临时住宿登记表派出所版三联

1、临时住宿登记表Registration Form of Temporary Residence申报NO.英文姓Surn ameSEKIGUCHI英文名YUKIHIRO Give n Name中文姓名Name in Chin ese关口幸宽性别Sex'男 ( M ) 女(F) O国籍（地区）亠日本Nati on ality/Regi on职业Occupati on工程技术人员出生日期Date of Birth09日03月年身份证号dd mm YYIde ntity停留事由Purpose of Stay在华工作机构Employer in China接待单位Received By外国人oFo

2、reig ners台湾居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts华侨oOversea Chin ese入出境证件种类Type ofTravel Docume nt证件号码No. ofTravel Docume nt证件有效期Validity ofTravel Docume nt签证/签注种类Type ofVisa/E ndorseme nt签证/签注号码No. ofVisa/E ndorseme nt签证/签注有效期Validity ofVisa/E ndorseme nt何处来Where from何处去Where to入住

3、日期Move- in Dat e日月年ddmmYY拟离开日期Date of Departure日月年ddmmYY住房种类宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自购房屋 Self-purchased HouseO其它 OthersO在苏住址本人联系电话Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份证件号码ID N0. of House Own er房主电话HouseOw ner' S Teleph one Numb)

4、er紧急情况下的联系人Con tact in Emerge ncy联系电话Teleph one Number备注Remarks填表日期：日 月年Date：dd mm YY临时住宿登记表Registrati on Form of Temporary Reside nee备查NO.英文姓Surn ame英文名Give n Name中文姓名Name in Chin ese性别Sex男（M） O 女（F） O国籍（地区）Nati on ality/Regi on职业Occupati on出生日期Date of Birth日月年身份证号dd mm YYIde ntity停留事由Purpose of St

5、ay在华工作机构Employer in China接待单位Received By外国人oForeig ners台湾居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts华侨oOversea Chin ese入出境证件种类Type ofTravel Docume nt证件号码No. ofTravel Docume nt证件有效期Validity ofTravel Docume nt签证/签注种类Type ofVisa/E ndorseme nt签证/签注号码No. ofVisa/E ndorseme nt签证/签注有效期Validity

6、ofVisa/E ndorseme nt何处来Where from何处去Where to入住日期Move- in Dat e日月年ddmmYY拟离开日期Date of Departure日月年ddmmYY住房种类宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自购房屋 Self-purchased HouseO其它 OthersO在苏住址本人联系电话Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份证件号码ID N0. of House

7、 Own er房主电话HouseOw ner' S Teleph one Numb）er紧急情况下的联系人Con tact in Emerge ncy联系电话Teleph one Number备注Remarks填表日期：日 月年Date：dd mm YY临时住宿登记表交本人Registrati on Form of Temporary Reside neeNO.英文姓Surn ame英文名Give n Name中文姓名Name in Chin ese性别Sex男（M） O 女（F） O国籍（地区）Nati on ality/Regi on职业Occupati on出生日期Date of

8、 Birth日月年身份证号dd mm YYIde ntity停留事由Purpose of Stay在华工作机构Employer in Ch ina接待单位Received By外国人oForeig ners台湾居民oTaiwa n Reside nts港澳居民oHongkong& Macao Reside nts 华侨oOversea Chin ese入出境证件种类Type ofTravel Docume nt证件号码No. ofTravel Docume nt证件有效期Validity of Travel Docume nt签证/签注种类Type ofVisa/E ndorseme

9、nt签证/签注号码No. ofVisa/E ndorseme nt签证/签注有效期Validity ofVisa/E ndorseme nt何处来Where from何处去Where to入住日期Move- in Dat e日月年ddmmYY拟离开日期Date of Departure日月年ddmmYY住房种类宿舍Dormitory O 居民家Home Stay O 出租房屋Ren ted HouseOType of Accommodation自购房屋 Self-purchased HouseO其它 OthersO在苏住址本人联系电话Address in SuzhouTeleph one Number房主姓名Name of House Owner房主身份证件号码ID NO. of House Own er房主电话HouseOw ner' S Teleph one Numb）er紧