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 签证申请表 APPLICATION FOR VISA 
※ 签证发给认定号码[反签号] (CONFIRMATION OF VISA ISSUANCE NO. ) :  | 
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 照 片 
PHOTO 
3.5㎝× 4.5㎝  | 
 1.姓(拼音) Surname   | 
 3.汉字姓名  | 
 4.性别 Gender 
[  ]M   [  ]F  | 
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 2.名(拼音) Given Names  | 
 5.出生日期 Date of Birth  | 
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 6.国籍 Nationality   | 
 7.出生地点 Country of Birth  | 
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 8.现住所 Home Address  | 
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 9.固定电话号码 Phone NO.  | 
 10.手机号码 Cell Phone  | 
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 11.电子邮箱 E-mail  | 
 12.身份证号 National Identity Number  | 
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 护照 
Passport  | 
 13.护照号码 Passport NO.  | 
 14.护照类型 Classification  | 
 外交,    公务,   公务普通,    因私,      其他 
 DP,      OF          OF,       OR,      OTHERS  | 
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 15.签发地点 Place of Issue  | 
 16.签发日期 Date of Issue  | 
 17.有效期至 Date Of Expiry  | 
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 职业 
Occupation  | 
 18.职业 Occupation  | 
 19.单位电话 Business Phone NO.  | 
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 20.单位名称  Name of Present Employer 
   单位地址  Address of Present Employer  | 
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 婚姻状况 
Martial status  | 
 21.[  ]未婚 Single           [  ]已婚 Married            [  ]丧偶 Widowed            [  ]离婚 Divorced  | 
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 22.配偶者姓名 Spouse's Name  | 
 23.配偶者出生日期 Spouse's Date of Birth  | 
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 24.配偶者国籍 Spouse's Nationality  | 
 25.配偶者联系电话 Spouse's TEL  | 
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 26.赴韩目的 Purpose of Entry  | 
 27.在韩停留时间 Potential Length of Stay  | 
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 28.预定赴韩日期 Potential Date of Entry  | 
 29.过去有无访韩经历 Previous Visit (If Any)       有     无  | 
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 30.韩国内停留地 Address in Korea  | 
 31.韩国内联系电话 Phone NO. in Korea  | 
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 32.此次赴韩费用支付者 Who Will Pay For The Expense For Your Stay?  | 
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 33.最近5年内旅行过的国家 Countries You Have Traveled During The Past 5 Years  | 
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 34.  同伴家族 
Accompanying 
Family  | 
 关系 Relationship  | 
 国籍 Nationality  | 
 姓名 Name  | 
 出生日期 Date of Birth  | 
 性别 Gender  | 
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 35. 韩国内担保人 
     Guarantor or  
Reference in Korea  | 
 关系 Relationship  | 
 国籍 Nationality  | 
 姓名 Name  | 
 出生日期 Date of Birth  | 
 性别 Gender  | 
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   I declare that the statements made in this application are true and correct to the best of my knowledge and belief, that I will observe the provisions of the Immigration Law of the Republic of Korea and that I will not engage in any activities irrelevant to the purpose of entry stated herein. Besides, I am fully aware that any false or misleading statement may result in the refusal of a visa, and that possession of a visa does not entitle the bearer to enter the Republic of Korea upon arrival at the port of entry if he/she is found inadmissible.  | 
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 收入印纸(签证邮票)粘贴处 
수입인지 부착란  | 
 申请日 DATE OF APPLICATION                           申请人署名 SIGNATURE OF APPLICANT   | 
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 공용란      FOR OFFICIAL USE ONLY   | 
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 B/L:   
출입국사항:  
복수대상사유:  
사 건 부:  
불허경력:  
기    타:  
  
  
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 사증종류  | 
 S   D   M  | 
 접수일자  | 
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 체류자격  | 
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 접수번호  | 
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 체류기간  | 
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 허가일자  | 
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 유효기간  | 
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 담    당  | 
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 결    재  | 
 가 · 부  | 
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 불허시 사유 :  
고 지 사 항 :  
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