■출입국관리법시행규칙[별지제17호서식](第一页/Page1)签证发给申请表APPLICATIONFORVISA申请表填写方法‣申请人须以事实为根据,并将在以下空格处完整记载。‣申请人必须用韩文,英文或中文填写以下申请表。‣在相关选项的“[]”内打钩。‣如您选择“其他”,请写具体内容。Howtofilloutthisform‣Youmustfilloutthisformcompletelyandcorrectly.‣YoumustwriteinblockletterseitherinEnglishorKorean.‣Formultiple-choicequestions,youmustcheck[√]allthatapply.‣Ifyouselect‘Other’,pleaseprovideuswithmoreinformationinthegivenspace.1.个人信息/PERSONALDETAILSPHOTO护照规格照片(35㎜×45㎜)6个月内拍摄的正面免冠彩色相片,相片背景颜色须为纯白色Acolorphototakenwithinlast6months(fullfacewithouthat,frontviewagainstwhiteoroff-whitebackground)1.1护照上的英文名/FullnameinEnglish(asshowninyourpassport)姓FamilyNameHan名GivenNamesXu1.2中文名字漢字姓名韩旭1.3性别Sex男/Male[]女/Female[v]1.4出生日期DateofBirth(yyyy/mm/dd)1991/09/151.5国籍Nationality中国1.6出生国CountryofBirth北京1.7国家身份证号码NationalIdentityNo.11022419910915562X1.8您以前出境或入境韩国时是否使用过其他姓名?HaveyoueverusedanyothernamestoenterordepartKorea?否No[v]是Yes[]→如您选择是,请写具体内容If‘Yes’pleaseprovidedetails(姓FamilyName,名GivenName)1.9您是否拥有双重国籍?Areyouacitizenofmorethanonecountry?否No[v]是Yes[]→如您选择是,请写具体内容If‘Yes’pleasewritethecountries()2.签证发给认定书签发信息/DETAILSOFVISAISSUANCECONFIRMATION※仅限于在大韩民国出入国管理事务所·办事处收到签证发给认定书的人(Section2isonlyforthosewhopossessconfirmationofvisaissuanceissuedbytheImmigrationOfficeoftheRepublicofKorea)2.1签证发给认定号码ConfirmationNo.2.2签发日期IssueDate2014/04/032.3护照号码PassportNoE086888792.4护照有效期至PassportExpiryDate2024/04/02‣签证发给认定书持有者直接移到第12部分(誓约),填写以下空格后提交申请表(不用写第3~11部分)Thosewhohaveconfirmationofvisaissuancemustmovetosection12(Declaration)tocompletethisfrom(Thosewithvisaissuanceconfirmationmustnotfilloutsection3~11).210mm×297mm[백상지80g/㎡(재활용품)](第二页/Page2)3.护照信息/PASSPORTINFORMATION3.1护照类型PassportType外交护照Diplomatic[]公务护照Official[]普通护照Regular[v]其他Other[]→如您选择‘其他’,请写具体内容If‘Other’pleaseprovidedetails()3.2护照号码PassportNo.E086888793.3护照签发国CountryofPassport中国3.4护照签发地PlaceofIssue北京3.5签发日期DateofIssue2014/04/033.6护照有效期至DateOfExpiry2024/04/023.7您是否有其他的护照?Doyouhaveanyothervalidpassport?否No[v]是Yes[]→如您选择‘是’,请写具体内容If‘Yes’pleaseprovidedetailsa)护照类型PassportType外交护照Diplomatic[]公务护照Official[]普通护照Regular[]其他Other[]b)护照号码PassportNo.c)护照签发国CountryofPassportd)护照有效期至DateOfExpiry4.联系信息/CONTACTINFORMATION4.1本国地址AddressinYourHomeCountry北京市大兴区黄村镇滨河西里20-1-1024.1现居住地CurrentResidentialAddress*仅限于现居住地与本国地址不同者/Writeifitisdifferentfromtheaboveaddress4.3手机号码CellPhoneNo.150011913714.4电话号码TelephoneNo.4.5电子邮件E-mail721843208@qq.com4.6紧急联系人信息EmergencyContactInformationa)姓名FullNameinEnglish侯凤霞b)居住国家Countryofresidence北京c)电话号码TelephoneNo.13520871843d)关系Relationshiptoyou母女5.婚姻状况/MARITALSTATUSDETAILS5.1目前婚姻状况CurrentMaritalStatus已婚Married[]离婚Divorced[]未婚Nevermarried[v]5.2配偶个人信息*仅限于已婚者If‘Married’pleaseprovidedetailsofyourspousea)姓FamilyName(inEnglish)b)名GivenNames(inEnglish)c)出生日期DateofBirth(yyyy/mm/dd)d)国籍Nationalitye)居住地ResidentialAddressf)联系电话ContactNo.6.学历/EDUCATION6.1最终学历Whatisthehighestdegreeorlevelofeducationyouhavecompleted?硕士/博士Master’s/DoctoralDegree[]学士Bachelor’sDegree[]高中HighSchoolDiploma[]其他Other[v]→如您选择“其他”,请写具体内容If‘Other’pleaseprovidedetails(大专)6.2学校名称NameofSchool北京交通职业技术学院6.3学校地址LocationofSchool(city/province/country)北京市昌平区邓庄村210mm×297mm[백상지80g/㎡(재활용품)](第三页/Page3)7.职业/EMPLOYMENT7.1职业Whatareyourcurrentpersonalcircumstances?企业家Entrepreneur[]个体经营Self-Employed[]工作者Employed[]公务员CivilServant[]学生Student[]退休者Retired[]无职Unemployed[]其他Other[]→如您选择“其他”,请写具体内容If‘Other’pleaseprovidedetails()7.2.职业详细信息EmploymentDetailsa)单位/机构/学校(名称)NameofCompany/Institute/Schoolb)职位/课程YourPosition/Coursec)单位/机构/学校(地址)AddressofCompany/Institute/Schoold)电话号码TelephoneNo.8.邀请人信息/DETAILSOFSPONSOR8.1邀请人/邀请单位Doyouhaveanyonesponsoringyouforthevisa?无No[]有Yes[]→如您选择“有”,请写具体内容If‘Yes’pleaseprovidedetailsa)邀请人/邀请单位(名称)Nameofyourvisasponsor(Korean,foreignresidentinKorea,company,orinstitute)b)出生日期/营业执照号码DateofBirth/BusinessRegistrationNo.c)关系Relationshiptoyoud)地址Addresse)电话号码PhoneNo.9.访问信息/DETAILSOFVISIT9.1访韩目的PurposeofVisittoKorea观光/通过Tourism/Transit[v]参加会议/Meeting,Conference[]医疗观光MedicalTourism[]短期商务BusinessTrip[]留学/研修Study/Training[]就业Work[]贸易/投资/驻在Trade/Investment/Intra-CorporateTransferee[]探亲VisitingFamily/Relatives/Friends[]结婚移民MarriageMigrant[]外交/公务Diplomatic/Official[]其他Other[]→如您选择“其他”,请写具体内容If‘Other’pleaseprovidedetails()9.2预定停留时间IntendedPeriodofStay9.3访韩预定日IntendedDateofEntry9.4韩国联系地址(包括酒店)AddressinKorea(includinghotels)9.5韩国联系电话ContactNo.inKorea9.6最近5年内是否访问过韩国?HaveyoutravelledtoKoreainthelast5years?否No[v]是Yes[]→如您选择“是”,请写具体内容If‘Yes’pleaseprovidedetailsofanytripstoKorea()次times,最近访韩目的PurposeofRecentVisit()9.7最近5年内是否访问过其他国家(韩国除外)Haveyoutravelledoutsideyourcountryofresidence,excludingtoKorea,inthelast5years?否No[v]是Yes[]→如您选择“是”,请写具体内容If‘Yes’pleaseprovidedetailsofthesetrips国家NameofCountry(inEnglish)访问目的PurposeofVisit停留期间PeriodofStay(yyyy/mm/dd)~(yyyy/mm/dd)210mm×297mm[백상지80g/㎡(재활용품)](第四页/Page4)9.8.同行家属AreyoutravellingtoKoreawithanyfamilymember?无No[]有Yes[]→如您选择“有”,请写具体内容If‘Yes’pleaseprovidedetailsofthefamilymembersyouaretravellingwith姓名FullnameinEnglish出生日期DateofBirth(yyyy/mm/dd)国籍Nationality关系Relationshiptoyou*注:家属范围-配偶,子女,父母,兄弟姐妹Note:DefinitionofaFamilyMember-yo