Instruction to Visa Application Form of the

People’s Republic ofChina

　　●The free Adobe Acrobat Reader 6.0 or later is required to open and fill in this Application Form

　　●Please fill in the Application form truly and completely.

　　Section 1

　　1.1 Please fill in your name as in your passport and separate your first name, last name and middle name.

　　1.2 Please select your sex.

　　1.3 Please fill in your Chinese name, if applicable.

　　1.4 Please fill in your current nationality as in your passport.

　　1.5 Please fill in your other Chinese name or foreign maiden, religious, professional, aliases names if applicable.

　　1.6 Please fill in your former nationality if applicable.

　　1.7 Please fill in the date of your birth as in your passport.

　　1.8 Please fill in the name of your birth place (City, Province/State and country).

　　1.9 Please select the type of your passport with which you are applying for the visa. If you use travel document other than a passport, please specify.

　　1.10 Please fill in the number of your passport with which you are applying for the visa.

　　1.11 Please fill in the date of issue of your passport.

　　1.12 Please fill the name of place (City, Province/State and country) of issue of your passport.

　　1.13 Please fill in the expiration date of your passport.

　　1.14 Please select your current occupation(s).

　　If your occupation(s) are not listed above, please specify the details.

　　Section 2

　　2.1 Please select the purposes of your visit(s) toChina. If your purpose(s) toChinaare not listed above, please specify the details.

　　2.2 Please select the number of entry of your visit(s) toChinawith the visa. Visa normally comes into valid from the date of application.

　　2.3 The date of your possible entry intoChina.

　　2.4 Please fill in the number days among the entries you intend to stay inChina. If the entries are more than 2, please fill in the number of your longest stay.

　　2.5 Please list the name of cities/counties, provinces you intend to visit inChinain a time sequence.

　　2.6 Please select the intended date of pickup of the visa.

　　Section 3

　　3.1 If you have been refused for a Chinese visa in or out ofChina, please select YES. Otherwise, please select No.

　　3.2 If you have been refused to enter into or been deported fromChina, please select YES, please select No.

　　3.3 If you have any criminal record in any country includingChina, please select YES. Otherwise, please select No.

　　3.4 If you suffer from any one of the following diseases, please select YES. Otherwise, please select No.

　　3.5 If you have visitedChinabefore, please select YES. Otherwise, please select No.

　　3.6 If you select YES to any questions from 3.1 to 3.4, please specify the details.

　　Section 4

　　4.1 Please fill in the full name of your employer or school.

　　4.2 Please fill in your daytime phone number.

　　4.3 Please fill in the post address of your employer or school.

　　4.4 Please fill in your nighttime phone number.

　　4.5 Please fill in the post address of your home address.

　　4.6 Please fill in your email address.

　　4.7 Please fill in the name of the company inChinawhich invite your visit, or the name of your reception unit inChina, or the name of the School you intend to study in, or the name of your relatives or friends inChinawhom you intend to visit.

　　4.8 Please fill in the phone number of the company, school or person filled in item 4.7.

　　4.9 Please fill in the post address of the company, school or person filled in item 4.7.

　　4.10 Please fill in the email of the company, school or person filled in item 4.7.

　　Section 5

　　If you have more information relevant to your application to declare , please specify the details.

　　Section 6

　　6.1 Please fill in the name of the person filling out the form for the applicant.

　　6.2 Please fill in the relationship of the person filling out the form and the applicant.

　　6.3 Please fill in the post address and phone number of the person filling out the form.

　　6.4 The person filling out the form should sign.

　　Section 7

　　Applicant should read carefully and signed to agree and fill in the date.

　　ALL applicants MUST sign except the minor under 18 and whose form is prepared by his or her legal guardian.

　　Please fill in the date of completing this form.