赴南非签证申请表英文.doc

DEPARTMENT: HOME AFFAIRSREPUBLIC OF 部门：南非共和国民政局APPLICATION FOR VISA OR TRANSIT VISA[Section 7(1)(g)read with section 10A and 10B;Regulation 8 (1)]签证或过境签证申请表Failure to complete this application form in full may result in the visa being delayed or refused.Please use block letters and black ink only.如申请表没有填写完整，则会造成签证被推迟或拒绝。请使用大写字母、黑色墨水填写表格。PERSONAL PARTICULARS 个人资料Surname姓First name(in full) 名（全名）Maiden name婚前姓（女子）Previous name曾用名Y年Y年Y年Y年M月M月D日D日Date of birth出生年月日City of birth出生城市………….Country of birth出生国家…………………………………………………………………………Gender性别Male男female女Nationality国籍……………………If acquired by naturalization, state original nationality 如移民，原国籍为………………Where and when was present nationality obtained何地何年取得此国籍……………………….Passport/Travel Document Number护照/旅游证件号……………………………………..……………………..Type of document: Diplomatic/ Official/ Ordinary Passport/Travel证件类型：外交/官方/普通般/护照/旅游Document/Other(specify)证件/其它（详细说明）…………………………………………………………..Issuing authority: 签发机关…..…………………………………Date of expiry: 有效期至 ……Permanent residential address 永久居住地址………….…………………………………………………………………………………………………………………………………………Period residential at this address 此地居住年限………….……………………………………………………………...Telephone number 电话（………）（code 区号）………….............(number 号码)Country of permanent residence 永久居住国家………….……………………………………………………………..Period residence in that country 此国居住年限…………………………………..Occupation or profession 职业………………………………………………………………Name, address and telephone NO. of employer, organization, etc. to which you are attached, or that you represent 所属和代表的雇主的姓名，地址，电话，学校，组织，……………………………………………………………………………………………………..……………………………………………………………………………………………………...If self-employed, state name, address, telephone NO. and nature of business 如是个体经营，列举单位名称，地址，电话，营业性质……………………………………………………………………………………………………..……………………………………………………………………………………………………..Marital status 婚姻状况Never married 未婚Married 已婚Widowed 寡居Separated分居 Divorced离异First name(s) of spouse配偶名字Maiden name婚前姓氏Y年Y年Y年Y年M月M月D日D日Nationality国籍……..Date of birth出生年月日NB:SEPATE FORM MUST BA COMPLETED IN RESPECT OF P