莫桑比克签证申请例表填写.pdf

《莫桑比克签证申请例表填写.pdf》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、oRECIBON.REQUESTFORENTRYVISATOMOZAMBIQUE莫桑比克入境申请书oTOBEFILLEDINLEGIBLELETTERSVISTON.Forofficialuse请用清晰字体填写DATADEEMISSÃOTemporary........./........./20.........临时入境SingleentryVALIDADE单次入境Multipleentries........./........./20.........多次入境SurnameFullname姓王全名王兰MaidennameCountryandp

2、laceofbirth婚前姓名出生地、国家中国山东省青岛市DateofbirthSexMaritalstatusNationality出生日期性别婚姻状况国籍1979.4.30女未婚已婚中国PassportnumberDateofissueValidityP.tenationality护照号码发照日期有效期护照国籍G113003328/12/200529/12/2009中国Profession/OccupationPositionyouhold职业职位医生主治医师Institution,organizationorfirmyouwork你工作的机构

3、、组织或公司北京同仁医院Addressofthepermanentresidence固定住所地址中国北京市朝阳区丽水家园**楼****号HaveyoueverbeforebeeninMozambique?YesNo是否曾经到过莫桑比克？是否HaveyoueverbeenaresidentinMozambique?YesNo是否曾经在莫桑比克居住过？是否WhydidyouleaveMozambique?Dateofexit}........../............./........因何种原因离开莫桑比克？离境日期Mentiontheinsti

4、tutionsandfirmstowhichyouwereattached列出你曾经隶属过的莫桑比克的机构和公司INCOMPLETEORINCORRECTFILLINGINOFTHISFORMMAYRESULTINDELAYDEVOLUTIONORREJECTION表格中不完整或错误可能导致延迟或拒签IndetailgivereasonsforyourentryinMozambique详细列明访莫缘由TourismExplorebusinessopportunityVisitrelativesorfriends旅游寻找商业机会拜访亲戚或朋友Leng

5、thofstayinMozambiqueDateofentryDateofexit驻莫时长入境日期离境日期1个月1/5/20091/6/2009EntryborderExitborder入境地点出境地点马普托国际机场马普托国际机场AddressofresidenceinMozambique在莫桑比克的住所地址oProvinceDistrictCityAvenue/StreetHouseN省区市大街/街道门牌号马普托马普托马普托毛泽东大道1149Relatives,friendslivinginMozambique在莫桑比克的亲戚、朋友Fullnam

6、eNationalityRelationshipAddress全名国籍关系地址Reservedforstamps王兰Date}15/4/2009.................................................................................................................日期Signatureofapplicantoroftheapplyingentity申请人或申请单位的签名ASSINATURARECONHECIDAPORSEMELHANÇAÀEXI

7、STENTENO................................................................................oN..................................EMITIDOA......../.........../..........EM...............................................................................................RESERVADOAOSSERVI

8、ÇOSDATADARECEPÇÃO........../............./20...........Assina