临-时-住-宿-登-记-表(派出所版：三联)

临时住宿登记表RegistrationFormofTemporaryResidence申报NO.英文姓SurnameSEKIGUCHI英文名GivenNameYUKIHIRO中文姓名NameinChinese关口幸宽性别Sex男（M）●女（F）○国籍（地区）Nationality/Region日本职业Occupation工程技术人员出生日期DateofBirth09日03月年ddmmYY身份证号Identity停留事由PurposeofStay在华工作机构EmployerinChina接待单位ReceivedBy外国人○Foreigners台湾居民○TaiwanResidents港澳居民○Hongkong&MacaoResidents华侨○OverseaChinese入出境证件种类TypeofTravelDocument证件号码No.ofTravelDocument证件有效期ValidityofTravelDocument签证/签注种类TypeofVisa/Endorsement签证/签注号码No.ofVisa/Endorsement签证/签注有效期ValidityofVisa/Endorsement何处来Wherefrom何处去Whereto入住日期Move-inDate日月年ddmmYY拟离开日期DateofDeparture日月年ddmmYY住房种类TypeofAccommodation宿舍Dormitory○居民家HomeStay○出租房屋RentedHouse○自购房屋Self-purchasedHouse○其它0thers○在苏住址AddressinSuzhou本人联系电话TelephoneNumber房主姓名NameofHouseOwner房主身份证件号码IDN0．ofHouseOwner房主电话HouseOwner’STelephoneNumber紧急情况下的联系人ContactinEmergency联系电话TelephoneNumber备注Remarks申报人签名：填表日期：日月年Signature：Date：ddmmYY核对民警签名：公安派出所盖章：Signature：SealofPoliceStation临时住宿登记表RegistrationFormofTemporaryResidence备查NO.英文姓Surname英文名GivenName中文姓名NameinChinese性别Sex男（M）○女（F）○国籍（地区）Nationality/Region职业Occupation出生日期DateofBirth日月年ddmmYY身份证号Identity停留事由PurposeofStay在华工作机构EmployerinChina接待单位ReceivedBy外国人○Foreigners台湾居民○TaiwanResidents港澳居民○Hongkong&MacaoResidents华侨○OverseaChinese入出境证件种类TypeofTravelDocument证件号码No.ofTravelDocument证件有效期ValidityofTravelDocument签证/签注种类TypeofVisa/Endorsement签证/签注号码No.ofVisa/Endorsement签证/签注有效期ValidityofVisa/Endorsement何处来Wherefrom何处去Whereto入住日期Move-inDate日月年ddmmYY拟离开日期DateofDeparture日月年ddmmYY住房种类TypeofAccommodation宿舍Dormitory○居民家HomeStay○出租房屋RentedHouse○自购房屋Self-purchasedHouse○其它0thers○在苏住址AddressinSuzhou本人联系电话TelephoneNumber房主姓名NameofHouseOwner房主身份证件号码IDN0．ofHouseOwner房主电话HouseOwner’STelephoneNumber紧急情况下的联系人ContactinEmergency联系电话TelephoneNumber备注Remarks申报人签名：填表日期：日月年Signature：Date：ddmmYY核对民警签名：公安派出所盖章：Signature：SealofPoliceStation临时住宿登记表RegistrationFormofTemporaryResidence交本人NO.英文姓Surname英文名GivenName中文姓名NameinChinese性别Sex男（M）○女（F）○国籍（地区）Nationality/Region职业Occupation出生日期DateofBirth日月年ddmmYY身份证号Identity停留事由PurposeofStay在华工作机构EmployerinChina接待单位ReceivedBy外国人○Foreigners台湾居民○TaiwanResidents港澳居民○Hongkong&MacaoResidents华侨○OverseaChinese入出境证件种类TypeofTravelDocument证件号码No.ofTravelDocument证件有效期ValidityofTravelDocument签证/签注种类TypeofVisa/Endorsement签证/签注号码No.ofVisa/Endorsement签证/签注有效期ValidityofVisa/Endorsement何处来Wherefrom何处去Whereto入住日期Move-inDate日月年ddmmYY拟离开日期DateofDeparture日月年ddmmYY住房种类TypeofAccommodation宿舍Dormitory○居民家HomeStay○出租房屋RentedHouse○自购房屋Self-purchasedHouse○其它0thers○在苏住址AddressinSuzhou本人联系电话TelephoneNumber房主姓名NameofHouseOwner房主身份证件号码IDN0．ofHouseOwner房主电话HouseOwner’STelephoneNumber紧急情况下的联系人ContactinEmergency联系电话TelephoneNumber备注Remarks申报人签名：填表日期：日月年Signature：Date：ddmmYY核对民警签名：公安派出所盖章：Signature：SealofPoliceStation