以色列签证申请表.docxVIP

Photo照片State of Israel 以色列国 Photo 照片 Application for entry visa to Israel 签证申请表 Instructions for completing application form： Please attach a recent ID photograph.。 If application is not for the purpose of visit, specify reasons and supply documentation. Please fill in following details in Hebrew or English. 申请表填写说明: 请附一张近期护照照片. 如申请不是为了访问以色列，请详述申请原因，并递交相关材料. 请用希伯来文或英文填写表格. Previous family Previous family name 曾用名 Mother’s name 母亲姓名 Father’s name 父亲姓名 Given name 名 Family name 姓 Previous Previous nationality 曾有国籍 Present nationality 现国籍 Occupation 职业 Date of birth 出生日期 Place of birth 出生地点 □ Passport 护照 □ Laissez passer 临时护照 valid until Issued on Issued at 有效期至 签发时间 签发地点  Number 号码 Family status 家庭状况 In English 英文 married 已婚 single 未婚 widowed 丧偶 divorced 离异 If you hold a Laissez-Passer issued by the State of your permanent residence, state whether you have a return visa and indicate its validity. 若持永久居留国签发的临时护照，请说明是否具有回程签证及有效期。 Purpose of entry into Israel 进入以色列的目的 telephone no. 电话 permanent address abroad 中国/他国永久地址 Street and house no. Province/City Country 街道及房号 省/市 国家 Countries of transit 中转国 Approximate duration of stay 拟停留期限 Anticipated date and place of entry to Israel 入境日期及地点 Address in Israel 在以色列地址 Category of previous residence permit in Israel (visitor, student, tourist, temporary resident, resident, immigrant, work)曾在以色列居留许可类型（访问者、学生签证、旅游签证、临时居民、居民、移民、工作签证） Dates of previous stays in Israel 曾在以色列停留日期 particulars particulars of dependants included in the application 申请人随行家属详细情况 Date of birth出生日期place of birth Date of birth 出生日期 place of birth 出生地点 Spouse father’s name 父亲姓名 配偶 maiden name 婚前姓名 given name 名 family name 姓 Children under the age of 18 18 岁以下儿童 Date of birth 出生日期 Place of birth 出生地点 Given name 姓名 .1 Relation/references in Israel 以色列联系人/亲属 Address 地址 Relationship 关系 Name 姓名 .1 Declaration 声明 I declare that the particulars contained in this application are correct and have been made in awareness of the fact that they are to serve as basis