2010最新版中文Word 申根国签证表.doc

1. Surname (Family name) (x) 姓 For official use only 签证机关专用 2. Surname at birth (Former family name (s) (x) 出生时姓氏 Date of application: 3. First name (s) (Given name (s) (x) 名 Visa application number: 4. Date of birth (day-month-year) 出生日期 (日-月-年) 5. Place of birth / 出生地 6. Country of birth / 出生国 7. Current nationality / 现国籍 Nationality at birth, if different: 出生时国籍，如与现国籍不同 Application lodged at ( Embassy/Consulate ( CAC ( Service provider ( Commercial intermediary 8. Sex / 性别 ( Male / 男 ( Female / 女 9. Marital status / 婚姻状况 ( Single / 未婚 ( Married / 已婚 ( Separated / 分居 ( Divorced / 离异( Widow (er) / 丧偶 ( Other / 其它 ……………………………. ( Border Name: ( Other 10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authority / legal guardian / 未成年申请人 须填上合法监护人的姓名、住址(如与申请人不同) 、及国籍 File handled by: 11. National identity number, where applicable 身份证号码，如适用 Supporting documents: ( Travel document 12. Type of travel document 护照种类： ( Ordinary passport / 普通护照 ( Diplomatic passport / 外交护照 ( Service passport / 公务护照 ( Official passport / 因公护照 ( Special passport / 特殊护照 ( Other (please specify) / 其它旅行证件（请注明）：…………………………………… ( Means of subsistence ( Invitation ( Means of transport ( TMI ( Other: 13. Number of travel document 旅行证件编号 14. Date of issue 签发日期 15. Valid until 有效期至 16. Issued by 签发机关 17. Applicant’s home address and e-mail address 申请人住址及电子邮件 Telephone number(s) 电话号码 Visa decision: ( Refused ( Issued ( A ( C ( LTV 18. Residence in a country other than the country of current nationality 是否居住在现时国籍以外的国家 ( No 否 ( Yes. Residence permit or equivalent …………………… No ………………… Valid until..………………………….. 是。 居留证 编号 有效期至 *19. Current occupation 现职业 *20. Employer and employer’s address and tele