外国人住宿登记表

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1、外国人住宿登记表AccommodationRegistrationFormforForeignNationals(请用碳素笔填写。Pleasefilloutwithblackinkpen.)英文姓Surname英文名GivenName中文姓名（选填）NameinChinese(IfApplicable)性别Sex男(M)〇女(F)〇国籍Nationality职业Occupation学生出生日期DateofBirth年月日yymmdd身份证Passport/ID种类Type普通护照号码No.停（居）留证件Visa/ResidentPermit种类Type有效期限ExpiryDates年月日yy

2、mmdd号码No.签证机关Issuedby来华事由PurposeofResidence学习工作机构InstitutionAffiliated吉林大学入住日期Check-inDate年月日yymmdd拟离开日期DateofDeparture年月日yymmdd住房种类TypeofAccommodation宿舍Dormitory〇居民家HomeStay〇出租房屋RentedHouse〇自购房屋Self-purchasedHouse〇其它Others〇住址Address本人联系电话CallphoneNumber房主姓名NameofHouseholder房主身份证号码Householder’sIDNo

3、.房主电话Householder’sContactNumber紧急情况下的联系人:EmergencyContatctPerson联系电话:ContactNumber备注Note(Forstudentslivingoutsideoftheschoolcampus)«去派出所办理住宿登记手续时，需与房主同去并持①本表一式三份；②护照资料页和签证页复印件各一份；③租房协议复印件一份。Toapplyaccommodationregistrationfromthelocalpolicestation,pleasegowithyourlandlordandbringthefollowingdocumen

4、ts:①Threecopiesofthisformcompletelyfilled②Aphotocopyofyourpassportdetailpageandvisapage③Aphotocopyofyourrentalagreement.▲去公安局办理签证、居留许可证时，需持派出所盖章的本表原件一份。PleasetaketheoriginalformwhenyougotoChangchunMunicipalPoliceStationforyourresidencepermit.申报人签名：填表日期：年月日SignatureoftheApplicant:Date:yymmdd公安派出所盖章：

5、ScalofpoliceStation: