成都领馆签证申请表（新）3.doc

4 PAGE 4 1 签证发给申请表 APPLICATION FOR VISA 1. 个人信息 / PERSONAL DETAILS * 手机号码 Cell Phone No.: PHOTO 护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片，相片背景颜色须为纯白色 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 1.1 护照上的英文名/Full name in English (as shown in your passport) PHOTO 护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片，相片背景颜色须为纯白色 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 姓／Family Name 名／Given Names PHOTO 护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片，相片背景颜色须为纯白色 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 1.2 中文名字 Chinese Name 1.3 性别／Sex 男/Male[ ] 女/Female[ ] PHOTO 护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片，相片背景颜色须为纯白色 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 1.4 出生日期 Date of Birth (yyyy/mm/dd) 1.5 国籍 Nationality PHOTO 护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片，相片背景颜色须为纯白色 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 1.6 出生国及出生地 Country of Birth/Place of Birth 1.7 国家身份证号码 National Identity No. 1.8 您以前出境或入境韩国时是否使用过其他姓名? Have you ever used any other names to enter or depart Korea? 否 No [ ] 是 Yes [ ] → 如您选择是，请写具体内容 If‘Yes’please provide details (姓 Family Name , 名 Given Name ) 1.9 您是否拥有双重国籍? Are you a citizen of more than one country ? 否 No [ ] 是 Yes [ ] → 如您选择是，请写具体内容 If‘Yes’please write the countries ( ) 2. 签证发给认定书签发信息 / DETAILS OF VISA ISSUANCE CONFIRMATION ※ 仅限于在大韩民国出入国管理事务所·办事处收到签证发给认定书的人 (Section 2 is only for those who possess confirmation of visa issuance issued by the Immigration Office of the Republic of Korea) 2.1 签证发给认定号码 Confirmation No. 2.2 签发日期 Issue Date 2.3 护照号码 Passp