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1、 17(第一页/ Page1)签证发给申请表APPLICATION FOR VISA<申请表填写方法>申请人须以事实为根据,并将在以下空格处完整记载。申请人必须用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。<How to fill out this form>You must fill out this form completely and correctly. You must write in block letters either in English or Korean. For multiple-choice que
2、stions, you must check all that apply. If you selectOther, please provide us with more information in the given space.1. 个人信息/ PERSONAL DETAILSPHOTO护照规格照片(35×45)6个月内拍摄的正面免冠彩色相片,相片背景颜色须为纯白色A color photo taken within last6 months(full face without hat, front view against white or off-white backgr
3、ound)1.1 护照上的英文名/Full name in English (as shown in your passport)1.8您以前出境或入境韩国时是否使用过其他姓名?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(姓Family Name , 名Given Name )1.9 您是否拥有双重国籍?Are you a citizen of more than one country ? 否No
4、 是Yes 如您选择"是",请写具体内容IfYesplease write the countries ( ) 领馆审核栏FOR OFFICIAL USE ONLY (2, 3 ) <><印花税票粘贴处>2. 签证发给认定书签发信息/ DETAILS OF VISA ISSUANCE CONFIRMATION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(Section 2 is only for those who possess confirmation of visa issuance issued by the Im
5、migration Office of the Republic of Korea)2.1 签证发给认定号码Confirmation No.2.2 签发日期Issue Date2.3 护照号码 Passport No2.4 护照有效期至 Passport Expiry Date签证发给认定书持有者直接移到第12部分(誓约),填写以下空格后提交申请表(不用写第311部分)Those who have confirmation of visa issuance must move to section 12 (Declaration) to complete this from (Those wi
6、th visa issuance confirmation must not fill out section 311). 3. 护照信息/ PASSPORT INFORMATION3.1 护照类型 Passport Type外交护照Diplomatic 公务护照Official 普通护照Regular 其他Other 如您选择其他,请写具体内容IfOtherplease provide details ( )3.2 护照号码 Passport No.3.3 护照签发国Country of Passport3.4 护照签发地Place of Issue3.5 签发日期Date of Issue
7、 3.6 护照有效期至 Date Of Expiry 3.7 您是否有其他的护照?Do you have any other valid passport ? 否No 是Yes 如您选择是,请写具体内容IfYesplease provide details a) 护照类型Passport Type 外交护照Diplomatic 公务护照Official 普通护照Regular 其他Other b) 护照号码Passport No.c) 护照签发国Country of Passportd) 护照有效期至Date Of Expiry4. 联系信息/ CONTACT INFORMATION4.1 本
8、国地址Address in Your Home Country4.2 现居住地Current Residential Address *仅限于现居住地与本国地址不同者/ Write if it is different from the above address4.3 手机号码Cell Phone No.4.4 电话号码Telephone No.4.5 电子邮件 E-mail4.6 紧急联系人信息Emergency Contact Informationa) 姓名Full Name in Englishb) 居住国家Country of residencec) 电话号码Telephone N
9、o.d) 关系Relationship to you (第二页/ Page2)5. 婚姻状况/ MARITAL STATUS DETAILS5.1 目前婚姻状况Current Marital Status 已婚Married 离婚Divorced 未婚Never married 5.2 配偶个人信息 *仅限于已婚者IfMarriedplease provide details of your spousea) 姓Family Name (in English)b) 名Given Names (in English)c) 出生日期Date of Birth (yyyy/mm/dd)d) 国籍Na
10、tionalitye) 居住地Residential Address f) 联系电话Contact No.6. 学历/ EDUCATION6.1 最终学历What is the highest degree or level of education you have completed ?硕士/博士 Masters/Doctoral Degree 学士Bachelors Degree 高中 High School Diploma 其他Other 如您选择“其他”,请写具体内容IfOtherplease provide details ( )6.2 学校名称Name of School6.3
11、学校地址Location of School(city/province/country)7. 职业/ EMPLOYMENT7.1 职业What are your current personal circumstances ?企业家Entrepreneur 个体经营Self-Employed 工作者Employed 公务员Civil Servant 学生Student 退休者Retired 无职Unemployed 其他Other 如您选择“其他”,请写具体内容IfOtherplease provide details ( )7.2. 职业详细信息Employment Details a)
12、单位/机构/学校(名称)Name of Company/Institute/Schoolb) 职位/课程Your Position/Coursec) 单位/机构/学校(地址) Address of Company/Institute/Schoold) 电话号码 Telephone No.8. 邀请人信息 / DETAILS OF SPONSOR8.1 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 details a) 邀请人/邀请单位 (名称
13、)Name of your visa sponsor (Korean, foreign resident in Korea, company, 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.(第三页/ Page3)9. 访问信息/ DETAILS OF VISIT 9.1 访韩目的Purpose of Visit to Korea观光/通过Tourism/Transit 参加会议 /Meeting, C
14、onference 医疗观光Medical Tourism 短期商务Business Trip 留学/研修Study/Training 就业Work 贸易/投资/驻在Trade/Investment/Intra-Corporate Transferee 探亲Visiting Family/Relatives/Friends 结婚移民Marriage Migrant 外交/公务Diplomatic/Official 其他Other 如您选择“其他”,请写具体内容IfOtherplease provide details ( )9.2 预定停留时间Intended Period of Stay9.
15、3 访韩预定日Intended Date of Entry9.4 韩国联系地址(包括酒店)Address in Korea(including hotels) 9.5 韩国联系电话Contact No. in Korea 9.6 最近5年内是否访问过韩国? Have you travelled to Korea in the last 5 years ?否No 是Yes 如您选择“是”,请写具体内容IfYesplease provide details of any trips to Korea ( ) 次times, 最近访韩目的Purpose of Recent Visit ( )9.7
16、最近5年内是否访问过其他国家(韩国除外)Have you travelled outside your country of residence, excluding to Korea, in the last 5 years ?否No 是Yes 如您选择“是”,请写具体内容IfYesplease provide details of these trips国家Name of Country (in English)访问目的Purpose of Visit 停留期间Period of Stay(yyyy/mm/dd) (yyyy/mm/dd)9.8. 同行家属Are you travellin
17、g to Korea with any family member ?无No 有Yes 如您选择“有”,请写具体内容If Yes please provide details of the family members you are travelling with姓名Full name in English出生日期Date of Birth(yyyy/mm/dd)国籍Nationality关系Relationship to you* 注:家属范围-配偶, 子女, 父母, 兄弟姐妹Note: Definition of a Family Member - your spouse, father
18、, mother, children, brothers and sisters10. 访问经费/ FUNDING DETAILS10.1 访问经费(以美元为准)Estimated travel costs(in US dollars)10.2 访韩费用支付者 Who will pay for your travel-related expenses ? (any person including yourself and/or institute)a) 姓名/单位名称Name of Person/Company(Institute)b) 关系Relationship to youc) 支援内
19、容Type of Supportd) 联系电话Contact No.(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No 是Yes 如您选择“是”,请写具体内容IfYesplease provide details of the person who assisted you姓名Full Name出生日期Date of Birth(yyyy/mm/dd)联系电话Telephon
20、e No.关系Relationship to you12. 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 form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 m
21、y knowledge and 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 ) SIGNATURE OF APPLICANT 未满十七岁由父母或法定监护人签字Signature of Parent or Legal Guardian´s for a person under 17 years of age 附件 ATTACHMENT1. 761 5
22、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 which could support your application.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。If you received Korean visa approval, and have new passport iss
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