外国人签证、居留许可申请表1 .英文姓名name in english(as it appears in passport)中文姓名 国籍name in Chinese (if applicable) nationality性别 男□女口职业sex m foccupation出生日期年月日出生地date of birth y m d place of birth2 .护照或者证件种类 外交口公务口普通正他口type of passport or certificate diplomatic service ordinary others护照或者证件号码 有效期至年月日passport or certificate number valid until y m d3 .现持签证或者居留许可号码 签发机关current visa or residence permit numberissued by签证种类或者居留事由 有效期至年月日type of visa or purpose of residencevalid untily m d4 .在华邀请单位名称或者个人的姓名、地址和company or person to visit in shanghai,name(s),address and telephone numb申请人在沪住址区(县)派出所路号address in shanghai district(county) police station road lane no.5 . 使用同——护照的偕行人accompanying persons included in passport姓名性别出生日期 与申请人关系namesexdate of birth relationship to applicant6 .申请签证的种类type of visa to apply forf商务口c乘务口 j-2记者口g过境口团体签证口businesscrewcorrespondenttransitgroup visal探亲口 l旅游口 l因其他私人事务 口团签分离口visiting relatives sight seeing for other private purposes separation of group visa7 .申请签证的有效次数和有效期number of entries and validity of visa you areapplying for零次口 一次口二次口多次口后效期至—―年月―—日zero onetwomultiplevalid untilymd8. 申请居留许可 applying for residence permit居留事由学习口 记者口purpose of residence studycorrespondent记者家属口family member of correspondent任职口任职家属口就业口就业家属口其他口taking up postfamily memberemploymentfamily memberothersvalid until y m d9 .申请居留情况变更登记 applying for change of residence permit住址口就读院校口任职或者就业单位口其他口addresseducational institute place of workothers10 . 申请其他证件applying for other certificate外国人出入境证 口外国人旅行证 口其他口aliens ' ■entry permitaliens ' travel permit others我谨声明我已如实和完整地填写了上述内容并对此负责（如属彳t办 代办人签字）i hereby declare that the information given above is true,correct and complete』shall take fullresponsibility for the above information申请人签字 代办人签字 applicant signature agent signature年月日联系y m d phone number。