蒙古国签证申请表.doc

MONGOLIAN VISA APPLICATION 蒙 古 国 签 证 申 请 表(Please complete the form in black letters or type)请用黑笔填写或打印.A. Personal data & Employment 个人信息及职业1. Full name 申请人姓名: Surname姓 Given and middle name名Recent passportPhotograph护照照片Please, do not staple!请勿使用订书机!FOR OFFICIAL USE ONLY(以下由使馆填写) Визийн ангилал ¡ Транзит ¡ Хоёр удаа транзит¡ Орох- Гарах¡ Хоёр удаа орох-гарах¡ Орох ¡ Олон удаа орох-гарахВиз олгосон үндэслэл2. Date of birth出生日期3. Country of birth出生地国家4. Nationality国籍5. Sex性别 Ү Male 男 Ү Female女6. Address住地Street 街道City城市Country国家7. Phone8. Fax9. Employer/University’s address就职单位或就读学校地址10. Phone/Fax/B. Passport护照 11.Type护照 Ү Diplomatic外交 Ү Official 公务 Ү Ordinary 因私12.Number护照号码13.Issuing authority 签发机关14.Date of issue 护照签发日期15.Validity 护照有效日期16.Place of issue 签发地点C. Purpose of traveling旅行目的17.Purpose of stay (explain details) 旅行目的 (详细说明) 18. Proposed duration of stay 逗留时间19.Do you have work permit or acceptance for study in Mongolia 是否有在蒙古就业或就读许可证?20.Reference in Mongolia邀请人信息Name邀请方单位或个人名称Address邀请方地址Phone邀请方21.Address & Phone (during your stay) 申请人在蒙古期间住址或22.Arrival date抵达日期23.Departure离境日期24.Means of transport交通工具D. Visa签证25.Visa requested 申请签证类别: Ү Entry & Exit 一次出入境签证 Ү Double Entry & Exit两次出入境签证 Ү Transit过境签证 Ү Double transit 两次过境签证 Ү Entry 入境签证 Ү Multiple Entry & Exit 多次出入境签证I hereby declare that the above particulars are correct and complete, that in no case shall I violate Mongolian laws and regulations while in the country. 在此我声明所填内容属实, 并保证不违反蒙古国的法规: Applicant’s signature申请人签名 Date日期 (In case of minors, signature of parents or guardian) 父母, 保证人或监护人签字。