申请人&亲属表格

来源：埃耐特留学人气：223 发布时间：2015-04-26

FAMILY COMPOSITON INFORMATION

家属表

APPLICANT

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

所有内容请用中文及英文，或中文及法文填写

RELATIONSHIP 关系	NAME 姓名	DATE &PLACE OF BIRTH 出生日期及地点	PRESENT ADDRESS 现行地址	PRESENT OCCUPATION 现行职业
Visa Applicant 签证申请人	WANG Shuo 王硕	24/04/1987 Liaoning 辽宁	19-32, Wen Chang Li, Linghe District, Jinzhou, Lliao Ning Province, China 辽宁省锦州市凌河区文昌里19-32号	Office Clerk 文员
Spouse 申请人配偶	N/A 无
Mother 申请人之母亲	GU Lijuan 谷丽娟	J04/04/1963 Liaoning 辽宁	Same as above 同上	Women Committee Member 女工委员
Father 申请人之父亲	WANG Dezhi 王德志	30/11/1963 Liaoning 辽宁	Same as above 同上	Project Deputy Manager 项目副经理

CHILDREN: (INCLUDING ALL SONS AND DAUGHTERS PLUS ADOPTED AND STEP CHILDREN REGARDLESS OF AGE OR PLACE OF RESIDENCE

申请人之儿女（包括所有儿女及正式继养、收养之子女、无论其年龄大小或居住地在何处均须包括在内）

NAME 姓名	RELATION &SEX 关系	MARITAL STATUS 婚姻状况	DATE & PLACE OF BIRTH 出生日期及地点	PRESENT ADDRESS 现行地址	PRESENT OCCUPATION 现行职业
N/A 无

BROTHERS AND SISTERS:(INCLUDING HALF AND STEP BROTHERS AND SISTERS)
申请人之兄弟姐妹（包括同父异母及同母异父之兄弟姐妹）

NAME 姓名	RELATION &SEX 关系&性别	MARITAL STATUS 婚姻状况	DATE & PLACE OF BIRTH 出生日期及地点	PRESENT ADDRESS 现行地址	PRESENT OCCUPATION 现行职业
N/A 无

DETAILS OF EDUCATION AND EMPLOYMENT

教育和就业细节表

APPLICANT

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

所有内容请用中文及英文，或中文及法文填写

DATE 日期		NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
FROM 从	TO 到	NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
09/2004	07/2007	Shenyang Institute of Engineering 沈阳工程学院	College Diploma 大专	Chain Enterprise Operation and Management 连锁企业经营与管理
10/2009	Present 至今	Bohai University Training Institute 渤海大学培训学院	Certificate 证明	English Training 英语培训



FROM 从	TO 到	NAME & ADDRESS OF WORK UNIT/ COMPANY 单位/公司的名称及地址	POSITION 职位	TYPE OF BUSINESS 业务类别
08/2007	Present 至今	Jiayinshi Linghe District JiaYi Printing Center Ltd. 锦州凌河区佳艺印务中心	Office Clerk 办公文员	General Office Affairs 办公室日常工作

Is this your first time travelling outside of China? If no, please provide a summary of your travel history for the past
five years including countries travelled to and dates of travel.
此次是否是你的第一次出境旅行？若不是，请提供过去五年中所有出境旅行概况、包括目的地国家及旅行起始日期。
Yes.


If you are a member of a business delegation, can you confirm the identity and stated profession of those travelling
with you? If no, please provide an explanation:
如果你是某商务团组之成员，你是否能确认与你同行人士的身份及职业？若不能，请提供解释：
_______________________________________________________________________________________________

I hereby certify that all information listed on this form is true and complete. I understand that if this information is
found to be untrue or incomplete my application will be refused.
我谨声明，本表中所填各项内容均真实详尽。我明白：所列内容如被发现不实或不详，我的申请将被拒签。

_____________________      ______________________________        __________________________________
Date         （日期）       Print Name in Pinyin   （印刷体拼音姓名）       Signature of Applicant in Chinese （申请人签字）

FAMILY COPOSITION AND

DETAILS OF EDUCATION AND EMPLOYMENT
家属表及教育和就业细节表

FATHER

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

所有内容请用中文及英文，或中文及法文填写

DATE 日期		NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
FROM 从	TO 到	NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
1985	1988	Shenyang Institute of Engineering 沈阳工程学院	College Diploma 大专	Compulsory Course 必修课

Employment for the last 10 years:
过去10年的就业细节：

FROM 从	TO 到	NAME & ADDRESS OF WORK UNIT/ COMPANY 单位/公司的名称及地址	POSITION 职位	TYPE OF BUSINESS 业务类别
1980	2007	No. 3 Engineering Construction Company of Northeast Electric Power Administration Bureau Power Plant 东北电业管理局第三工程公司供电分厂	Director 主任	Management 管理
2007	Present 至今	No. 3 Engineering Construction Company of Northeast Electric Power Administration Bureau Jinzhou Heat Power Plant 东北电业管理局第三工程公司大唐锦州项目部	Project Deputy Manager 项目副经理	Operation & Management 运营&管理

BROTHERS AND SISTERS:(INCLUDING HALF AND STEP BROTHERS AND SISTERS)
申请人之兄弟姐妹：（包括同父异母及同母异父之兄弟姐妹）

NAME 姓名	RELATION &SEX 关系&性别	MARITAL STATUS 婚姻状况	DATE & PLACE OF BIRTH 出生日期及地点	PRESENT ADDRESS 现行地址	PRESENT OCCUPATION 现行职业
WANG Shufen 王淑芬	Sister Female 妹妹女	Married 已婚	18/02/1955 Liaoning 辽宁	Haizhou District, Fuxin, Liaoning 辽宁省阜新市海州区	Retired 退休

Date (日期) Signature of Applicant’s Father (父亲签字)

FAMILY COPOSITION AND

DETAILS OF EDUCATION AND EMPLOYMENT
家属表及教育和就业细节表

MOTHER

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

所有内容请用中文及英文，或中文及法文填写

DATE 日期		NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
FROM 从	TO 到	NAME & ADDRESS OF SCHOOL 学校的名称及地址	DIPLOMA/ DEGREE 学历/学位	TYPE OF COURSE 课程或业务
1978	1981	Jin County Senior High School 锦县高中	Senior Middle School Diploma 高中毕业	Senior Middle School Courses 高中课程

Employment for the last 10 years:
过去10年的就业细节：

FROM 从	TO 到	NAME & ADDRESS OF WORK UNIT/ COMPANY 单位/公司的名称及地址	POSITION 职位	TYPE OF BUSINESS 业务类别
1984	2007	No. 3 Engineering Construction Company of Northeast Electric Power Administration Bureau Civil Engineering Branch 东北电业管理局第三工程公司土建分局	Office Clerk 文员	General Affairs 日常工作
2007	Present 至今	No. 3 Engineering Construction Company of Northeast Electric Power Administration Bureau General Management Dept. 东北电业管理局第三工程公司总经理工作部	Women Commiittee Member 女工委员	Rights protection and management of female workers 女性工作者权益保护与管理

BROTHERS AND SISTERS:(INCLUDING HALF AND STEP BROTHERS AND SISTERS)
申请人之兄弟姐妹：（包括同父异母及同母异父之兄弟姐妹）

NAME 姓名	RELATION &SEX 关系&性别	MARITAL STATUS 婚姻状况	DATE & PLACE OF BIRTH 出生日期及地点	PRESENT ADDRESS 现行地址	PRESENT OCCUPATION 现行职业
GU Zigang 谷子刚 GU Zibin 谷子斌 GU Limei 谷丽梅	Brother Male 哥哥男 Brother Male 哥哥男 Sister Female 妹妹女	Married 已婚 Married 已婚 Married 已婚	17/04/1956 Liaoning 辽宁 29/02/1960 Liaoning 辽宁 11/01/1971 Liaoning 辽宁	Jinzhou City, Liaoning 辽宁省锦州市 Jinzhou City, Liaoning 辽宁省锦州市 Anshan City, Liaoning 辽宁省鞍山市	Retired 退休 Teacher 教师 Technician 技术员

Date (日期) Signature of Applicant’s Mother (母亲签字）

申请人&亲属表格

FAMILY COMPOSITON INFORMATION

APPLICANT

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

RELATIONSHIP

NAME

PRESENT ADDRESS

Visa Applicant

Spouse

Mother

Father

CHILDREN: (INCLUDING ALL SONS AND DAUGHTERS PLUS ADOPTED AND STEP CHILDREN REGARDLESS OF AGE OR PLACE OF RESIDENCE

申请人之儿女（包括所有儿女及正式继养、收养之子女、无论其年龄大小或居住地在何处均须包括在内）

NAME

PRESENT ADDRESS

NAME

PRESENT ADDRESS

DETAILS OF EDUCATION AND EMPLOYMENT

APPLICANT

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

NAME & ADDRESS OF SCHOOL

FROM

TO

FROM

NAME & ADDRESS OF WORK UNIT/ COMPANY

TYPE OF BUSINESS

FAMILY COPOSITION AND

FATHER

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

DATE

NAME & ADDRESS OF SCHOOL

TYPE OF COURSE

FROM

NAME

PRESENT ADDRESS

FAMILY COPOSITION AND

MOTHER

PLEASE COMPLETE ALL ITEMS IN BOTH ENGLISH OR FRENCH AND CHINESE CHARACTERS

DATE

NAME & ADDRESS OF SCHOOL

TYPE OF COURSE

FROM

NAME

PRESENT ADDRESS