa$kd $$IfT4F($O  6`0    44 laf4T,jYYYY$&`#$/G$Ifkd $$IfT4F( $O  6`0    44 laf4THZx}jjjj$&`#$/9DG$Ifkd $$IfT40(q  6`044 laf4Txz }k$&`#$/G$H$IfkdT$$IfT40(q  6`044 laf4T "V8V|||eSee$$&`#$/Ifa$$d<$&`#$/G$Ifa$$$&`#$/G$Ifa$nkd$$IfT4(|( 6`044 laf4TVXZ\D3d<$&`#$/G$If$&`#$/G$Ifkd$$IfT4rC<( [ 6`044 laf4T\^`bd0kd$$IfT4rC<(  [ 6`044 laf4Td<$&`#$/G$Ifdfhjlnd<$&`#$/G$If$&`#$/G$IfnprtD3d<$&`#$/G$If$&`#$/G$Ifkd$$IfT4rC<(  [ 6`044 laf4Ttvxz|0kd$$IfT4rC<(  [ 6`044 laf4Td<$&`#$/G$If|~d<$&`#$/G$If$&`#$/G$IfD----$d<$&`#$/G$Ifa$kd>$$IfT4rC<(  [ 6`044 laf4T< d*,8pvz|24* 0 4 < ^ ` d h r x | !"!&!*!:!B!F!v!("*"."h"n"p"""H#N#R# ho. hy5B*CJPJphho. hy5PJQJho. hy5PJho. hy5CJPJQJho. hy5CJPJK Z?kdc$$IfT4FC( 6`0    44 laf4Td<$&`#$/G$If$d<$&`#$/G$Ifa$Z\$&}fRd<$&`#$/G$If$d<$&`#$/G$Ifa$kdb$$IfT40C( ! 6`044 laf4T&(*p| }tt```IId$&`#$/1$9DG$If$$&`#$/G$Ifa$G$H$]kd)$$IfT40(d 6`044 laf4T Skd$$IfT4jF 'x` 6`0    44 laf4Td$&`#$/1$9DG$If, jSSSd$&`#$/1$9DG$Ifkd$$IfT4jF 'x  6`0    44 laf4T, . 0 ` t jSSSd$&`#$/1$9DG$Ifkd$$IfT4F 'x 6`0    44 laf4Tt v x jSSSd$&`#$/1$9DG$Ifkd$$IfT4NF 'x 6`0    44 laf4T !!jSBS$&`#$/G$Ifd$&`#$/1$9DG$Ifkd)$$IfT43F 'x 6`0    44 laf4T! !"!!jSSSd$&`#$/1$9DG$Ifkd6$$IfT43F 'x 6`0    44 laf4T>!@!B!*"J#jSSSd$&`#$/1$9DG$IfkdC$$IfT4F 'x 6`0    44 laf4TJ#L#N#,$%jSSSd$&`#$/1$9DG$IfkdP$$IfT48F 'x 6`0    44 laf4TR##*$,$0$\$%"%&%.%~%%%%%%%%:&<&>&V&&&&&&&&&&&&&$'('*'6'8'@'''''''N(d(f(n(()) )))))*(R "2P ˿ho. hy5CJPJho. hy5CJPJQJUho. hy5PJho. hy5CJPJho. hy5CJPJQJK% %"%%%jSBS$&`#$/G$Ifd$&`#$/1$9DG$IfkdA $$IfT48F 'x 6`0    44 laf4T%%%<&&jSSD$&`#$/Ifd$&`#$/1$9DG$Ifkd2!$$IfT4BF 'x 6`0    44 laf4T&&&&jYY$&`#$/G$Ifkd#"$$IfT4 F 'x 6`0    44 laf4T&&&& ''J((}nn\CCC d,$&`#$/G$H$If$$&`#$/Ifa$$&`#$/Ifkd#$$IfT40 'x! 6`044 laf4T()))4kd#$$IfT4F0 'x! 6`044 laf4T# $&`#$/G$H$IfWD{^`gdo. & d,$&`#$/G$H$IfWD{^`gdo. or express service? lR%` gR{~N[XTybQ \R6e9(u0Note: Express service needs approval of consular officials, and extra fees may apply. % /fYes % &T No2.4,g!kL z!kb-NVveg Expected date of your first entry into China on this trip (yyyy-mm-dd)2.5L z-NUS!k(WNS\PYuvg)Ype Longest intended stay in China among all entries Days2.6(W-NVXQL z cez^,SDS~kXQ Itinerary in China (in time sequence may type on separate paper)egDate~0W@WDetailed address 2.7\bb(W-NVgv9(uWho will pay for your travel and expenses during your stay in China?2.8-NVXQUSMOb*NNOo`Information of inviter in ChinaY Tb Ty Name 0W@W AddressT|5u݋ Phone numberN3uNsQ| Relationship with the applicant2.9/f&Tf~_Ǐ-NV~{Y g fgяN!k_-NV~{veT0Wp0Have you ever been granted a Chinese visa? If applicable, please specify the date and place of the last time you were granted the visa.2.10ǏS12*Ng-NvvQNV[b0W:SOther countries or territories you visited in the last 12 months N0vQNNy Part 3: Other Information 3.1/f&Tf(W-NVǏ~{bE\YuSAQvgP\PYuHave you ever overstayed your visa or residence permit in China?%/fYes %&TNo3.2/f&Tf~b~~{S-NV~{,bb~ۏeQ-NVHave you ever been refused a visa for China, or been refused entry into China?%/fYes %&TNo3.3/f&T(W-NVbvQNV[ grjU_Do you have any criminal record in China or any other country? %/fYes %&TNo3.4/f&TwQ gN NNNy`b_Are you experiencing any of the following conditions?  = 1 \* GB3 \* MERGEFORMAT `$%N͑|^yxSerious mental disorder  = 2 \* GB3 \* MERGEFORMAT a$ Og'`~8huInfectious pulmonary tuberculosis  = 3 \* GB3 \* MERGEFORMAT b$SqS[lQqQkSuvvQN OguOther infectious disease of public health hazards%/fYes %&TNo3.5я30eQ/f&TMR_ǏAmL'`uu OgvV[b0W:SDid you visit countries or territories affected by infectious diseases in the last 30 days? %/fYes %&TNo3.6Yg[3.10R3.5vNUON*N b /f (W Nb~f0 If you select Yes to any questions from 3.1 to 3.5, please give details below. 3.7Yg g,gh*gmS NHvvQNN~{3uvsQvNy (WdkbS~f0 If you have more information about your visa application other than the above to declare,please give details below or type on a separate paper. 3.8Y3uNbgq-NvUPLNN3uNN TeL \UPLNgqGr|4(W Nbv^kXQUPLNOo`0If someone else travels and shares the same passport with the applicant , please affix their photos and give their information below. UPLNOo` Information UPLN 1 Person 1 |4gqGrNdk Affix Photo here UPLN 2 Person 2 |4gqGrNdk Affix Photo here UPLN 3 Person 3 |4gqGrNdk Affix Photo here Y T Full name'`+R Sexue DOB(yyyy-mm-dd) V0XfS~{ T Part 4: Declaration & Signature 4.1bXf b]v^tdkh@b gQ[Bl v^?a1\@bkXbOo`T3uPgevw['`bbNRl_Tg0 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. 4.2bt &T_~{0_UOy~{0eQX!kpeNS gHeg0\PYugI{\1uN[XTQ[ NUO N[0[bkXQ N[teGWS[~{3ub~bb~ۏeQ-NV0 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 for or denial of entry into China. 4.3 bt 9hnc-NVl_ 3uNsSOc g-NV~{N gSb~eQX0 I understand that, according to Chinese law, applicant may be refused entry into China even if a visa is granted.  3uN~{ T eg Applicant s signature: Date (yyyy-mm-dd): l*gn18hT\v*gbt^N{1u6rkbvbNN~{0Note: The parent or guardian shall sign on behalf of a minor under 18 years of age. N0NNNkX3uhekXQN NQ[ Part 5If the application form is completed by another person on the applicant's behalf, please fill out the information of the one who completes the form 5.1Y T Name5.2N3uNsQ| Relationship with the applicant5.30W@W Address 5.45u݋ Phone number 5.5Xf Declaration bXf,gN/f9hnc3uNBl OSRkXh f3uNtv^nxh-N@bkXQQ[Qnxe0 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. 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