签证申请表APPLICATION FOR VISA ※签证发给认定号码[反签号] (CONFIRMATION OF VISA ISSUANCE NO. ) :
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PHOTO
3.5㎝×
4.5㎝1.姓(拼音)Surname
3.汉字姓名
4.性别Gender
[ ]M [ ]F 2.名(拼音) Given Names 5.出生日期Date of Birth
6.国籍Nationality
7.出生地点Country of Birth
8.现住所Home Address
9.固定电话号码Phone NO.10.手机号码Cell Phone
11.电子邮箱 E-mail 12.身份证号National Identity Number
护照Passport 13.护照号码Passport NO.14.护照类型 Classification外交, 公务, 公务普通, 因私, 其他
DP, OF OF, OR, OTHERS 15.签发地点Place of Issue16.签发日期 Date of Issue17.有效期至Date Of Expiry
职业Occupation 18.职业Occupation19.单位电话Business Phone NO.
20.单位名称Name of Present Employer
单位地址Address of Present Employer
婚姻状况Martial status 21.[ ]未婚 Single [ ]已婚 Married [ ]丧偶 Widowed [ ]离婚 Divorced
22.配偶者姓名Spouse's Name23.配偶者出生日期S p o u s e's D a t e o f B i r t h
24.配偶者国籍Spouse's Nationality25.配偶者联系电话Spouse's TEL
26.赴韩目的Purpose of Entry27.在韩停留时间Potential Length of Stay
28.预定赴韩日期Potential Date of Entry29.过去有无访韩经历Previous Visit (If Any) 有无
30.韩国内停留地Address in Korea31.韩国内联系电话Phone NO. in Korea
32.此次赴韩费用支付者Who Will Pay For The Expense For Your Stay?
33.最近5年内旅行过的国家Countries You Have Traveled During The Past 5 Years
34. 同伴家族
Accompanying
Family
关系 Relationship国籍 Nationality姓名 Name出生日期 Date of Birth性别 Gender
35. 韩国内担保人
Guarantor or
Reference in Korea
关系 Relationship国籍 Nationality姓名 Name出生日期 Date of Birth性别 Gender
I declare that the statements made in this application are true and correct to the best of my knowledge and belief, that I will observe the provisions of the Immigration Law of the Republic of Korea and that I will not engage in any activities irrelevant to the purpose of entry stated herein. Besides, I am fully aware that any false or misleading statement may result in the refusal of a visa, and that 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.
收入印纸（签证邮票）粘贴处수입인지부착란
申请日D A T E O F A P P L I C A T I O N申请人署名S I G N A T U R E O F A P P L I C A N T
공용란FOR OFFICIAL USE ONLY
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