签证申请表 APPLICATION FOR VISA
※　签证发给认定号码[反签号] (CONFIRMATION OF VISA ISSUANCE NO. ) :	
照 片
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 Issue	16.签发日期 Date of Issue	17.有效期至 Date Of Expiry	
职业
Occupation	18.职业 Occupation	19.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
Marital status	21.[  ]未婚 Single           [  ]已婚 Married            [  ]丧偶 Widowed            [  ]离婚 Divorced	
	22.配偶者姓名 Spouse's Name	23.配偶者出生日期 Spouse's Date of Birth	
	24.配偶者国籍 Spouse's Nationality	25.配偶者联系电话 Spouse's TEL	
26.赴韩目的 Purpose of Entry	27.在韩停留时间 Potential Length of Stay	
28.预定赴韩日期 Potential Date of Entry	29.过去有无访韩经历 Previous Visit (If Any)       有     无	
30.韩国内停留地 Address in Korea	31.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.	
申请日 DATE OF APPLICATION                                           申请人署名 SIGNATURE OF APPLICANT 	
공 용 란          FOR OFFICIAL USE ONLY	
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