Visa Application Form of the People’s Republic of China
Q-2007

This form is designed for your convenience and is for VisaRite Customers only.

Section 1. Information about Yourself

1.1 Full Name
  Surname:
  Middle Name:
  Given Name:
     
1.2 Sex: < Male ; < Female
1.3 Chinese Name if Applicable:
1.4 Current Nationality:
1.5 Other or Former Name:
1.6 Former Nationality:
1.7 Date of Birth(YY-MM-DD):
1.8 Place (Province/State, Country) of Birth:
   
1.9 Passport Type
  Diplomatic
  Service or Official
  Regular
  Other
  (Please specify):
     
1.10 Passport Number:
1.11 Date of Issue(YY-MM-DD):
1.12 Place (Province/State, Country) of Issue:
1.13 Expiration Date(YY-MM-DD):
     
1.14 Your Current Occupation(s):
  Businessman
  Teacher or Student
  Crew Member of Airlines, Trains or Ships
  Member of Parliament, Congressman or Senator
  Government Official
  Staff of Media
  Clergy
  Other (Please specify):
     

 

Section 2. Your Visit to China

2.1 Major Purpose(s) of Your Visit(s) to China:
  Tourism
  Visiting Relatives
  Business Trip
  Transit
  Study
  Commercial Performance
  As Crew Member of Airlines, Trains or Ships
  As Resident Journalist
  As Journalist for Temporary News Coverage
  As Resident Diplomat or Consul in China
  Official Visit
  Employment
  Other (Please specify):
     
2.2 Intended Number of Entries
  Single entry valid for 3 months;
  Double entry valid for 6 months;
  Multi-entry valid for 6 months;
  Multi-entry valid for 12 months.
     
     
2.3 Date of Your First Possible Entry into China (YY-MM-DD)
2.4 Your Longest Intended Stay in China Days
2.5 Please list Counties/Cities and Provinces to visit in China in a time sequence:
     
2.6
Normally, visa processing takes 4 working days.
Do you request express or rush service by paying extra fee?
  Express for 2-3 working days
  Rush for 1 working day
     

Section 3. Your Health Condition and Previous Overseas Tour

3.1 Have you ever been refused a visa for China? No Yes
3.2 Have you ever been refused entry into or deported from China? No Yes
3.3 Do you have any criminal record in China or any other country? No Yes
3.4 Do you suffer from any of the following diseases?
 
Mental Diseases Open Tuberculosis
Venereal Diseases HIV Positive or AIDS
Leprosy Other infectious diseases
No Yes
3.5 Have you ever visited China before? No Yes
3.6 If you select Yes to any question from 3.1 to 3.4, you do not lose eligibility for visa application. Please give detailed reasons for your answer.

 

Section 4. Your Contact Information

4.1 Name of Your Employer or School:

4.2

 Daytime Phone Number:
4.3 Address of Your Employer or School:

4.4 Nighttime Phone Number
4.5 Your Home Address:

 4.6 Your Email:
4.7 Name of Inviter, Contact or Your Relative in China:
4.8 Phone Number of Your Contact:
4.9 Address of Inviter, Contact or Your Relative in China:
4.10 Email of Your Contact:

 

Section 5.Other Declaration
If there is more information to declare, please give the information below.

 

Section 6. Important

I have read and understood all the questions in this application. I shall be fully responsible for the answers and the photo, which are true and correct. I understand that type of visa, number of entries and duration of each stay will be decided by consuls, and any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China.

Applicant’s Initial:
Date(YY-MM-DD):