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1、OFFICE USE ONLYClient no.:Date received: / /Application no.:中国公民短期旅行签证申请 China Tourist Visitor Visa ApplicationINZ 1188For further information on immigration visit www.immigration.govt.nz2011年9月 September 2011何类申请人能够使用此表?本表只适用于以游客身份入境新西兰，且停留时间不超过六个月的中国公民.如果您入境新西兰的目的不是旅 游，或者您打算在新西兰停留的时间长于六个月，请使用一般访问签
2、证申请表.(INZ 1017)。此申请表适用于个人申请或一个家庭的共同申请。一个家庭可包括一个主申请人，主申请人的配偶和20岁以下 的未成年子女。我们只有在收到签证申请需要的所有材料和信息后才会受理您的申请。如果您无法提交申请所需的相关材 料，您的申请将被退回。请用清晰的英文（大写）填写此表。4.5cm3.5cm3.5cm4.5cmSection A主申请人个人信息 Principal applicants personal details所有主申请人必须完整填写此项内容。All principal applicants must complete this section.请在此附上您最近六
3、个月内拍摄的护照照片两张, 并在照片背面注明您的全 名。Attach two passport-size photographs of yourself here. The photographs must be less than six months old. Write your full name on the back of both photographs. A1护照上的姓名 Name as shown in passport姓 Family名 GivenA2曾用名 (如有) Other names you are known by or have ever been known
4、by (if any)A3性别 Gender 男 Male 女 Female A4出生日期 Date of birth 日 月 年A5护照内容 Passport details号码 Number 有效期 Expiry date 日 月 年国家 Country 中国 China 其他 Other (please specify) A6婚姻状况 Partnership status 已婚/同居关系/订婚 Married/Partner/Engaged 未婚 Never married分居/离婚 Separated/Divorced 鳏寡 Widowed2 中国公民短期旅行签证申请 China To
5、urist Visitor Visa Application When filling in this form, please print clearly using CAPITAL LETTERS.Section B联系方式 Contact details所有主申请人必须完整填写此项内容。All principal applicants must complete this section.B1您在中国的家庭住址和电话号码 Your residential address and telephone number in China.住址 Address 省 Province 电话(白天)
6、Telephone (daytime) 电话(夜晚) Telephone (evening) 电子邮件 Email B2此申请的联系人姓名及通信地址 Name and address for communication about this application.地址同 B1 Same as address at B1 ,或 or 如下 as below姓 Family 名 Given用英文填写公司名称(如适用)及地址 Company name (if applicable) and address 用中文填写公司名称(如适用)及地址 Company name (if applicable)
7、 and address in Chinese characters 电话(白天) Telephone (daytime) 电话(夜晚) Telephone (evening) 传真 Fax 电子邮件 Email B3如果您在 B2中提供的是代理人的信息，您是否已向其授权代表您行事? Do you authorise the person stated at B2to act on your behalf? 是 Yes 否 NoB4您是否得到指定联系人提供的移民建议? Have you received immigration advice on this application?了解什么是移
8、民建议请参考此网站 www.immigration.govt.nz/advice 请注意以翻译身份协助申请人或帮助申请人将相关信息填写在申请表上不属于 移民建议。You can find a definition of immigration advice at www.immigration.govt.nz/advice. Please note immigration advice does not include assisting the applicant by acting as a translator or by recording information on this fo
9、rm.是 Yes 请确保您的移民顾问填写了 I 项: 移民顾问详细信息。Please make sure that your immigration adviser completes Section I: Immigration advisers details否 NoB5您在新西兰的朋友、亲属或联系人的姓名及地址(如果有)Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable)姓名 Name 地址 Address 关系 Relationship 朋友
10、Friend 家庭成员 Family member 其他 Other (please specify) 姓名 Name 地址 Address 关系 Relationship 朋友 Friend 家庭成员 Family member 其他 Other (please specify) 中国公民短期旅行签证申请 China Tourist Visitor Visa Application 3 When filling in this form, please print clearly using CAPITAL LETTERS.Section C签证类别 Visa type所有主申请人必须完整填
11、写此项内容。 All principal applicants must complete this section.C1您将入境新西兰的日期 Date you will arrive in New Zealand 日 月 年您将离开新西兰的日期 Date you will depart New Zealand日 月 年C2您访问新西兰的目的是什么？ What is the purpose of your visit to New Zealand?旅游 Tourism 拜访家人/朋友 Visiting family/friends 其他 Other (please specify) Secti
12、on D配偶的个人信息 Partners personal details所有在 A6 项选择“已婚”、“同居关系”或“订婚”的主申请人, 无论其配偶是否一同申请,必须完整填写此项内容。若此申请包括您 的配偶，请提供配偶的护照照片两张。All principal applicants who have ticked Married, Partner or Engaged at A6 must complete this section with their partners personal details, whether or not the partner is included in
13、this application Attach two photographs of your partner only if they are included in this application.如适用，请在此附上您配偶的最近六个月内拍摄的护照照片两张, 并在照片背面注明您配偶的姓名。If applicable, attach two passport-size photographs of your partner here. The photographs must be less than six months old. Write your partners full name
14、 on the back of both photographs.D1配偶护照上的姓名 Partners name as shown in passport 姓 Family 名 GivenD2配偶的曾用名 (如有) Other names your partner is known by or has ever been known by (if any)D3配偶的性别 Partners gender 男 Male 女 FemaleD4配偶的出生日期 Partners date of birth 日 月 年D5配偶的护照信息 Partners passport details号码 Numbe
15、r 有效期 Expiry date 日 月 年国家 Country 中国 China 其他 Other (please specify) D6您的配偶是否被包括在此申请中？ Is your partner included in this application?是 Yes 否 No4.5cm3.5cm3.5cm4.5cm4 中国公民短期旅行签证申请 China Tourist Visitor Visa Application When filling in this form, please print clearly using CAPITAL LETTERS.Section E未成年子女的个人信息 Dependent childrens personal details主申请人必须填写包括在本次申请中的所有未成年子女的个人信息 You must complete this section with the details of each dependent child included in this application.未成年子女 1 Dependent child one请在此附上该子女的最近六个月内拍摄的护照照片两张, 并在照片 背面注明其姓名。Attach two r
