Tel: ___________________ 签证申请表格 (请用英语填写 ) 电话FORM 14A Notes: IMMIGRATION ACT [CHAPTER 133, SECTION – 55(1)] * Tick ( √) where appropriate PASSPORTS ACT [No. 33 of 2007]请在适用处打勾 (√) APPLICATION FOR AN ENTRY VISA (申请入境签证)PART I – PARTICULARS OF APPLICANT 申请者信息Name: Name as in Travel Document 姓名 (根据旅游证件格式, 用英文填写)Alias (别名)Date of Birth: 出生日期D D (日) M M (月)Y Y Y Y (年)Sex:* 性别 Male 男Female 女Marital Status:*Single Married Separated Divorced Widowed 婚姻状况单 身已婚分居离婚丧偶Country of Birth: 出生国家State/Province of Birth: 出生省份Race: ( e.g. Malay, Indian, Chinese, Caucasian, etc) 种族 (如 马来人、印度人、华人、欧亚人等)Nationality: 国籍Affix a recent Passport-size photograph here 贴上近期护照照片一张Type of Travel Document Held: 所持旅游证件种类(如:护照、身份证书、临时身份证明等) (e.g. Passport, Certificate of Identity, Document of Identity, etc) Travel Document No.: 旅游证件号码Travel Document Issued Date: Expiry Date: 旅游证件签发日期 D D (日) M M (月)Y Y Y Y (年)有效期至 D D (日) M M (月)Y Y Y Y (年)Country of Issue: 签发国家Place of Issue: 签发地点Address in Country of Origin 所属国家地址Country of Origin: 所属国家Division/State/Province of Origin: 所属省份Prefecture of Origin 所属城市County/District of Origin 所属县 / 区Address : ________________________________________________________________________________________________ 地址PART II –OTHER DETAILS 其他信息Occupation: 职业Highest Academic/Professional Qualifications Attained: __________________________________________________________ 最高学历Religion/Denomination: _____________________________________________________________________________________ 宗教信仰 / 宗派Purpose of visit : _______________________________________________________...