赴南非签证申请表中英文
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DEPARTMENT: HOME AFFAIRSREPUBLIC OF SOUTH AFRICA部门:南非共和国民政局APPLICA TION FOR VISA OR TRANSIT VISA[Section 7(1)(g)read with section 10A and 10B;Regulation 8 (1)]签证或过境签证申请表Failure to complete this application form in full may result in the visa being delayed or refused.Please use block letters and black ink only.如申表没有填写完整,会造成被推或拒。
使用大写字母、黑色墨水填写表格。
PERSONAL PARTICULARS 个人料Surname姓First name(infull) 名(全名)Maiden name婚前姓(女子)Previous name曾用名Y Y Y Y M M D D年年年年月月日日Date of birth City of birth出生城市⋯⋯⋯⋯ .出生年月日Country of birth 出生国家⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Gender性Male female男女Nationality 国籍⋯⋯⋯⋯⋯⋯⋯⋯If acquired by naturalization,⋯⋯⋯⋯⋯⋯state original nationality如移民,原国籍Where and when was present nationality obtained何地何年取得此国籍⋯⋯⋯⋯⋯⋯⋯⋯⋯ .Passport/Travel Document Number照/旅游件Issuing authority:机关⋯ ..号⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯..⋯⋯⋯⋯⋯⋯⋯⋯..⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Type of document:Diplomatic/Official/Ordinary Date of expiry:有效期至⋯⋯Passport/Travel件型:外交Document/Other(specify)件/官方 /普通般 /照 /旅游/其它(明)⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯..Permanent residential address 永久居住地址⋯⋯⋯⋯ .⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Period residential at this address此地居住年限⋯⋯⋯⋯ .Telephone number (⋯⋯⋯)⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯ ...( code 区号)(number 号 )⋯⋯⋯⋯.............Country of permanent residence永久居住国家⋯⋯⋯⋯ .Period residence in that country ⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯ ..此国居住年限⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯ ..Occupation or profession⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Name, address andtelephone NO. of employer, organization, etc. to which you are attached, or that you represent 所属和代表的雇主的姓名,地址,,学校,,⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯..⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯... If self-employed, state name, address, telephone NO. and nature of business如是个体,列位名称,地址,,性⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯..⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯.. Marital Never Married Widowed Separated Divorcedstatus married已婚寡居分居离异婚姻状未婚况First name(s) of spouse配偶名字Maiden name婚前姓氏Y Y Y Y M M D D Nationality国籍⋯⋯ ..年年年年月月日日Date of birth出生年月日NB:SEPATE FORM MUST BA COMPLETED IN RESPECT OF PERSON OVER THE AGE OF 16 AND CHILDREN UNDER THE AGE OF 16 TRAVELLING ON THEIR OWN PASSPORTS注意:16 以上人需独立填表。
未16 的儿童旅游,需持自己的照。
Particulars of children endorsed on your passport accompanying you:随行儿童的料:Surname姓First name(s)名Date of birth 出生日期Place of birth 出生地(1)(2)(3)(4)Visit To SOUTH AFRICA 到南非Y 年M 月 D 日Expected date of arrival in the Republic 期到达Place of arrival 到达地点⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯.Purpose of visit 目的⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯.Duration of stay (months, weeks or days)停留期限(几月,几周,或几天)⋯⋯⋯⋯⋯⋯⋯⋯⋯ Number of entries required要求入次数single 一此multiple 多次two 二次Proposed residential address(physical) in the Republic, including the full name(s) of your host or hotel 划在南非居的地址,包括道主全名,入住酒店全称⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Name of organizations or personsyou will be contacting during your stay in the Republic 在非期系的或个人的信息Name姓名Address地址Relationship 关系Identity document number or permanent residence permit number of South African host永居南非的明文件或可号⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯Indicate by means of an X whichever is applicable指出通何种方式申Have you at any time applied for a permit to settle permanently in yes noSouth Africa? 是否曾申永居南非?是否Have you ever been restricted or refused entry into South Africa?yes no是否曾被限制或拒入南非?是否Have you ever been deported from or ordered to leave South Africa? yes no是否曾被逐或命令离开南非?是否Have you ever been convicted of any crime in any country? 是否曾yes no被某国判邢?是否Is a criminal action pending against you in any country? 是否有罪yes no行在某国而未决?是否Are you an unrehabilitated insolvent? 你是一个无力的破yes no者?是否Are you suffering from tuberculosis or any other infectious disease yes noor any mental or physical deficiency? 是否是核病患者或其它是否染病携者,是否有心理或身体缺陷?Have you ever been judicially declared incompetent? 是否曾被司yes no法机关剥政治利?是否Are you a member of, or adherent to an association or organization yes no advocating the practice of social violence or racial hatred or are you 是否or have you been a member of an organization or association utilizing crime or terrorism to pursue its ends?Give particulars if reply to one or more of the questions above is in the affirmative:是否是或曾是暴力和种族仇恨会或的成?是否是或曾是以犯罪或暴力手段来达到最目的的会或的成?如以上有填“是”的,明:⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯.⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯.To be completed by applicants applying for visitor’s permits exceeding three months:申入境超三个月的申人,填写下面内容:In the case of a spouse or dependantminor child of the holder of a permit issued in terms of section 11, 13, 14, 15, 17, 19 or 22, submission of a marriage certificate or an unabridged birth certificate. 按照 11,13,14,15,17,19,22条,如是持人的配偶或未成年小孩提交婚或完整出生明。