Form .2011a - Visa Application Form Of The People'S Republic Of China Page 4
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44.8 如果对 4.3 到 4.7 的任何一个问题选择“是”，请在下面详细说明。
If you select Yes to any questions from 4.3 to 4.7, please give details below.
五、有关声明 Section 5: Relevant declaration
5.1 如计划赴中国工作、留学，或使用的护照上有一同旅行的携行人，或是在非国籍国申请签证，请填写签证申
，
请表附表(Form V.2011B)
与本表一同递交。If you are seeking to work or study in China, or if someone else travelling
with you shares the same passport with you, or if you are making this visa application in a country or territory other than
the country of your nationality, please fill out the Supplementary Visa Application Form (Form V.2011B) and submit
with this application form.
5.2 如果有本表未涉及而需专门陈述的其他与签证申请相关的事项，请在此说明。 If you have more information
about your visa application other than the above to declare, please give details below.
六、签名 Section 6: Signature
6.1 我已阅读并理解此表所有内容要求，并对照片及填报情况的真实性和准确性负责。I have read and understood
all the questions in this application. I shall be fully responsible for the answers and the photo, which are true and correct.
6.2 我理解，能否获得签证、获得何种签证、入境次数以及有效期、停留期等将由领事官员决定，任何不实、误
导或填写不完整均可能导致签证申请被拒绝或被拒绝进入中国。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 for or denial of entry into China.
申请人签名
日期
Applicant’s signature:
Date (yyyy-mm-dd):
.
注：未满 18 周岁的未成年人可由父母或监护人代签。Note: Parent or guardian may sign on behalf of a minor aged less than 18 years.
七、他人代填申请表时填写以下内容 Section 7：If the application form is completed by another person on the
applicant’s behalf, please fill out the following:
7.1 代填申请表人的姓名
7.2 与申请人关系
Name of the person
Relationship to the
completing this form on
applicant
the applicant’s behalf
7.3 地址
7.4 电话
Address
Phone number
7.5 所持身份证件种类
7.6 证件号码
Type of ID document
Number of ID
7.7 声明 Declaration
我声明本人是根据申请人要求而协助填表，并证明申请人理解并确认表中所填写内容准确无误。
I declare that I have assisted in the completion this form at the request of the applicant and the applicant understands
and agrees that the information provided is correct.
代填人签名 /Signature：
日期/Date (yyyy-mm-dd):
.
以下仅供领事官员填写 Official use only
签证种类
有效期
停留期
审核人
日期
备注
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