CONSULDIVISIONOFTHEEMBASSYOFTHEKYRGYZREPUBLICTOTHEPEOPLE’SREPUBLICOFCHINAAffixthephotohere吉尔吉斯共和国驻华大使馆领事处近三个月免冠VISAAPPLICATIONFORM照片签证
申请表
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Applicationformshouldbefilledinfullyandaccuratelyincapitalletters,submittedwithpassport,whichisvalid.Please,ensurethatthephotographisattached.请准确、完整地填写申请
表
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并提交护照及其复印件和照片.1.FullName姓名(asinpassport)(pinyin)2.Nationality3.Sex4.MaritalStatus国籍：性别：婚姻状况：5.DateofBirth6.PlaceofBirth出生日期：出生地点：7.PassportNumber：8.Issuedby9.ExpirationDate:护照号码：签发单位：有效期至：10.PermanentHomeAddress:家庭地址:____________________________________________________________________Country:City/Province:ApartmentNo.国家:_____________省/市_______________________楼,房号:___________________Street/Village:Phone:Mobile:街道/乡村___________________电话___________________手机______________________11.IDcard№Placeofissue:身份证编号:签发单位：12.Ifanychildrenaccompanyingapplicantareincludedinhis/herpassport,givethedetails如有孩子同行,请写明:Name姓名,Placeanddateofbirth出生日期,地点Sex性别_______________________________________________________________________Occupation,officeaddress,tel:申请者工作单位地址,电话和职务:14.Purposeoftrip：15.TypeofVisaRequested:去吉尔吉斯共和国的目的：签证类型：:16.DateofEntry:17.DateofExit：进入吉尔吉斯共和国日期：离开吉尔吉斯共和国日期：18.Placestobevisited：19.DoyouintendtoworkinKyrgyzstan:去的地点：是否打算在吉尔吉斯共和国工作20.Names,AddressandPhoneNo.oftheInvitingPartyinKyrgyzstan:邀请方名称、地址和电话:21.NumberofprevioustripstoKyrgyzstan22.Dateofthelatesttrip去过吉尔吉斯共和国次数最后一次去吉尔吉斯共和国日期23.IfpermissiontovisittoKyrgyzstanorextendstayinKyrgyzstanhasbeenrefusedpreviously,ifso,when&bywhom在办理签证或者签证延期时，是否有过被拒绝，如果有，什麽时间被什麽机构在什麽地方___________________________________________________________________________________________24..WasthisApplicationpreparedbyanotherpersononyourbehalf,ifso,His/Hername:RelationshiptoApplicant:Occupation:Address:Phone:His/HerSignature:如果该申请表由他人代为填写，请注明填写人姓名、与签证申请人的关系、联系地址、电话、职业。______________________________________________________________________________25.Iherebydeclarethattheinformationgivenaboveistrue,correctthatanyfalseormisleadingstatementmayresultinthepermanentrefusalintotheKyrgyzRepublic.andcomplete.Iunderstandofavisaordenialofentry我确认，以上填写内容真实、完整。我明白，任何虚假内容或者误导都可导致永久拒签。Date填表日期:___________________Applicant’sSignature签名:_____________________FOROFFICIALUSEONLY/公务记号Виза№:Дип.Служ.Срокомс:Обык.200__г.Инвест.Тур.Трудоустр.Част.Учеб.Транз.Датавыдачи:Срокомдо:Одн.Двукр.200__г.Многокр.200__г.Примечание:Подпись:
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