1、 (第一页 /Page1)签证发给申请表 APPLICATION FOR VISA*签证发给认定号码 Confirmation No.签证发给认定书持有者只需填写第1,10和12部分即可。办证人手机号码*手机号码 Cell Phone No.1.个人信息 /PERSONALDETAILSPHOTO护照规格照片1.1护照上的英文名/Full name in English (as shown in your passport)姓Family Name 名Given NamesLI N CHENG(3545)6个月内拍摄的正面免冠彩色相片，相片背景颜色 1.2中文名字 Chinese Name须为
2、纯白色1.3性别Sex林城男/Male 女/Female 1.4出生日期 Date of Birth (yyyy/mm/dd)1990/ 08/ 101.5国籍 Nationality中国Acolorphototakenwithinlast6months(fullfacewithouthat,front view againstwhite or off-whitebackground)1.6出生国及出生地 CountryofBirth/PlaceofBirth 1.7国家身份证号码 National Identity No.中国广东广州 4401201990081020191.8您以前出境或入
3、境韩国时是否使用过其他姓名?根据实际情况勾选Have you ever used any other names to enter or depart Korea?否 No 是 Yes 如您选择“是“，请写具体内容 IfYesplease provide details,名 Given Name(姓 Family Name )1.9您是否拥有双重国籍? Are you a citizen of more than one country ?否 No 是 Yes 根据实际情况勾选如您选择“是“，请写具体内容 IfYesplease write the countries ( )2.访问 信息 /
4、DETAILSOFVISIT2.1访韩目的 Purpose of Visit to Korea观光/通过 Tourism/Transit 短期商务 Business Trip 参加会议/Meeting, Conference 留学/研修 Study/Training 医疗观光 Medical Tourism就业 Work 贸易/投资/驻在 Trade/Investment/Intra-Corporate Transferee 探亲 VisitingFamily/Relative s/Friends 结婚移民 Marriage Migrant 外交/公务 Diplomatic/Official
5、其他 Other 如您选择“其他”，请写具体内容 IfOtherplease provide details ( )2.2预定停留时间Intended Period of Stay10 天根据实际情况填写天数2.3访韩预定日 Intended Date of Entry2016/ 08/ 012.4韩国联系地址(包括酒店) Address in Korea(including hotels) 2.5韩国联系电话 Contact No. in Korea2.6最近5年内是否访问过韩国 Have you travelled to Korea in the last 5 years ?根据实际情况勾
6、选否 No 是 Yes 如您选择“是”，请写具体内容 IfYesplease provide detailsofanytripstoKorea( )次 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 Korea in the last 5 years?根据实际情况勾选否 No 是 Yes 如您选择“是”，请写具体内容 IfYesplease provide details of these trips停留期间 Period of Stay(yyyy/mm/dd) (yy
7、yy/mm/dd)国家 Name of Country (in English) 访问目的 Purpose of Visit如果5年内有访问过其他国家，请在这里填上领事馆审核栏 FOR OFFICIAL USE ONLY S D M 印花税票粘贴处 (签证票粘贴处) ()/()/1 /(第二页 /Page2)2.8.同行家属 Are you travelling to Korea with any family member ? 无 No 有 Yes 根据实际情况勾选如您选择“有”，请写具体内容 If Yes please provide details of the family membe
8、rs you are travelling with出生日期 Date of Birth 国籍Nationality姓名 Full name in English 关系 Relationship to you(yyyy/mm/dd)*注：家属范围-配偶,子女,父母,兄弟姐妹Note: Definition of a Family Member - your spouse, father, mother, children, brothers and sisters3.职业 /EMPLOYMENT3.1职业 What are your current personal circumstances
9、 ?企业家 Entrepreneur 公务员 Civil Servant 个体经营 Self-Employed 学生 Student 工作者 Employed 退休者 Retired 无职 Unemployed 此处根据实际情况勾选，其他 Other 如您选择“其他”，请写具体内容 IfOtherplease provide details ( )填写3.2.职业详细信息 Employment Detailsa)单位/机构/学校（名称） Name of Company/Institute/School填上名称b)职位/课程 Your Position/Course行政/经理/ . . . .c
10、)单位/机构/学校（地址） Address of Company/Institute/School填上地址d)电话号码 Telephone No.公司电话号码4.邀请人信息 /DETAILSOFSPONSOR4.1邀请人/邀请单位 Do you have anyone sponsoring you for the visa ?无 No 有 Yes 如您选择“有”，请写具体内容 IfYesplease provide detailsa)邀请人/邀请单位(名称) Name of your visa sponsor (Korean, foreign resident in Korea, compan
11、y, or institute)b)出生日期/营业执照号码 Date of Birth/Business Registration No. c)关系 Relationship to youd)地址 Address e)电话号码 Phone No.5.访问经费 / FUNDING DETAILS5.1访问经费(以美元为准) Estimated travel costs(in US dollars) $1000 根据实际情况填写1000- 50005.2访韩费用支付者Whowillpayforyourtravel-relatedexpenses?(anypersonincludingyoursel
12、fand/orinstitute)如果是自己出，就写本人，如果是其它人出就按实际情况填写a)姓名/单位名称 Name of Person/Company(Institute) b)关系 Relationship to you赵XX 父亲/母亲/夫妻c)支援内容 Type of Support d)联系电话 Contact No.所有费用 电话号码6.联系信息 /CONTACTINFORMATION身份证上的地址6.1本国地址 Address in Your Home Country6.2现居住地 Current Residential Address *仅限于现居住地与本国地址不同者/ Wri
13、te if it is different from the above address现在居住的地址，如果与身份证上的不一样就写上6.3电话号码 Telephone No. 6.4电子邮件 E-mail180XXXXX 如有写上6.5紧急联系人信息 Emergency Contact Informationa)姓名 Full Name in English b)居住国家 Country of residence根据实际填写李XX 这里不要写一同前往的人c)电话号码 Telephone No.136XXXX d)关系 Relationship to you父亲/姐弟/ . . . . .(第三
14、页 /Page3)7.护照信息 /PASSPORTINFORMATION根据实际类型勾选7.1护照类型 Passport Type公务护照 Official 普通护照 Regular 其他 Other 外交护照 Diplomatic 如您选择其他，请写具体内容 IfOtherplease provide details( )7.2护照号码 Passport No. 7.3护照签发国 Country of Passport 7.4护照签发地 Place of Issue实际填写G48901980 实际填写7.6护照有效期至 Date Of Expiry2020/ 07/ 097.5签发日期 Da
15、te of Issue2015/ 07/ 107.7您是否有其他的护照? Do you have any other valid passport ? 否 No 根据实际勾选填写 是 Yes 如您选择是，请写具体内容 IfYesplease provide details其他 Other a)护照类型 公务护照 Official 普通护照 Regular 外交护照 Diplomatic Passport Typeb)护照号码 Passport No. c)护照签发国 Country of Passport d)护照有效期至 Date Of Expiryz8.婚姻状况 /MARITALSTATU
16、SDETAILS根据实际情况勾选填写8.1目前婚姻状况 Current Marital Status已婚 Married 8.2配偶个人信息*仅限于已婚者 IfMarriedplease provide details of your spouse未婚 Never married 离婚 Divorced a)姓 Family Name (in English)CHEN b)名 Given Names (in English)YIc)出生日期 Date of Birth (yyyy/mm/dd)1990/ 09/ 09d)国籍 Nationality中国e)居住地 Residential Add
17、ress填上居住地f)联系电话 Contact No.158XXXX9.学历 /EDUCATION9.1最终学历 What is the highest degree or level of education you have completed ?硕士/博士Masters/DoctoralDegree 学士 Bachelors Degree 高中 High School Diploma 此处根据实际情况勾选填写 其他 Other 如您选择“其他”，请写具体内容 IfOtherplease provide details ( )9.2学校名称 Name of School 9.3学校地址 L
18、ocation of School(city/province/country)广东省广州市天河区中山大道55号华南师范大学10.签证发给认 定书签发信息 /DETAILSOFVISAISSUANCECONFIRMATION仅限于在大韩民国出入国管理事务所办事处收到签证发给认定书的人(Section10isonlyforthosewhopossessconfirmationofvisaissuanceissuedbytheImmigrationOfficeoftheRepublicofKorea)10.1签证发给认定号码Confirmation No.10.2签发日期Issue Date10.
19、3护照号码 10.4护照有效期至Passport No. Passport Expiry Date签证发给认定书持有者只需填写第1,10和12部分即可。Peoplewhoholdsthevisaissuestheaffirmationletterholdersonlyneedtofillthe1st,10thand12thport.(第四页 /Page4)11.填写申请表 时是否接受过帮助 / ASSISTANCE WITH THIS FORM11.1您在填写申请表时是否接受过别人的帮助？Did you receive assistance in completing this form?否
20、No是 Yes 如您选择“是” ， 请写具体内容 IfYespleaseprovidedetailsofthepersonwhoassistedyou出生日期 Date of 关系Relationship to you姓名 Full Name根据实际情况勾选，填写 Birth 联系电话 TelephoneNo.(yyyy/mm/dd)12.誓约 / DECLARATION*签证发给认定书持有者也须填写Those who possess confirmation of visa issuance must only complete section 1,2, and 12 of this for
21、m根据本人所知所信，我声明以上所有陈述均真实、准确、完整。我将遵守大韩民国的出入境管理法律法规。I declare that the statements made in this application are true and correct to the best of my knowledgeand belief, and that I will comply with the Immigration Act of the Republic of Korea.申请日期(年.月.日) DATE OF APPLICATION (yyyy/mm/dd)/ / /申请人（签名）SIGNATUR
22、E OF APPLICANT务必手写签名未满十七岁由父母或法定监护人签字SignatureofParentorLegalGuardiansforapersonunder17yearsofage附件ATTACHMENT 1. 76 1 5 注意事项 Notice1.有关上述事项，本表如不够填写可另加附页或是追加提供相关材料。If extra space is needed to complete any item, record on a separate sheet of paper or submit relevant documents whichcouldsupportyourappli
23、cation.2.如您的大韩民国签证得到批准后因遗失、损毁等原因再次签发，必须通知签证处理机构变更的护照信息，以便准确反映个人信息。IfyoureceivedKoreanvisaapproval,andhavenewpassportissuedthereafterinlieuoflost/damagedpassport,youmustnotifytheconcernedvisaofficeofchangesinyourpassportinformation.3.申请人若在入境大韩民国时被发现是不许可入境者，即使持有韩国签证也无权入境。Possessionofavisadoesnotentitl
24、ethebearertoentertheRepublicofKoreauponarrivalattheportofentryifhe/sheisfoundinadmissible.4.根据出入境管理法施行规则第9条第1项，C类签证持有者入境韩国后不得变更滞留资格。Please note that category C visa holders are not able to change their status of stay after their entry into the Republic ofKorea in accordance with Article 9(1) of the
25、Enforcement Regulations of the Immigration Act.填表说明申请人须 以事实为 根据，并将在以下空格处完整记载。申请人可以用中文或韩文或英文填写以下申请表。在相关选项 的“ ”内打钩。如您选择 “其他 ”，请写具体内容。 You must fill out this form completely and correctly. You must write in block letters either in English or Korean or chines. For multiple-choice questions, you must check all that apply. If you select Other , please provide us with more information in the given space.
