乌兹别克斯坦签证表格.pdf

贴照片处 PHOTO 乌兹别克斯坦共和国外交部乌兹别克斯坦共和国外交部 MINISTRY OF FOREIGN AFFAIRS OF THE REPUBLIC OF UZBEKISTAN 签证申请表签证申请表 VISA APPLICATION FORM 请用英语或汉语填写，请用正体字或打字形式填表格， 如字迹潦草或填写表格不完整将不予以发签证！ Registration No____________ 1. 姓名(请用汉字和拼音) Last name, First name_____________________________________________________ 2. 国籍 Citizenship______________________________________________________________ 3. 出生日期 日 月 年 出生地址 Date of birth: day____month____year________Place or birth_____________________ 4. 婚姻状况 男 / 女 Marital status______________________ male/female 5. 护照种类和号码 签发地点 Passport number and type___________________ issued by________________________ 签发日期 有效期至 Date of issue_____________________________valid until________________________ 6. 工作单位、职务、工作地点、号码 Place of work or study, position, address, phone number___________________________ 7. 户口地址，号码 Permanent address of residence, phone number__________________________________ 8. 去乌事由（详细） Purpose of visit (in details)__________________________________________________ 9. 入境乌日期 从 年 月 日 到 年 月 日 Duration of stay: from_____________________ until____________________________ 10. 去乌次数 Number of entries___________________________________ 11. 乌方邀请人（单位） ，其地址，号码 Name of inviting organization (company), person, address, phone number_________________________________________________________________ 12. 在乌逗留期间的住址 Address while in Uzbekistan________________________________________________ 13. 赴乌要访问的城市 Cities in Uzbekistan to be visited_____________________________________________ 14. 上次到乌的访问：去乌的日期和邀请人（单位） Previous visits to Uzbekistan (when, organization (companies) or person visited)_________________________________________________________________ 15. 在乌的亲属，什么亲属关系 Do you have relatives in Uzbekistan? If “yes”, what is their relationship to you?___________________________________________________________________ 16. 随行人员 Persons traveling with you_________________________________________________ 17. 申请人证明此申请表填写的内容是真实的 I declare that the information given in this application is true and correct_____________ 注意：如果申请人在此申请表中所提供的内容不属实或不完整，将不予以发签证。

Note：：False or incomplete information given in this application may result in refusal of issuance visa or its Cancellation 签字 申请签证日期 Signature ______________ Date _______________ Rasmiy yozuvlar uchun Qayd raqami Berilgan viza raqami Viza turi Viza muddati viza tasdig´i raqami Viza berilgan kuni 。