外国驾驶员执照认可证书申请表.docVIP

PAGE 5 PAGE 1 附件一： 外国驾驶员执照认可证书申请表 Application for Verification of a Foreign License and/or Rating 用墨水笔或打印填写所有项目Type or Print All Entries in Ink I 基本信息Basic Information 照 片 Photo 1姓名Name as it appears on your pilot License 2国籍Nationality 3出生日期Date of Birth 年Y 月M 日D 4性别Sex □男Male □女Female 5出生地Place of Birth 6在华联系电话Telephone in China 7永久通信地址Permanent Mailing Address 8身份证明名称Type of Identification Document □护照Passport □其它Others 9身份证明编号Identification Document No. 10你是否能正确读、听、说和写汉语吗？Can you read, hear, speak and write the Chinese language? □是Yes □否No 11你是否