CHINESE EMBASSY APPLICATION FORM
- Position ________________________
PERSONAL, ADDRESS, PHONE and PASSPORT DETAILS:
Surname: _________________ First name: _________________ Middle Name: _________________
Marital Status: _______________________________ Gender: _______________________________
Date of Birth: Day: ___________ Month: ____________ Year: ___________
Place of Birth: _________________________________________________________________________
Email Address & Social Media Username (Ex:Facebook, Twitter,Gmail, Youtube, LinkedIn, &
Instagram):___________________________________________________________
Home Address: ________________________________________________________________________
_________________________________________________Postal Zone/Zip Code: __________________
Home Phone Number: __________________________________________________________________
Cell Phone Number: ______________________________________________________________
Have you ever lost a passport or had one stolen: ___________ YEAR LOST:______________
Reason _____________________________________________________________________________
Family Information
Fathers Full Name: Surname: ________ First name: _____________ Middle Name: ____________
Date of Birth: ____________________ Place of Birth: _________________________
Occupation ________________
Mother’s Maiden Name: Surname: ________ First name: _____________ Middle Name: ____________
Date of Birth: ____________________ Place of Birth: _________________________
Occupation ________________
Spouse Full Name: Surname: ________ First name: _____________ Middle Name: ____________
Date of Birth: ____________________ Place of Birth: _________________________
Occupation ________________
1. Children’s full name: _____________________________________________________
Date of Birth: ______________________ Place of Birth: _________________________
2. Children’s full name: _____________________________________________________
Date of Birth: ______________________ Place of Birth: _________________________
3. Children’s full name: _____________________________________________________
Date of Birth: ______________________ Place of Birth: _________________________
Emergency Contact Information:
Surname: ________ First name: _____________ Middle Name: ____________
Date of Birth: ____________________ Place of Birth: _________________________
Contact Number: ___________________ Occupation _______________
Work / Education / Training Information
1. CREW Previous Employer
Name of the Company:_____________________________________________________________
Position: _____________________________________________________________________________
Employer Address: _____________________________________________________________________
Telephone Number: ____________________________________________________________________
Supervisor’s Name: _____________________________________________________________________
Employment Date From: ________________ To: ____________________
(Employment date from)(Employment date to)
2. CREW Previous Employer
Name of the Company:_____________________________________________________________
Position: _____________________________________________________________________________
Employer Address: _____________________________________________________________________
Telephone Number: ____________________________________________________________________
Supervisor’s Name: _____________________________________________________________________
Employment Date From: ________________ To: ____________________
(Employment date from)(Employment date to)
3. CREW Previous Employer
Name of the Company:_____________________________________________________________
Position: _____________________________________________________________________________
Employer Address: _____________________________________________________________________
Telephone Number: ____________________________________________________________________
Supervisor’s Name: _____________________________________________________________________
Employment Date From: ________________ To: ____________________
(Employment date from)(Employment date to)
Have You Attended Any Educational Institution: (Secondary):
Name of School: _______________________________________________________________________
Address of School: _____________________________________________________________________
Course of Study: _______________________________________________________________________
Date of Attendance from: ___________________ To: ____________________
(Day/month/year) (Day/month/year)
2
Have You Attended Any Educational Institution: (College)
Name of School: _______________________________________________________________________
Address of School: _____________________________________________________________________
Course of Study: _______________________________________________________________________
Date of Attendance from: ___________________ To: ____________________
(Day/month/year) (Day/month/year)
CHINESE VISA INFORMATION:
Have you been issued a Chinese Visa?
Yes: ____________ No: ________________
Kung may chinese visa ka provide mo ang visa no:___________________ yung kulay pula na number
Kailan na issued_________________ or provide mo nalang ang photo copy ng chinese visa mo yung
latest na issued
Have you been to China in the past 3 years?
Yes: ____________ No: ________________
Kung ng galing ka ng china isulat mo sang lugar sa china
Have you ever been refused a visa for China, or been refused entry into China?
Yes: ____________ No: ________________
Has your Chinese Visa ever been cancelled?
Yes: ____________ No: ________________
Have you travelled to any other countries in the past 5 years?
Country Visited (1): ______________________ Country Visited (6): ________________________
Country Visited (2): _______________________ Country Visited (7): _______________________
Country Visited (3): _______________________ Country Visited (8): _______________________
Country Visited (4): _______________________ Country Visited (9): _______________________
Country Visited (5): _______________________ Country Visited (10): ______________________
