以下是为您推荐的《外国人签证、居留许可申请表》，希望能对您的工作、学习、生活有帮助，欢迎阅读参考！

外国人签证、居留许可申请表

Visa or Residence Permit Application Form

请用蓝黑色或者黑色墨水笔填写申请表内容

Please complete the form with a dark blue or black ink pen

1、英文姓名     姓：________________名

   Name in English:    Surname           Given name

中文姓名：___________________________  性别：  男 □　 女 □

   Name in Chinese                         Sex     M.      F.

   出生日期： _________年________月_______日    国籍：______________

   Date of birth          Y        M       D     Nationality

在哈住址：                                                        

   Address in Harbin                              

所属派出所                            来华职业或身份                

Police station in the vicinity          Occupation or status in China   

在哈单位名称：                                     电话:                 

   Name of employer/school                               Tel

2、护照种类：           外交 □          公务（官员）□         普通 □          其他 □    

   Passport type         Diplomatic        Service(Official)         Ordinary          Other

   护照号码：                       有效期至：________年________月________日

   Passport No.                       Valid until         Y         M        D

3、本次入境签证种类：      L □    F □    Z □    X □   J-1 □   J-2□   C □   G □    

Current visa category   D □    居留许可 □          团签 □       免签 □         其他 □

Residence permit    Group visa   Exempt        Other            

   签证号码：                  入境次数：______次      有效期至：_______年_____月______日

Visa No.                     Number of entries         Valid until         Y      M      D

4、使用同一护照的偕行人  

Dependents on applicant’s Passport

姓            名                   性别     出生年月          与申请人关系

Surname     Given name         Sex    Date of birth     Relationship w/applicant

____________                        ____    _______________                                         

____________                        ____    _______________                           

5、申请签证类填写 For visa application only

F 商务 □    L 探亲  □        L 旅游  □       L 因其他私人事务 □      团签 □

Business    Visiting family    Tourist         Other private reasons     Group visa

J-2 记者 □     G过境  □      C乘务  □        寄养   □             团分 □

Journalist        Transit          Crew          Child with custodian    Separation from group visa  

申请入境次数：      零次 □      一次 □     二次 □       多次 □  

Number of entries     Zero         Single      Double       Multiple       

申请日期至：_____________年_________月_________日

Desired validity until        Y         M          D

6、申请居留许可类填写 For residence permit application only

首次申请居留许可 □      申请居留许可 □      申请有效期至： _________年______月_______日

1^st time application          Renewal             Desired validity date until   Y      M        D

7、变更：         住址 □       身份 □           单位 □        院校 □        其他 □

Change of      Residence     Employment status   Employer       School         Other              

增 □      减 □         偕行人                        如其他请注明                       

Increase    Decrease    of dependents                 or other, please specify

迁出 □      迁往____________省（市）                                               单位

Move out    to            Province(city)                               Employer/Organisation

8、申请其他证件：Other documents application

外国人出入境证 □                   外国人旅行证 □                     其他 □ 

Foreign citizen exit-entry permit         Foreign citizen travel documents        Other         

旅行地点：                          有效期至 :         _________年________月_________日

Destination                           Desired validity date until      Y        M　       D  

9、备注：Notes

我保证以上填写的内容真实、准确、完整，并保证在居（停）留期间遵守中华人民共和国的法律。

I hereby declare that the information given above is true, correct, current and complete.  I shall abide by the Law of the People’s Republic of China during my stay in its territory, and understand I shall otherwise subject myself to legal liabilities.

申请人签字：                                 代办人签字：                           

Applicant’s signature                          Agent’ signature

联系电话 Tel：_________________________     联系电话Tel.：_________________________

申请日期:             年     月     日      

Application date         Y     M      D      单位印章Company/School chop: