Confirmation of Online VisaApplication2.2 C ×0 2± /Service Æ ! n / Normal Ö [/ Express 2.3 +iB-1´A÷ ¥ / Visa details 2.3A +iB-1´A÷,º ? ~ U / Validity of visa Æ > / month(s)

Confirmation of Online Visa Application

/You need to submit your visa application at:

/Declaration

I hereby declare that I have read and understood all the questions in this application and shall bear all the legalconsequences for the authenticity of the information and materials I provide.

Applicant's signature Date yyyy-mm-dd

(Please Present together with the Application Form)

Chinese Visa Application Service Center in TOKYO

TYO2200826AL8923682

GYC旅行記入見本

YSTタイプライターテキスト






YSTタイプライタSANKYO HANAKO

YSTタイプライタ



YSTタイプライタFemale



YSTタイプライタ1990-10-18


YSTタイプライタJapan

YSTタイプライタM

YSTタイプライタSingle

YSTタイプライタ90



YSTタイプライタOrdinary

YSTタイプライタTK8754321










YST矢印

YST矢印

YSTタイプライタこの部分はオンライン入力終了後自動的に作成されるため、この部分書く必要なし



YSTタイプライタここの署名と申請日をお忘れなく！


YST矢印

YSTタイプライタ必ず申請者名で、未成年者の場合は括弧して両親名代筆明記。　　　　　　　鉛筆・消せるペン使用不可


YSTタイプライタ中国ビザオンライン申請確認ページ















1 / 8

Visa Application Form of the People’s Republic of China

The applicant should fill in this form truthfully, completely and clearly. Please type the answers in Chinese or English capital letters in the space provided or tick (√) the relevant box to select. If some of the items do not apply, please type N/A or None.

Personal Information

1.1 /Name

1.1B / Middle name:

1.1D / Other name(s)

1.2 / Date of birth (yyyy/mm/dd) 1.3 / Gender / Male / Female

1.4 / Place of birth

1.5 / Marital status

/ Married / Single/ Divorced / Widowed

/ Other(Please specify)

1.6

/Nationality and permanent residence

1.6G / Former nationality(ies)

1.6B / National ID number 1.6H /Please provide the following information if you have ever held Chinese nationality

1.6C / Other nationality(ies): / Chinese name (in Chinese)

1.6D / ID number(s) of other nationality(ies):

/ Former Chinese ID number:

1.6E / Passport number(s) of other nationality(ies):

/ Number of your last Chinese passport

1.6F /Other permanent resident countries or region

1.7/

Passport

1.7A / / Type of passport/travel document:/ Diplomatic / Service

/ Special/ Official / Ordinary

/ Other(Please specify):

1.7G / Expiration date:

1.8 /

Lost /stolen passport/traveldocument

1.8A / / Have you ever lost a passport/travel document or had one stolen? /Yes /No1.8B / If yes, what was the number of the lost or stolen document? If more than one please list:

1.8C / Issuing country/ region and authority of the lost or stolen document. If more than one please list:

1.8D /Where did you lose or have it stolen: 1.8E /When did you lose or have it stolen:

1.1C / Given name1.1A / Family name

1.1E / Name as written in native language:

1.4A / Country or region

1.4B / Province/State

1.4C / City

1.6A / Nationality

1.7B / / Passport/travel document number:

1.7E / Issuing authority:

1.7D / Place of issue:

1.7C / Issuing country or region:

1.7F / Issue date:


YSTタイプライタSANKYO

YSTタイプライタHANAKO

YSTタイプライタ三協　花子


YSTタイプライタv


YSTタイプライタ東京
















YSTタイプライタTK8754321






YSTタイプライタ姓

YSTタイプライタ名

YSTタイプライタ漢字名


YSTタイプライタ離婚

YSTタイプライタ既婚


YSTタイプライタ独身

YSTタイプライタ死別

YSTタイプライタその他



YSTタイプライタ国/地区


YSTタイプライタ省

YSTタイプライタ市

YSTタイプライタ旧姓名


YSTタイプライタ（結婚前・養子縁組などにより改姓のある場合）

YSTタイプライタ国籍

YSTタイプライタ旧国籍


YSTタイプライタ一般（それ以外は代行できません）




YSTタイプライタパスポート発行国

YSTタイプライタパスポート発行地

YSTタイプライタパスポート発行機関


YSTタイプライタパスポート番号



YSTタイプライタパスポート紛失・盗難の有無？

2 / 8

Type of Visa

2.1 / Type of visa and major purpose of your visit to China

L/Tourism

A / Independent tourist “B” /If choose B, please provide the following information:

B / Group member/Travel Agency in China:

/Travel Agency License No.:

M/

Commercial trade activities

A / Trade

B / Participation in Competition(s)

C / Other commercial activities

F/

Exchanges, visits, study tours or other relevant activities

A / Academic exchanges

B / Cultural exchanges (e.g. a non-profit performance)

C / Religious exchanges

D / NGO activities

E 90 / Volunteering (no more than 90 days)

F / Foreign expert with pre-approved letters of invitation

G / Geographic surveying and mapping activities

Q1 Q2

/ Family member or relative of Chinese citizen(s) or foreigner(s) with permanent residencestatus in China

A / Family member of Chinese citizen applying for residence in China for family reunion

/Please provide the following information:

B/ Family member of foreigner(s) with permanent residence status in

China who is applying for residence in China for a family reunion/ /

/ Name of the Chinese citizen(s)/Guardian(s)/ Foreigner(s) with permanent resident status:

/ Relationship(s) to you:

/ ID or permanent residence permit number(s) :

C / Residence visa for child to be fostered in China

D 180/ Relative of Chinese citizen(s) living in China applying for a visa for visitno more than 180 days

E 180/ Relative of foreigner(s) with permanent residence status in China

applying for a visa for visit no more than 180 days

S1 S2

/ Family member of foreigner(s) staying or residing in Chinaor person who needs to come to China for personal matters

A 18018 / Spouse,

parent, child under the age of 18 or parent-in-law of foreigner(s) residing in China for work, study or other purposes who visit China for more than180 days


/ Residence permit(s) number:

B / Person who needs to reside in China for other personal matters

C 180/ Family member of foreigner(s) staying or

residing in China for work, study or other purposes who visit China for no more than 180 days

D/ Applying for a visa to stay in China for

other personal matters, such as handling litigation, inheritance, real estate or medical treatment

B D / If B or D, please specify the matters:

Z/

Work

A / Foreign expert working in ChinaB / For commercial performance

C / Chief representative or representative of a foreign company

D / Offshore oil operationsE 90 / Volunteering (more than 90 days)

F / Foreigner working in China with a Work Permit issued by the Chinese government

X1 X2/Study

A 180 / Long term study (more than 180 days)

B 180 / Short term study (no more than 180 days)

J1 J2/Journalist

A / Foreign journalist visiting China for short-term news coverage

B / Resident foreign journalist of permanent office of a foreign news agency in China

/ Name of the residing foreigner(s):

/ Relationship to you:




YSTタイプライタビザ種類選択






3 / 8

C/ Crew member

A / Crew member performing duties on board an international trainB / Crew member performing duties on board an international aircraft

C / Crew member performing duties on board an international vessel or accompanying family memberD / Vehicle driver engaged in international transportation services

G / Transit / Transit through ChinaD /

Permanent residence / Person coming to China to take up permanent residence

R /Foreigner of high talent or specialist

/ Foreigner of high talent or specialist needed by the State/ Name of the talent recruitment programme:

/ Diplomatic visa

A / Head of state or government, foreign minister or other official with equivalent rank invited for an official visit and accompanying spouse and/orchild(ren) under the age of 18B / Government official, official of international organizations holding a diplomatic passport or other corresponding travel document visiting China for official purposes and accompanying spouse and/or child(ren) under the age of 18C / Diplomatic courier or consular courierD / Other personnel visiting China for diplomatic purposes

/Official visa

A / Government official, official of international organizations holding a service/official passport or other corresponding travel document visiting China for official purposes and accompanying spouse and/or child(ren) under the age of 18B

/ Holder of a diplomatic, service/official passport visiting China to implement a programme of exchange and cooperation according to relevant agreements between China and other countries or international organizations and accompanying spouse and/or child(ren) under the age of 18C / Military personnel invited to implement military programme of exchange and cooperation and accompanying spouse and/or child(ren) under the age of 18D / Other personnel visiting China for official purposes

/Member of diplomatic missions, consular posts and international organizations and their accompanying family members

A/ Member of diplomatic missions, consular posts or

international organizations in China


/ Name of the mission:

“A” / Is it a new job position for the above mentioned mission (if choose A )

/Yes /No. Name of previous occupant:

“B” “C” “D” /Name of the member of diplomatic missions, consular posts or international organizations (if choose B, C or D):

B / Spouse or dependent child(ren) under the age of 18 accompanying the memberC / Other accompanying relative of the memberD / Spouse, child(ren) under the age of 18 or other relative visiting member of diplomatic missions, consular posts or international organizations for a short visitE 90

/ Short-term (no more than 90 days)employee(including private employee), intern in diplomatic missions, consular posts or international organizationsF 90

/ Long-term (more than 90 days)employee(including private employee), intern in diplomatic missions, consular posts or international organizations

/Other purposes

/ (Please specify)

/ Courtesy visas are issued at the discretion of the Chinese authorities.

2.2 / Service / Normal / Express

2.3/

Visa details

2.3A / Validity of visa / month(s) 2.3C / Entries: 1 / Single2 / Double

/ Multiple2.3B / Maximum duration of longest stay /day(s)

Work Information

3.1 / Current occupation: / Member of Parliament / Crew member/ Businessperson / Government official / Self-employed

/ Company employee / NGO staff / Unemployed

/ Entertainer / Military personnel / Retired

/ / Industrial/Agricultural worker / Religious personnel /Other (Please specify):

/Student / Media representative

3.2 / Annual income







YSTタイプライタ000万円



YSTタイプライタ(任意）


YSTタイプライタ現在職業



4 / 8

3.3 / Work experience (list in reverse chronological order)

3.3A /Date 3.3B / /Name, address and telephone of your

current and previous employers

3.3C /Supervisor's name and

telephone

3.3D /Position

3.3E /Duty/From /To

/ List on a separate page if there is not enough space

Education

Family Information

5.1/

Current residenceaddress

5.1D / Post code

5.1E / No./Street/Avenue

5.3 / Mobile phone number:

5.5 / Family member(s)

5.5A / Spouse/

Name/

Nationality/

Occupation/

Date of birth/

Country of birth/

City of birth

/Address

4.1 / Languageskills (Conversational level or above)4.2 / Education since high school (list in reverse chronological order)

4.2A /Date 4.2B / Name and address of institution

4.2C / / Diploma/degree

4.2D / Major/From /To


5.1A / Country or region

5.1C / City

5.1B / Province/State

5.2 / Phone number

5.4 / E-mail address





YSTタイプライタ三協実業有限会社 0359814888




YSTタイプライタ東京都豊島区駒込1-35-6塩田駒込ビル703

YSTタイプライタ三協　太郎/0359814888

YSTタイプライタSTAFF


YSTタイプライタSALES


YSTタイプライタ日本語・英語・中国語


YSTタイプライタ学士

YSTタイプライタ経営学科





YSTタイプライタ東京大学　東京都文京区本郷7-3-1


YSTタイプライタ豊島区

YSTタイプライタ駒込1-35-6


YSTタイプライタ東京都







YSTタイプライタ[email protected]


YSTタイプライタ三協　太郎

YSTタイプライタ日本



YSTタイプライタ会社員



YSTタイプライタ東京都豊島区駒込1-35-6


YSTタイプライタ職歴

YSTタイプライタ社名・住所・電話番号

YSTタイプライタ直属上司名前・電話

YSTタイプライタ役職

YSTタイプライタ職責


YSTタイプライタ受けた教育

YSTタイプライタ話せる言語（会話以上）


YSTタイプライタ高校以降学歴

YSTタイプライタ学校名・住所

YSTタイプライタ学歴/学位

YSTタイプライタ専攻

YSTタイプライタ（卒・中退/学士・修士等）

YSTタイプライタ経営・経済・電子工学等


YSTタイプライタ家庭状況


YSTタイプライタ家庭構成

YSTタイプライタ配偶者


5 / 8

5.5B / Father

/ Name

/Nationality

/Occupation

/Date of birth

/Address

/Is your father in China?

/ Y e s /No

/If so, the status in China

/ Citizen / Permanent resident

/ Resident90 5 / Work-type

resident valid for 90 days to five years 180 5 /Non

work-type resident valid for 180 days to five years

/Stay 90 / Z

visa valid for less than 90 days180

/Visas other than Z valid for less than 180 days

5.5C / Mother

/ Name

/Nationality

/Occupation

/Date of birth

/Address

/Is your mother in China?

/ Y e s /No

/If yes, the status in China


/ Resident90 5 / Work-type

resident valid for 90 days to five years 180 5 /Non

work-type resident valid for 180 days to five years

/Stay 90 / Z

visa valid for less than 90 days180

/Visas other than Z valid for less than 180 days

5.5D / Child

/ Name

/Nationality

/Occupation

/Date of birth

/Address

/ Name

/Nationality

/Occupation

/Date of birth

/Address

/ Name

/Nationality

/Occupation

/Date of birth

/Address

5.5E / Do you have any immediate relatives, not including parents, in China? /Yes /No/If yes, please provide the following information:

/Name /Relationship to you

/Status in China


/ Resident 90 5 / Work-type resident valid for 90 days

to five years 180 5 /Non work-type resident valid for

180 days to five years

/Stay 90 / Z visa valid for less than 90 days

180 /Visas other than Z valid for less than 180 days



YSTタイプライタｖ




YSTタイプライタ三協　OO


YSTタイプライタ東京都豊島区駒込O-OO-OO

YSTタイプライタ定年

YSTタイプライタ三協　O子



YSTタイプライタ主婦







YSTタイプライタ幼稚園児


YSTタイプライタ三協　OOO



















YSTタイプライタ父親（同居していなければ、記入不要）


YSTタイプライタ母親（同居していなければ、記入不要）


YSTタイプライタ（子供全員記入必要）




YSTタイプライタ両親以外の親族が中国にいるか？




YSTタイプライタ申請者との関係


YSTタイプライタ中国での状態




6 / 8

Information About Your Intended Trip

6.1 / Itinerary

6.1B / / / Arrival train /ship /flight

6.1E / / / Departure train /ship /flight

6.1G / City 6.1H / Address 6.1J / Date of arrival 6.1K / Date of departure


6.2/ /

/Inviting person ororganization / hotel or temporary residence in China

6.2A /Name of person or organization 6.2B / Relationship to you (if invited by an individual)

6.2F / Serial number of invitation letter of the authorised organization

6.3 / Emergency contact

6.4 /Who will

pay for this travel

6.4A / Self

6.4B / Other

/Name /Telephone

6.4C /Organization

/Name /Relationship to you /Address /Country

6.5/ /

Domestic/ foreign sponsor

6.5A / Type of sponsor/ Organization

6.5C / Relationship to you (if 6.5D / Phone number

6.1A / Date of arrival number:

number6.1D / Date of departure

6.1C / City of arrival:

6.1F /City of departure

6.2C / Phone number 6.2D / E-mail address

6.2E / / Address (city, province /state, postal

code)

6.3A / Name of emergency contact 6.3B / Relationship to you

6.3D / E-mail address6.3C / Phone number

6.3E / / / Address (city, province /state, country or region, post code)

/Email

6.5B / Name

6.5F / / / Address (city, province /state, country or region, post code)

6.5E / E-mail address

sponsored by an individual)



YSTタイプライタ2021-


YSTタイプライタ01-15

YSTタイプライタJLOO2

YSTタイプライタJLOO1






YSTタイプライタ上海




YSTタイプライタOO路OO号






YSTタイプライタ上海OOOO有限公司








YSTタイプライタ取引先





YSTタイプライタ上海市OO路OO号　210002



YSTタイプライタSH8987654321


YSTタイプライタ三協　太郎

YSTタイプライタ夫












YSTタイプライタ三協実業有限会社

YSTタイプライタ勤務先










YSTタイプライタ訪中旅費負担

YSTタイプライタM、Zビザの場合は必ず6.4Cを選択




YSTタイプライタ上海OOOO有限公司









YSTタイプライタ上海市OO路OO号　210002


7 / 8

6.6/

Travel companion(s) for this visit

6.6A / Are you travelling with someone else this time? / Yes / No6.6B / Name(s) of travelling companion(s)

6.6C / Gender / Male / Female/ Male / Female

/ Male/ Female

/ Male/ Female

6.6D /Date of birth6.6E

/Will the person use the same passport?

/ Yes / No / Yes / No / Yes / No / Yes / No

6.6F /

If yes, please affix their photo(s)

1

Photo of person sharing the same

passport

2


passport

3

Photo of personsharing the same

passport

4


passport

Past Travel Information

7.1

/ Previous travel to China in the past 3 years

7.1A / Have you been to China in the previous 3 years / Yes / No

7.1B / Cities visited 7.1C / Date of arrival 7.1D / Date of departure


7.2 /

Previous Chinese Visa

7.2A / Have you been issued a Chinese visa /Yes /No /(If yes, please give details of your last Chinese visa)

7.2F / Have you ever been fingerprinted when applying for a Chinese visa / Yes / No

7.2G / Have you ever been issued a Chinese residence permit / Yes / No/ If yes, please provide your residence permit number

7.2H /Have you ever lost a Chinese visa or had one stolen? / Yes / No

/If yes, please provide the following information:/Where did you lose or have

it stolen?/When did you lose or have

it stolen?/What was the number

of the lost or stolen visa?

7.3 /

Valid visas

/ Do you currently hold any valid visas issued by other countries/ Yes / No / If yes, please list below:

7.4 /

Countries visited in the past 5 years

5 / Have you travelled to any other countries in the past 5 years/ Yes / No

/ If yes, please list below. / List on a separate page if there is not enough space:

Other Information

8.1 , Have you ever been refused a visa for China, or been refused entry into China?

/ Yes / No / (If yes, please specify)

yuki sagara

1975-07-08

7.2B / Type of Visa

7.2D / Place of issue

7.2C / Number of Visa

7.2E / Date of issue








YSTタイプライタM


YSTタイプライタM87654321















YSTタイプライタアメリカ・カナダ・韓国



YST矢印

YSTタイプライタ記入必要なし


YSTタイプライタ渡航暦情報


YSTタイプライタ（過去3年の訪中暦）



YSTタイプライタ直近ビザの情報

YSTタイプライタ過去ビザ取得情報

YSTタイプライタほかの国の有効期間内のビザを持っているか？

YSTタイプライタあればリストアップ

YSTタイプライタ過去5年間訪問した国の有無？

YSTタイプライタあれば、リストアップ必要

YSTタイプライタ中東・アフリカなど一部国にビザ制限あり

YSTタイプライタ中国ビザの発給、中国入国を拒否された事はあるか?




YSTタイプライタ日本では指紋採集まだ未実施



8 / 8

8.2 ?/Has your Chinese visa ever been cancelled / Yes / No / (If yes, please specify)

8.3 ?/Have you ever entered China illegally, overstayed, or worked illegally


8.4 ?/Do you have any criminal record in China or any other country


8.5 /Do you have any serious mental disorder or infectious disease?

8.6 30 /Have you ever visited countries or territories where there is an epidemic in the last 30 days?8.7 /Have you ever been trained or do you have any special skills in the field of firearms, explosives, nuclear devices, biological or chemical products?8.8 / Are you serving or have you ever served in the military? / Yes / No

/ (If yes, please provide the following information) 8.8A / Country of service 8.8B / Branch of service

8.8C / Rank in military 8.8D / Military specialty

8.8E / Date of service from(yyyy-mm-dd) 8.8F / Date of service to (yyyy-mm-dd)

8.9/ Have you served or participated in any paramilitary organization, civil armed

units, guerrilla forces or armed organizations, or been its member?8.10 /Have you belonged to, contributed to, or worked for any professional, social, or charitable organizations?8.11 / Is there anything else you want to declare?

/(Detailed description)

Signature & Declaration

9.1 / For Applicant9.1A / Declaration

I hereby declare that I have read and understood all the questions in this application and shall bear all the legal consequences for the authenticity of the information and materials I provide.

I understand that whether to issue a visa, the type of visa, number of entries, validity and duration of each stay will be determined by consular officials, and that any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into China.

I understand that express and urgent visa applications need approval of consular officials, and extra fees may apply.

I understand that, according to Chinese law, applicant may be refused entry into China even if a visa is granted.

My application will be submitted at (City) to the Chinese visa issuing authority.

Applicant’s signature: Date (yyyy-mm-dd):

18 Note: A parent or guardian should sign on behalf of a minor under the age of 18.

9.2 / For person filling in the application on the applicant’s behalf9.2A / Name 9.2B / Relationship with the applicant

9.2C / Address 9.2D / Telephone

9.2E / Declaration

I declare that I have assisted in the completion of this form at the request of the applicant and that the applicant understands and agrees that the information provided is true and correct.

/ Signature: / Date(yyyy-mm-dd):

Chinese Visa Application Service Center in TOKYO

0






/ Yes / No / (If yes, please specify)GYC旅行

記入見本























YSTタイプライタ必ず申請者名で、未成年者の場合は括弧して両親名代筆明記。鉛筆・消せるペン使用不可



YST矢印



YSTタイプライタ9.2欄目には申請者は未成年者の場合のみ、記入必要！

YSTタイプライタ未成年者の両親それぞれ署名必要

YSTタイプライタ申請日をお忘れなく！




YSTタイプライタ中国ビザを取り消されたことはあるか？

YSTタイプライタ不法入国、不法滞在、不法就業のことはあるか？

YSTタイプライタ中国、或いはその他の国で犯罪歴はあるか?


YSTタイプライタ過去30日以内に伝染病が流行している国家、或いは地域を訪問した事があるか?





YSTタイプライタ重大な精神障害または感染症はあるか？

YSTタイプライタ銃類、爆薬、核装置、生物或いは化学分野で特殊技能或いは特殊訓練を受けたことはあるか？

YSTタイプライタ軍隊への服役経験はあるか？






YSTタイプライタ8.9準軍隊組織、民兵、ゲリラまたは反乱組織への参加或いはメンバーになったことはあるか？



YSTタイプライタ専門、社会、慈善団体機構などに属したり、援助のことはあるか？

YSTタイプライタそのた申告すべきことはあるか？




YSTタイプライタ鉛筆・消せるペン使用不可

Visa Application Form of the People's Republic of China addtional page



YSTタイプライタこのページはオンライン入力完了後自動的に作成されます

Documents

Confirmation of Online VisaApplication2.2 C ×0 2± /Service Æ ! n / Normal Ö [/ Express 2.3 +iB-1´A÷ ¥ / Visa details 2.3A +iB-1´A÷,º ? ~ U / Validity of visa Æ > / month(s)