个签签证申请表 (中英文)9月1日开始启用(1)

签证发给申请表

APPLICATION FOR VISA

<申请表 填写方法> ‣ 申请人填写表格，填写内容一定要真实、完整、工整。 ‣ 申请表上的所有内容须用中文或英文填写。 ‣ 选择事项[ ]栏用√标记。 ‣ 选择‘其他’选项时，须填写详细内容。 ‣ You must fill out this form completely and correctly. ‣ You must write in block letters either in English or Korean. ‣ For multiple-choice questions, you must check [√] all that apply. ‣ If you select‘Other’, please provide us with more information in the given space.

1. 个人信息 / PERSONAL DETAILS 1.1 护照上的英文姓名/Full name in English (as shown in your passport) 2寸照片 PHOTO (35㎜×45㎜) - ６个月以内白底免冠照片 A color photo taken within last 6 months(full face withouthat, front view against whie or off-white backgroun d) 姓 Family Name 名 Given Names 1.2 中文姓名 漢字姓名 1.3 性别 Sex 男/Male[ ] 女/Female[ ] 1.4 出生日期 Date of Birth (yyyy/mm/dd) 1.5 国籍 Nationality 1.6 出生地 Country of Birth 1.7 身份证号码 National Identity No. 1.8 过去访韩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 [ ] → 选择‘是’选项时填写详细内容。 If‘Yes’please provide details (姓 Family Name 名 GivenName ) 1.9 您是否拥有双重国籍？ Are you a citizen of more than one country ? 否 No [√ ] 是 Yes [ ] →如您选择\"是\"，请写具体内容 If‘Yes’please write the countries ( ) 领馆专用栏 FOR OFFICIAL USE ONLY 기본사항 접수사항 허가사항 체류자격 접수일자 허가일자 담당 결 재 C-3-2 가 [ ] 부 [ ] 체류기간 접수번호 인정번호 30 D <심사의견> 유효기간 사증종류 처리과 고지사항 S D M B/L: < 邮票粘贴处> <수입인지 부착란> 출입국사항: 복수대상사유: 사건부: 불허경력: 기타:

2. 签证发给认定书发给内容/ DETAILS OF VISA ISSUANCE CONFIRMATION ※ 限在大韩出入境管理事务所获得签证发给认定书的人员填写。 (Section 2 is only for those who possess confirmation of visa issuance issued by the Immigration Office of the Republic of Korea) 2.1 签证发给认定号码(反签号) 标记 许可号码 Confirmation No. 2.2 签发日 Issue Date 标记 签发日 2.3 护照号码 Passport No. 无 2.4 护照有效期Passport Expiry Date 无 ‣ 获得签证发给认定号码的人员直接转到１２号填写（声明）后提交申请表(3 ~ 11号填写省略) Those who have confirmation of visa issuance must move to section 12 (Declaration) to complete this from (Tho se with visa issuance confirmation must not fill out section 3~11). 3. 护照信息 / PASSPORT INFORMATION 3. 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 公务普通 Official [ ] 因私 Regular[ √ ] 其他 Other [ ] → ‘其他’详细内容 If‘Other’please provide details ( ) 3.2 护照号码 Passport No. 3.3签发国家 Country of Passport 3.4 签发地点 Place of Issue 3.5 签发日期 Date of Issue 3.6 有效期间 Date Of Expiry 3.7 是否持有其他护照 Do you have any other valid passport ? 否 No [√] 是 Yes [ ] → 选择‘是’选项时填写详细内容 If‘Yes’please provide details a) 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 公务普通 Official [ ] 因私 Regular[ ] 其他 Other [ ] b) 护照号码 Passport No. 无 c) 签发国家 Country of Passport 无 d) 有效期间 Date Of Expiry 无 4. 联系方式 / CONTACT INFORMATION 4.1 中国国内地址 Address in Your Home Country 4.2 现住址 Current Residential Address *现住址与国内住址不同时填写 / Write if it is different from the above address 4.3 手机号码 Cell Phone No. 4.4 固定电话 Telephone No. 4.5 电子邮箱 E-mail 4.6 紧急情况联系人 Emergency Contact Information a) 姓名 Full Name in English c) 电话号码 Telephone No. b) 居住国家 Country of residence d) 关系 Relationship to you 5. 婚姻状况 / MARITAL STATUS DETAILS 5.1 婚姻状况 Current Marital Status 未婚 Single [ ] 已婚 Married [ ] 丧偶 Widowed [ ] 离婚 Divorced [ ] 5.2 配偶个人信息 *标记为已婚时填写 If‘Married’please provide details of your spouse a) 姓 Family Name (in English) c) 出生日期 Date of Birth (yyyy/mm/dd) e) 住址 Residential Address f) 联系电话 Contact No. d) 国籍 Nationality b) 名 Given Names (in English)

6. 学历 / EDUCATION 6.1 最终学历 What is the highest degree or level of education you have completed ? 硕士/博士 Master’s/Doctoral Degree [ ] 大学本科 Bachelor’s Degree [ ] 高中毕业 High School Diploma [ ] 其他 Other [ ] → 选择‘其他’选项时记载详细内容 If‘Other’please provide details ( ) 6.2 学校名称 Name of School 6.3 学校所在地 Location of School(city/province/country) 7. 职业 / EMPLOYMENT 7.1 职业 What are your current personal circumstances ? 企业家 Entrepreneur [ ] 个体经营 Self-Employed [ ] 职员 Employed [ ] 公务员 Civil Servant [ ] 学生 Student [ ] 退休 Retired [ ] 待业 Unemployed [ ] 其他 Other [ ] → 选择‘其他’选项时记载详细内容 If‘Other’please provide details ( ) 7.2. 职业 详细内容 Employment Details a) 公司/机关/学校名称 Name of Company/Institute/School c) 公司/机关/学校名称 地址 Address of Company/Institute/School b) 职位/课程 Your Position/Course d) 电话号码 Telephone No. 8. 邀请人信息 / DETAILS OF SPONSOR 8.1 邀请人/邀请公司 Do you have anyone sponsoring you for the visa ? 否 No [ √ ] 是 Yes [ ] → ‘选择‘是’选项时填写详细内容 If‘Yes’please provide details a) 邀请人/邀请公司名称 Name of your visa sponsor (Korean, foreign resident in Korea, company, or institute) 无 b) 出生日期/事业者登录证号码 Date of Birth/Business Registration No. 无 d) 地址 Address 无 c) 关系 Relationship to you e) 电话号码 Phone No. 9. 访问信息 / DETAILS OF VISIT 9.1 赴韩目的 Purpose of Visit to Korea 观光/通过 Tourism/Transit [ √ ] 短期商务 Business Trip [ ] 贸易/投资/派驻Trade/Investment/ Intra-Corporate Transferee [ ] 外交/公务 Diplomatic/Official [ ] 参加会议/Meeting, Conference [ ] 留学/研修 Study/Training [ ] 家属或探亲访问 Visiting Family/Relat ives/Friends [ ] 其他 Other [ ] 医疗观光 Medical Tourism [ ] 就业活动 Work [ ] 结婚移民 Marriage Migrant [ ] → 选择‘其他’选项时记载详细内容 If‘Other’please provide details ( ) 9.2 在韩停留时间 Intended Period of Stay 15天以内 9.3 预定赴韩日期 Intended Date of Entry 9.5 韩国境内联系方式 Contact No. in Korea 9.4 预定滞留地址(包括酒店) Address in Korea(including hotels) 9.6 最近5年访韩经历 Have you travelled to Korea in the last 5 years ? 否 No [ ] 是 Yes [ ] → 选择‘是’选项时填写详细内容 If‘Yes’please provide details of any trips to Korea ( ) 次 times, 最近访韩目的 Purpose of Recent Visit ( )

9.7 最近5年除韩国以外旅行国家 Have you travelled outside your country of residence, excluding to Korea, in the last 5 years ? 否 No [ ] 是 Yes [ ] → 选择‘是’选项时填写详细内容 If‘Yes’please provide details of these trips 国家 Name of Country (in English) 访问目的 Purpose of Visit 访问期间 Period of Stay (yyyy/mm/dd)~ (yyyy/mm/dd) 9.8. 填写有无访韩同伴家属 Are you travelling to Korea with any family member ? 否 No [ ] 是 Yes [ ] → 选择‘是’选项时填写详细内容 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 * 参考: 家属的范围 – 配偶, 子女, 父母, 兄弟 Note: Definition of a Family Member - your spouse, father, mother, children, brothers and sisters 10. 访韩费用 / FUNDING DETAILS 10.1 访韩费用(美元为基准) Estimated travel costs(in US dollars) 2000美金 10.2 费用负担者 Who will pay for your travel-related expenses ? (any person including yourself and/or institute) a) 姓名/公司(团体)名称 Name of Person/Company(Institute) 本人 c) 支援内容 Type of Support 无 b) 关系 Relationship to you d) 电话号码 Contact No. 11. 填表时得到帮助与否 / ASSISTANCE WITH THIS FORM 11.1 填写申请时得到过其他人的帮助吗？ Did you receive assistance in completing this form? 否 No [√] 是 Yes [ ] → 选择‘是’选项时填写详细内容 If‘Yes’please provide details of the person who assisted you 姓名 Full Name 出生日期 Date of Birth (yyyy/mm/dd) 电话号码 Telephone No. 关系 Relationship to you 无 无 无 无

12. 声明 / 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 我声明以上填写内容均真实准确，并保证严格遵守韩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 my 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) 2022/4/27 申请人签名 SIGNATURE OF APPLICANT 申请人未满17岁，父母或法定监护人签名 Signature of Parent or Legal Guardian´s for a person under 17 years of age 附件

ATTACHMENT 1. 「出入境管理法实行规则」 第76条第1项[表格 5]签证发给申请等附件

注意事项 Notice 1. 与以上填写内容相关的详细信息可另附一张纸填写或追加提交相关材料。 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. 获得韩国签证后丢失或毁损等事由更换新护照的情况、须将正确的护照变更信息通报给签证处理机关。 If you received Korean visa approval, and have new passport issued thereafter in lieu of lost/damaged passport, you must notify the concerned visa office of changes in your passport information. 3. 获得韩国签证、入境韩国时发现禁止入境的事由将不允许入境。 Possession of a visa does not entitle the bearer to enter the Republic of Korea upon arrival at the port of entry if he/she is found inadmissible. 4. 依据「出入境管理法实行规则」第9条第1项持 C类签证者入境后不可变更滞留资格。 Please note that category C visa holders are not able to change their status of stay after their entry into the Republic of Korea in accordance with Article 9(1) of the Enforcement Regulations of the Immigration Act. 处理程序 填写申请表 Application 申请人 Applicant

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