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Derp... o _o'

SWTOR

Eh?

LOL Chinese visa application XD

Form V.2011A
驻纽约总领馆 2011 年 6 月制 CNNYCONSULATE JUNE 2011 EDITION 第 1 页 共 4 页 / Page 1 of 4
中 华 人 民 共 和 国 签 证 申 请 表
Visa Application Form of the People’s Republic of China
申请人须在电脑上如实、完整填写并打印本表格。请逐项用中文或英文大写字母填写，或在□内打×选择。不适用者，
请写“无”或“不适用”。如有更多需要声明事项，请附另纸说明。Applicant should fill out this form truthfully and completely
on a computer and print out. Please type your answer in capital English letters in the space provided or cross the appropriate box to
select. Please state “N/A” or “None” if a section does not apply to you. If there is additional information to declare, please type on a
separate sheet.
如申请工作签证或学习签证，或不在国籍国申请签证，或与护照偕行人同行，你还需填写签证附表(Form V.2011B)。
Please also complete the Supplementary Visa Application Form (Form V.2011B) if you are not a U.S. citizen, or if you are applying
for work visa or student visa, or if you will be accompanied by anyone who shares the same passport with you.
一、个人信息 Section 1：Personal information
姓 Surname： 1.2性别
Sex
□ 男 M
□ 女 F
1.1英文姓名
Full name as shown
on your passport 名 Given name：
1.3中文姓名（如有，请用汉字填写）
Name in Chinese character ( if applicable)
1.4别名或曾用名
Other name or previous name
（if applicable）
1.5用母语书写的名字
Name in native language
照片要求
Photo requirements
 1 张彩照 One colored photo
 6 个月内 Within 6 months
 护照照片 Passport photo
 正面 Front-facing
 免冠 Hatless
 浅色背景 Light-colored
background
1.6现有国籍
Current nationality
1.7曾有国籍
Former nationality
1.8同时具有的国籍
Concurrent nationality
1.9出生日期
Date of birth (yyyy-mm-dd)
1.10 出生地点(国、省/市)
Place of birth (city,
province/state, country)
1.11 美国身份证号码
U.S. ID card number
1.12 婚姻状况
Marital status
□ 已婚 Married □ 未婚 Never Married □ 离婚 Divorced
□ 丧偶 Widowed □ 其他（请说明）Other（Please specify）: .
□ 商人 Businessman
□ 公司职员 Company employee
□ 教师 Teacher
□ 学生 Student
□ 家庭主妇 Housewife
□ 无业 Unemployed
□ 政府官员 Government official
□ 新闻从业人员 Staff of media
□ 宗教人士 Religious worker
□ 现役军人 Active duty military personnel
□ 国会议员 Member of national parliament
□ 乘务人员 Crew member
□ 退休 Retired
1.13 当前职业
（可选多项）
Current
occupation(s)
□ 其他(请说明) Other (Please specify): .
1.14 护照种类
Passport type
□ 外交护照 Diplomatic passport □ 公务/官员护照 Service/Official passport
□ 普通护照 Ordinary passport □ 其他证件(请说明)Other (Please specify): .
1.15 护照号码
Passport number
1.16 护照签发日期
Date of issue (yyyy-mm-dd)

1.17 护照签发地点(省/市及国家)
Place of issue (city, province/state,
country)
1.18 护照失效日期
Expiry date (yyyy-mm-dd)
1.19 请选择取件日期(加急需额外缴费)
Please select pick-up day (Extra fee is charged for express pick-up)
□ 正常(第 4-5 个工作日) Normal (the 4
th
or 5
th
working day)
□ 加急(第 2-3 个工作日)Express (the 2
nd
or 3
rd
working day) Form V.2011A
驻纽约总领馆 2011 年 6 月制 CNNYCONSULATE JUNE 2011 EDITION 第 2 页 共 4 页 / Page 2 of 4

二、赴华旅行信息 Section 2: Details of travel to China
□ 旅游 Tourism
□ 探亲 Family visit
□ 访友 Visiting friends
□ 商务 Business trip
□ 会议 Meeting
□ 过境 Transit
□ 任职就业 Employment
□ 记者常驻 As resident journalist
□ 记者临时采访 As journalist for temporary news coverage
□ 常驻外交、领事官员 As resident diplomat or consul
□ 商业演出 Commercial performance
□ 执行乘务 As crew member
□ 留学 Study
□ 官方访问 Official visit
2.1赴中国主
要事由（可选
多项）Major
purpose(s) of
your visit(s) to
China
□ 其他(请说明) Other (Please specify): .
2.2 计 划 入 境
次数
Intended
number of
entries
□ 一次入境 (自申请日起 3 个月内有效) One entry valid for 3 months from date of application
□ 二次入境 (自申请日起 6 个月内有效) Two entries valid for 6 months from date of application
□ 半年多次入境（自申请日起 6 个月内有效）Multiple entries valid for 6 months from date of application
□ 一年多次入境（自申请日起 12 个月内有效）Multiple entries valid for 12 months from date of application
□ 其他（请说明） Other (Please specify): .
2.3预计首次行程抵达中国的日期
Intended date of your first entry (yyyy-mm-dd)
2.4预计行程中单次在华停留的最长天数
Your longest intended duration of stay
Days
2.5 i) 请按时间顺序列明你访问中国的地点（省、市）
Please list cities and provinces to visit in China in a time sequence
2.5 ii)请按时间顺序列明你在中国停留期间的住址及电话
Please list residence(s) and phone number(s) during your stay in China in a time sequence
详细地址
Detailed address
城市
City
省
Province
电话
Phone number
1.
2.
3.
4.
2.6谁将承担往返中国及在中国的费用？
Who will pay for your trip to China?
□ 我本人 Myself □ 邀请单位或个人 Inviter
□ 父母或监护人 Parent(s) or guardian(s)
□ 其他（请说明）Other (Please specify): .
□ 是 Yes
2.7在华期间是否有医疗保险?如有，请填写保险公司名称及保险账号。Do you have
medical insurance covering your visit in China? If “Yes”, please fill out the name of the
medical insurance company and your account number.
□ 否 No
2.8在华邀请/联系单位名称、地址及电话
Name, address and phone number of your
inviter or contact unit in China
2.9在华亲友/联系人姓名、地址、电话
Name, address and phone number of your
relative, friend or contact person in China Form V.2011A
驻纽约总领馆 2011 年 6 月制 CNNYCONSULATE JUNE 2011 EDITION 第 3 页 共 4 页 / Page 3 of 4

三、家庭、工作或学校信息 Section 3: Information about your family, work or study
四、其他情况 Section 4: Other information
□否 No
4.1 是否曾持中国签证访问过中国？如果是，请说明最近一次
访 问 中 国 的 时 间 、 地 点 和 事 由 。Have you ever visited China
before? If “Yes”, please specify date, places and purpose of the
latest visit.
□是 Yes
4.2 在过去的 12 个月里是否访问过其他国家或地区？如果是， □否 No
请 说 明 访 问 时 间 、 地 点 和 目 的 。Have you ever visited other
countries or territories in the past 12 months? If “yes”, please
specify date, name of countries or territories and purpose of the
visits.
□是 Yes
4.3是否曾在中国超过签证或居留许可允许的期限停留？
Have you ever overstayed your visa or residence permit in China?
□ 是 Yes □ 否 No
4.4是否曾经被拒绝颁发中国签证,或被拒绝进入中国？
Have you ever been refused a visa for China, or been refused entry into China?
□ 是 Yes □ 否 No
4.5是否在中国或其他国家有违法记录？
Do you have any criminal record in China or any other country?
□ 是 Yes □ 否 No
4.6是否患有以下任何一种疾病? Are you suffering from any of the following diseases?
①严重精神疾病 Serious mental disorder
②传染性肺结核病 Infectious pulmonary tuberculosis
③可能对公共卫生造成危害的其他传染病 Other infectious disease of public health hazards
□ 是 Yes □ 否 No
4.7近 30 日内是否前往过流行性疾病传染的国家或地区？
Did you visit countries or territories infected by infectious diseases in the past 30 days?
□ 是 Yes □ 否 No
地址
Address
城市
City
省/州
Province/State
邮编
3.1目前家庭住址 Zip code
Current home address

3.2家庭电话
Home phone number
3.3手机号码
Mobile phone
number
3.4电子信箱
Email address
名称
Name
地址
Address
电话
Phone number
3.5工作单位或学校名称、
电话、地址
Name, phone number and
address of your current
employer or school 城市
City
省/州
Province/State
邮编
Zip code
姓名
Name
国籍
Nationality
职业
Occupation
关系
Relationship

3.6主要家庭成员
Major family members

3.7紧急情况联系人
Contact person in case of
emergency
3.8电话号码
Contact person’s
phone number Form V.2011A
驻纽约总领馆 2011 年 6 月制 CNNYCONSULATE JUNE 2011 EDITION 第 4 页 共 4 页 / Page 4 of 4
4.8如果对 4.3到 4.7的任何一个问题选择“是”，请在下面详细说明。
If you answered “Yes” to any of questions 4.3 to 4.7, please give details below.
五、有关声明 Section 5: Relevant declaration
5.1 如申请工作签证或学习签证，或不在国籍国申请签证，或与护照偕行人同行，你还需填写签证附表(Form V.2011B)。Please also complete
the Supplementary Visa Application Form (Form V.2011B) if you are not a U.S. citizen, or if you are applying for work visa or student visa, or if you
will be accompanied by anyone who shares the same passport with you.
5.2如果有本表未涉及而需专门陈述的其他与签证申请相关的事项，请在此或另纸详细说明。Please use the space below or a separate sheet for
additional information / declaration / statement other than already provided in this application.
六、签名 Section 6: Signature
6.1 我已阅读并理解此表所有内容要求，并保证所填信息的真实准确。如有不实，我愿承担一切责任。I have read and understood all the
questions in this application. I declare that the information provided above is true and accurate. I shall take all responsibilities for any false
information.
6.2 我理解，能否获得签证、获得何种签证、入境次数以及有效期、停留期等将由领事官员决定，任何不实、误导或填写不完整均可能导致
签证申请被拒绝或被拒绝进入中国。I understand that the decision on whether to issue a visa, validity/ type of visa, number of entries, and duration
of each stay will be decided by consular officers, and that any false, misleading or incomplete information may result in the refusal of a visa or denial of
entry into China.
申请人签名 日期
Applicant’s signature: Date (yyyy-mm-dd): .
注：未满 18 周岁申请人可由父母或监护人代签。Note: Parent or guardian may sign on behalf of an applicant aged under 18.
七、他人代填申请表时填写以下内容 Section 7：If the application form is completed by another person on the applicant’s behalf, please fill out
the following:
7.1 申请表代填人姓名
Name of the person completing
this form on the applicant’s behalf
7.2与申请人关系
Relationship to the
applicant
7.3地址
Address
7.4电话
Phone number
7.5所持身份证件种类
Type of ID document
7.6证件号码
Number of ID
7.7声明 Declaration
我声明本人是根据申请人要求而协助填表，并证明申请人理解并确认表中所填写内容准确无误。
I declare that I have assisted in the completion of this form at the request of the applicant, and the applicant understands and confirms that the
information provided is true and correct.
代填人签名 /Signature： 日 期/Date (yyyy-mm-dd): .

以下供领事官员填写 Official use only
签证种类 有效期 停留期
审核人 日期 备注

xD I was pasting my new Knuffel into my siggy~ <3

Can you hear them? They're coming
They're in the signal, they're in my head.

Is it only me?
Am I the only one to be called?
This pounding in my ears is calling me to rule the world.

Rule the universe as a Master of your fate.
Can you hear the drums?
Don't try to fight them; it's too late.

Each Timelord child,
Approaches the eye,
Forced to behold the vortex,
To be inspired or run,
But as I gazed into the vastness of time,
I heard the sound of drums.

Can you hear them? They're coming
They're in the signal, they're in my head.
Can you hear them? They're coming
They're in the signal, they're in my head.
In professor's guise,
Oh Doctor, Doctor, you have healed me.
You are not alone,
It took you far too long to see me.
Now I lay in your arms,
Mortally wounded in your care.
I'll leave you here forever,
Last of the Timelords once again.

Don't leave me now,
Think of all we've done together,
Think of all the vanquished foes,
Think of all we could be.

It would be hell for me, imprisoned here forever, with you.

Don't, please, you've got to, please, we're the only ones left, please,
Just regenerate!

Can you hear them
(In my dreams they're calling)
They're coming
(And every waking moment)
They're in the signal
(I heard the vortex calling)
They're in my head.

Can you hear them?
(I heard the sound)
They're coming
(The sound of drums)
They're in the signal
They're in my head


I was putting song lyrics on my iPod

カエル

But what about the monkeys?
Oh, not again, not when the world's about to burn,
Just, for God's sake,
Kiss the girl.

Water Orb