1、（第二頁 / Page2） ? 17?210mm X297mm ? 80g/ m2（? ?）簽證發(fā)給申請表APPLICATION FOR VISA?申請人須以事實為根據(jù)，并將在以下空格處完整記載。?申請人必須用韓文，英文或中文填寫以下申請表。?在相關選項的“內(nèi)打鉤。?如您選擇“堀”，請寫具體內(nèi)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, y

2、ou must check 環(huán)all that apply.? If you selectOther, please provide us with more information in the given space.1.個人信息 / PERSONAL DETAILS1.1 護照上的英文名/Full name in English (as shown in your passport) (1-7 項根據(jù)護照信息填寫)姓 Family Name WANG名 Given NamesTIANMINGPHOTO護照規(guī)格照片(35 mm X 45mm )6個月內(nèi)拍攝的正面免冠彩色相片，相片背景顏色須

3、為純白色Acoorphoto詠enwinast 6mcnts(fulfaoewithouthat front view against1.2中文名字澳字姓名王天明1.4 出生日期 Date of Birth (yyyy/mm/dd) 1992.12.101.3性別Sex男/Male Z 女/Female1.5 國籍 Nationality 中國white or off-white background)1.6 出生國 Country of Birth 中國1.7 國家身 WTO National Identity No.1234567894561231.8 您以前出境或入境韓國時是否使用過其他

4、姓名？(根據(jù)個人真實信息填寫)Have you ever used any other names to enter or depart Korea?否No 是Yes 如您選擇是，請寫具體內(nèi)容If Yesplease provide details(姓 Family Name,名 Given Name)1.9 您是否擁有雙重國第f? Are you a citizen of more than one country?No 是Yes (根據(jù)個人真實信息填寫) 如您選擇是，請寫具體內(nèi)容 If Yesplease write the countries ()2 .簽證發(fā)給認定書簽發(fā)信息/ DETA

5、ILS OF VISA ISSUANCE CONFIRMATIONX僅限于在大韓民國出入國管理事務所辦事處收到簽證發(fā)給認定書的人(Section 2 is only for those who possess confirmation of visa issuance issued by the Immigration Office of the Republic of Korea)2.1簽證發(fā)給認定號碼Confirmation No.（此處14項不填）2.2簽發(fā)日期Issue Date2.3 護照號碼 Passport No2.4 護照有效期至 Passport Expiry Date?簽證

6、發(fā)給認定書持有者直接移到第12部分(誓約)，填寫以下空格后提交申請表(不用寫第311部分)Those who have confirmation of visa issuance must move to section 12 (Declaration) to complete this from (Those with visa issuance confirmation must not fill out section 311).3 .護照信息 / PASSPORT INFORMATION3.1 護照類型Passport Type （1-7項根據(jù)護照信息填寫）外交護照Diplomatic

7、 公務護照Official 普通護照Regular其他 Other 如您選擇其他,請寫具體內(nèi)容 If Otherplease provide details （）3.2 護照號碼 Passport No. 1234567893.3護照簽發(fā)國Country of Passport中國3.4護照簽發(fā)地Place of Issue北京3.5 簽發(fā)日期 Date of Issue 2015.6.63.6 護照有效期至 Date Of Expiry 2025.6.63.7 您有其他白附照？ Do you have any other valid passport ? No 是 Yes 如您選擇是，請寫具

8、體內(nèi)容 If Yesplease provide detailsa）護照類型 Passport Type外交護照Diplomatic 公務護照Official 普通護照Regular其他 Other b）護照號碼 Passport No.c）護照簽發(fā)國 Country of Passportd）護照有效期至Date Of Expiry4 .聯(lián)系彳t息 / CONTACT INFORMATION4.1 本國地址Address in Your Home Country （以下1-6項根據(jù)個人真實信息填寫）北京市西城區(qū)黃寺大街甲23號（詳細到門牌號）4.2 現(xiàn)居彳地 Current Resident

9、ial Address * 僅限于現(xiàn)居住地與本國地址不同者/ Write if it is different from the above address4.5電子郵件E-mail123456 （有效郵箱）4.3 手/!?#碼 Cell Phone No.4.4 電話號碼 Telephone No123456789100101234564.6 緊急聯(lián)系人信息,Emergency Contact Informationa）姓名 Full Name in English 黃曉明b）居住國家 Country of residence 中國d）關系 Relationship to you 父親c）電

10、話號碼 Telephone No. 123456789115 .婚姻狀況 / MARITAL STATUS DETAILS5.1 目前婚姻狀況Current Marital Status （以下信息根據(jù)實際情況填寫）已婚 Married 離婚 Divorced 未婚 Never married -5.2 配偶個人信息 *僅限于已婚者 If Married ;please p rovide details of your spous ea）姓 Family Name （in English）b）名 Given Names （in English）c）出生日期 Date of Birth （yyy

11、y/mm/dd）d）國籍 Nationalitye）局主地 Residential Addressf）聯(lián)系電話Contact No.6 .學歷 / EDUCATION6.1 最終學歷 What is the highest degree or level of education you have completed ?（以下信息根據(jù)真實情況填寫）碩土 博t Masters/DoctoralDegrse學士 Bachelor s Degree /高中 High School Diploma 其他 Other . 如您選擇其他”，請寫具體內(nèi)容 If Otherplease provide det

12、ails （6.2 學校名稱 Name of School北京6.3 學校Ot Location of School（city/province/country）北京市海淀區(qū)頤和園H5號（第三頁/ Page3）7.職業(yè) / EMPLOYMENT210mm X297mm ? 80g/ m2（? ?）7.1 職業(yè) What are your current personal circumstances ?工作者 Employed /退休者Retired dMk 家 Entrepreneur 公務員 Civil Servant 無職 Unemployed （以下情況請根據(jù)真實情況填寫）個體經(jīng)營 Se

13、lf-Employed 學生 Student 其他Other 如您選擇其他”，請寫具體內(nèi)容 If Otherplease provide details7.2. 職業(yè)詳細信息 Employment Details （）b）職位/ 課程 Your Position/Course 專員d）電話號碼 Telephone No.010-52378a） -Wi/ 柵勾/（名稱）Name of Company/Institute/School北京環(huán)宇運通國際旅行社有限公司c）單位J 棚J/1 （Wd:） Address of Company/Institute/School 北京市西城區(qū)黃寺大街甲23號W

14、tT大廈16層8 .邀請人信息 / DETAILS OF SPONSOR8.1 邀請A/燃青單位 Do you have anyone sponsoring you for the visa ? a-e 項不填）無 No j 有 Yes 如您選擇有，請寫具體內(nèi)容 If Yesplease provide details a） 趣青A/邀請單位（名稱）Name of your visa sponsor （Korean, foreign resident in Korea, company, or institute）b）出生日期/營業(yè)執(zhí)照號碼 Date of Birth/Business Reg

15、istration No.c）關系 Relationship to youd）地址 Addresse）電話號碼Phone No.9 .訪問信息 / DETAILS OF VISIT9.1 訪韓目的 Purpose of Visit to Korea（一定選觀光）觀光/通過 Tourism/Transit z短期商務 Business Trip 貿(mào)易 / Wt/Wfe Trade/Investment/Intra-Corporate Transferee 參力口會議 /Meeting, Conference 留學/研修 Study/Training 探親 VisitingFamily/Relat

16、ives/Friends醫(yī)療觀光 Medical Tourism Work 結婚移民 Marriage Migrant 其他 Other 9.2 預吊亭留時間 Intended Period of Stay（必填）5天9.3 訪韓預定日 Intended Date of Entry （必填）2015.10.1夕囪/的 Diplomatic/Official . 如您選擇其他”，請寫具體內(nèi)容 If Otherplease provide details （9.5 韓國聯(lián)系電話 Contact No. in Korea（有就填，沒有填無）9.4 韓系 Wd:（包括酒rjf） Address in

17、Korea（including hotels）（有就填，沒有填無）9.6 最近斯內(nèi)是否訪問過韓國？ Have you travelled to Korea in the last 5 years ?（根據(jù)個人實際情況填寫）否 No 是 Yes 如您選擇是，請寫具體內(nèi)容 If Yes please provide detals of any trips to Korea （） 次 times,最;Of韓目的 Purpose of Recent Visit （）9.7 Jia5家倬卜）Have you travelled outside your country of residence, exc

18、luding to Korea, in the last 5 years 否No 是Yes 如您選擇是，請寫具體內(nèi)容If Yes please provide details of these trips（根據(jù)個人實際情況填寫）國家 Name of Country （in English）訪問目的 Purpose of Visit停留期間 Period of Stay（yyyy/mm/dd） （yyyy/mm/dd）沒序填）(第四頁/ Page4)9.8. 同行家屬 Are you travelling to Korea with any family member ?無 No 有 Yes 如

19、您選擇 “有”, 請寫具體內(nèi)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)國籍NationalityRelationship to you沒序填）*注：家屬范圍-配偶，子女，父母兄弟姐妹Note: Definition of a Family Member - your spouse, father, mother, children, brothers and sisters10.

20、訪問經(jīng)費/ FUNDING DETAILS （以下12項內(nèi)容根據(jù)實際情況填寫）10.1 訪問經(jīng)費以為準)Estimated travel costs(in US dollars)$200010.2 訪韓費用支付者 Who will pay for your travel-related expenses(?ny person including yourself and/or instililte)a)姓名 / 單位名稱 Name of Person/Company(Institute)b)關系 Relationship to youc)支援內(nèi)容 Type of Supportd)聯(lián)系電話Co

21、ntact No.11.填寫申請表時是否接受過幫助 / ASSISTANCE WITH THIS FORM姓名 Full Name出生日期Date of Birth (yyyy/mm/dd)聯(lián)系電話Telephone No.關系Relationship to you11.1您在填寫申請表時是否接受過別人的幫助？ Did you receive assistance in completing this form?(必須選擇否) 否No 是 Yes 如您選擇是,請體內(nèi)容 If Yesplease provide details of the person who assisted you12.誓

22、約 / DECLARATION*簽證發(fā)給認定書持有者也須填寫Those who possess confirmation of visa issuance must only complete section 1,2, and 12 of this form根據(jù)本人所知所信，我聲明以上所有陳述均真實、準確、完整。我將遵守大韓民國的出入境管理法律法規(guī)。I declare that the statements made in this application are true and correct to the best of my knowledge and belief, and that

23、 I will comply with the Immigration Act of the Republic of Korea.申請日期(年.月.日)DATE OF APPLICATION (yyyy/mm/dd)2015 /8 /22/申請人（簽名）SIGNATURE OF APPLICANT黃天明未充抬七歲由父母或法定監(jiān)護人簽字Signature of Parent or Legal Guardianfor a person under 17 years of age附件ATTACHMENT1.？ 76? ?1? ? 5 ?210mm X297mm ?80g/ m2 (?)（第五頁/ P

24、age5）210mm X297mm ?80g/ 叫？?？）1 .有關上述事項，本表如不夠填寫可另加附頁或是追加提供相關材料。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 .如您的大韓民國簽證得到批準后因遺失、損毀等原因再次簽發(fā)，必須通知簽證處理機構變更的護照信息，以便準確反映個人信息。If you received Korean visa approval, and have new