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交换生赴韩签证申请表

时间:2016-06-01 来源:国际交流中心

签证申请表.doc

留学签证模板.pdf

(第一 / Page1)

签证发给 APPLICATION FOR VISA

 

 

*签证发给认号码 Confirmation No.

签证发给认持有者只需填写第1,10和12部分即可。


1. 人信息 / PERSONAL   DETAILS      

*手机号码 Cell Phone No.                

PHOTO

格照片
 
(35㎜×45㎜)
 
6的正面免冠彩色相片,相片背景须为纯

A color photo taken within last 6 months(full face without hat, front view against white or off-white background)

1.1 照上的英文名/Full name in English (as shown in your passport)

  Family Name

 

  Given Names

 

1.2 中文名字 Chinese Name

1.3 Sex 

/Male[   ]  /Female[   ]

1.4 出生日期 Date of Birth (yyyy/mm/dd)

 

1.5 Nationality

1.6 出生及出生地 Country of Birth/Place of Birth

 

1.7 家身份证号码 National Identity No.

1.8 以前出境或入境韩国时是否使用其他姓名? 

    Have you ever used any other names to enter or depart Korea?

    No [   ]   Yes   [   ]  您选择""请写具体 IfYesplease provide details

    ( Family   Name                                 , Given   Name                                      )

1.9 是否? Are you a citizen of more than one country ? No [     ]   Yes [   ] 

   您选择""请写具体 IfYesplease write the countries    (                                          )


2. 访问信息 / DETAILS   OF VISIT

2.1 访韩目的 Purpose of Visit to Korea

/ Tourism/Transit [   ]

会议/Meeting, Conference [   ] 

医疗观 Medical Tourism  [   ]

短期商 Business Trip   [   ]

/ Study/Training   [   ]

Work [   ]

// Trade/Investment/

Intra-Corporate   Transferee [   ]

  Visiting   Family/Relatives/Friends [   ]

婚移民 Marriage Migrant   [   ]

外交/ Diplomatic/Official   [   ]

其他 Other [   ]


   您选择“其他”,请写具体 IfOtherplease provide details   (                                         )

2.2 定停留时间Intended Period of Stay

 

2.3 访韩预定日 Intended Date of   Entry

 

2.4 韩国联系地址(包括酒店) Address in   Korea(including hotels) 

2.5 韩国联电话 Contact No. in   Korea

 

2.6 最近5是否访问过韩国  Have you travelled to Korea in the   last 5 years ?

      No [   ]   Yes   [   ]   您选择”,请写具体 IfYesplease provide details of any trips   to Korea

     (        )   times,     最近访韩目的  Purpose of Recent Visit   (                                        )

2.7 最近5年内是否访问过其他国家(韩国除外) Have you   travelled to other countries in the last 5years?(except Korea)    

No [     ]   Yes [   ]   您选择”,请写具体 IfYesplease provide   details of these trips

Name of Country (in English)

访问目的 Purpose of Visit

停留期 Period of Stay
  (yyyy/mm/dd)~ (yyyy/mm/dd)










印花票粘贴处

(签证票粘贴处)

馆审 FOR OFFICIAL USE ONLY

출입국사항


사증종류

S      D    M

접수일자


발급사항


체류자격


접수번호


사건부


체류기간


유효기간


불허경력


   

담당자

고지사항


기타


[    ]

[    ]


불허사유

(센터)접수/입력담당

/


(공관)접수/1차심사

/

 

(第二 / Page2)

2.8. 同行家 Are you travelling to Korea with any family   member ?   No [   ]   Yes [   ]

     如您选择“有”,请写具体内容 If ‘Yes’ please provide   details of the family members you are travelling with

 

姓名 Full name in English

出生日期 Date of Birth

 (yyyy/mm/dd)

Nationality

 

Relationship to you

















* 注:家-配偶, 子女, 父母, 兄弟姐妹

   Note: Definition of a Family Member - your spouse,   father, mother, children, brothers and sisters


3. 职业 /   EMPLOYMENT

3.1 职业 What are your current personal circumstances ?

Entrepreneur [   ]

经营 Self-Employed [   ]

工作者 Employed [   ]

务员 Civil Servant   [   ]

Student   [   ]

退休者 Retired [   ]

Unemployed   [   ]

其他 Other [   ]


   您选择“其他”,请写具体 IfOtherplease provide details   (                                   )

3.2. 职业详细信息 Employment Details

  a) //校(名 Name of Company/Institute/School

     

  b) / Your Position/Course

   

  c) //校(地址) Address of   Company/Institute/School

     

  d) 电话号码 Telephone No.

 


4. 人信息 / DETAILS OF   SPONSOR

4.1 /请单 Do you have anyone sponsoring you for the visa ?

     No [   ]   Yes [   ] 您选择“有”,请写具体 IfYesplease provide details

a) /请单 () Name of your   visa sponsor (Korean, foreign resident in Korea, company, or institute)

  

  b) 出生日期/营业执号码 Date of Birth/Business Registration No.

 

  c) Relationship to you

 

  d) 地址 Address 

  

  e) 电话号码 Phone No.

 


5. 访问经费 / FUNDING DETAILS

5.1 访问经费(以美元) Estimated travel   costs(in US dollars) 

5.2 访韩费用支付者 Who will pay   for your travel-related expenses? (any person including yourself and/or   institute)

  a) 姓名/位名 Name of   Person/Company(Institute)

     

 b) Relationship to you

     

  c) 支援 Type of Support

  

 d) 电话 Contact No.

     

6. 系信息 / CONTACT   INFORMATION

6.1 地址 Address in Your   Home Country

6.2 居住地 Current   Residential Address *限于居住地地址不同者 / Write if it is different from the above   address

6.3 电话号码 Telephone No.

 

6.4 E-mail

 

6.5 系人信息 Emergency Contact   Information

  a) 姓名 Full Name in English

 

  b) 居住 Country of residence

 

  c) 电话号码 Telephone No.

 

  d) Relationship to you

 

(第三 / Page3)

7. 照信息 / PASSPORT   INFORMATION

7.1 Passport Type

外交 Diplomatic [   ]

务护 Official [   ]

普通   Regular[   ]

其他 Other [   ]

   您选择‘其他’,请写具体 IfOtherplease provide details
 
        (                                                                                               )

7.2 号码 Passport No.

 

7.3 签发国 Country of   Passport

 

7.4 签发 Place of Issue

 

7.5 签发日期 Date of Issue

 

7.6 照有效期至 Date Of Expiry

 


7.7 是否有其他的? Do you have any other valid passport ?    No [   ]   Yes [   ]

   您选择‘是’,请写具体 IfYesplease provide details

 

  a)

    Passport Type

外交 Diplomatic [   ]

务护 Official   [   ]

普通   Regular[   ]

其他 Other [   ]

  b) 号码 Passport No.

 

 c) 签发国 Country of Passport

 

d) 照有效期至 Date Of Expiry

 

z

8. 婚姻状况 / MARITAL   STATUS DETAILS

8.1 目前婚姻状况 Current Marital Status

已婚 Married [   ]

离婚 Divorced [   ]

未婚 Never married [   ]

8.2 配偶人信息 *限于已婚者 IfMarriedplease provide details of your spouse

  a) Family Name (in English)

 

  b) Given Names (in English)

 

  c) 出生日期 Date of Birth   (yyyy/mm/dd)

 

  d) Nationality

 

  e) 居住地 Residential Address

 

  f) 电话 Contact No.

 


9. 学历 /   EDUCATION

9.1 终学历 What is the   highest degree or level of education you have completed ?

/博士 Masters/Doctoral Degree [   ]

Bachelors Degree [   ]

高中 High School Diploma [   ]

其他 Other [   ]

您选择“其他”,请写具体 IfOtherplease provide details

(                                                                                                       )

9.2 校名 Name of School

 

9.3 校地址 Location of School(city/province/country)

 

 

 

 


10. 签证发给认书签发信息 / DETAILS OF   VISA ISSUANCE CONFIRMATION

限于在大出入管理事所·收到签证发给认

(Section 10 is only for those who possess confirmation of visa issuance   issued by the Immigration Office of the Republic of Korea)

10.1 签证发给认号码

      Confirmation No.


10.2 签发日期 

     Issue Date


10.3 号码

      Passport No.


10.4 照有效期至

      Passport Expiry   Date


签证发给认持有者只需填写第1,10和12部分即可。

People who   holds the visa issues the affirmation letter holders only need to fill the   1st, 10th and 12th port.

  

 

 

 

(第四 / Page4)

11. 填写是否接受过帮 / ASSISTANCE WITH THIS FORM

11.1 填写是否接受过别人的Did you receive   assistance in completing this form?  
 
[   ] No  Yes   [   ]  您选择”,请写具体  IfYesplease provide   details of the person who assisted you

姓名 Full Name出生日期 Date of Birth (yyyy/mm/dd)联系电话 Telephone No.关系Relationship to you    

12. / DECLARATION

* 签证发给认持有者也须填写

   Those   who possess confirmation of visa issuance must only complete section 1,2, and   12 of this form

  根据本人所知所信,我明以上所有述均真实、准确、完整。我遵守大的出入境管理法律法

  I declare that the statements made in this application   are true and correct to the best of my knowledge and belief, and that I will comply   with the Immigration Act of the Republic of Korea.

日期 (. . ) DATE OF APPLICATION (yyyy/mm/dd)

   /          /        /


人( SIGNATURE OF APPLICANT

 



十七由父母或法定监护 

 Signature of Parent or Legal Guardians for a person under   17 years of age



附件

ATTACHMENT

 1. 「출입국관리법 시행규칙」 제76조제1항 관련 [별표 5] 사증발급신청 등 첨부서류

注意事 Notice

1. 上述事,本表如不够填写可另加附或是追加提供相材料。

If extra space is needed to complete any item, record on a separate   sheet of paper or submit relevant documents which could   support your application.

2. 的大国签证得到批准后因失、毁等原因再次签发,必通知签证处理机构变更的照信息,以便准确反映人信息。

If you   received Korean visa approval, and have new passport issued thereafter in   lieu of lost/damaged passport, you must notify the concerned visa office of   changes in your passport information.

3. 人若在入境大国时发现是不可入境者,即使持有韩国签证也无入境

  Possession   of a visa does not entitle the bearer to enter the Republic of Korea upon   arrival at the port of entry if he/she is found inadmissible.

4. 根据「出入境管理法施行规则」第91C类签证持有者入境韩国后不得

Please note that category C visa holders are not able to change their   status of stay after their entry into the Republic of Korea in accordance   with Article 9(1) of the Enforcement Regulations of the Immigration Act.


<填写方法>

以事实为根据,并将在以下空格完整记载

  人可以用中文或文或英文填写以下

  在相关选项的“[    ]

  您选择“其他”,请写具体

 

<How to fill out this form> 

  You must fill   out this form completely and correctly.

  You must write   in block letters either in English or Korean or Chinese.

  For   multiple-choice questions, you must check [] all that apply.  

  If you selectOther, please provide   us with more information in the given space.