哈萨克斯坦共和国签证申请表.doc

注意!请用楷体完整准确填写此申请表，未按准确要求填写的申请表会成为被拒签的原因之一Attention!Applicationformshouldbefilledinfullyandaccurately,inblockletters.Wrongfillingofapplicationformcanbecomeacauseofrefuseinissueofentryvisa.1.姓名/Surname(s)Firstnames_______________________(pinyin)____________________________2.其他姓名/Othernamesandsurnames:________________________________________________3.性别/Gender:男/Мale女/Female4.出生日期/Dateofbirth:年/year月/month日/day5.国籍/Nationality:出生地点(市县和国家)/Placeofbirth(cityandcountry):_______________________________________6.出生时的国籍/Nationalitybybirth:________________________________________________________________________7.家庭情况/Maritalstatus:未婚/single已婚/married离婚/divorced丧偶widow(er)8.已婚者请填写妻子或丈夫的姓名及其国籍/Ifyouaremarried,please,informyourspouse’sfullnameandnationality:________________________________________________________________________________________________________9.固定地址和电话/Yourpermanenthomeaddress/tel:__________________________________________________________10.职务和职业资格/Occupation(educationalbackgroundandposition):____________________________________________11.工作单位/Placeofwork:_________________________________________________________________________________12.单位地址和电话/address/tel.:___________________________________________________________________________13.护照类型/Typeofpassport:外交/diplomatic公务/service因私/ordinary其他类证件/othertypeofdocument编号/Number:____________有效期限/validity:______________________________签发地点/issuedby:______________14.您曾经是否访问过哈萨克斯坦?/HaveyouvisitedtheRepublicofKazakhstanbefore?否/No是/Yes若是，请指明访问时间和访问目的/Ifyes,indicatethedateandpurposeofthevisit(s):________________________________________________________________________________________________________15.以前是否被拒绝入境哈萨克斯坦?/HaveyoueverbeenrefusedentrytotheRepublicofKazakhstan?:否/No是/Yes.若是，请写明原因，何时被谁拒绝/Ifyes,pleasegivedetailsbelow(whenandbywhom):________________________16.访问目的/Purposeoftravel:____________________________________________________________________________17.邀请方(地址、电话.)/Invitingorganization(address,tel.):___________________________________________________________或者担保人的信息(全称,地址,电话.)/orperson,arrangingyourvisittoKazakhstan(fullname,address,tel):________________________________________________________________________________________________________18.在哈萨克斯坦访问的地点/PlacesofdestinationintheRepublicofKazakhstan:_______________________________________________________________________________________________________________________________________19.在哈萨克斯坦的第一个访问地点/ThefirstplaceofentryintotheRepublicofKazakhstan:__________________________20.在哈萨克斯坦停留期间的住址/TemporaryaddressinKazakhstan:____________________________________________________________________________________________________________________________________________________21.谁会承担您的旅行路费以及在哈萨克斯坦停留期间的生活支出?/WhoispayingforyourcostoftravelingandforyourcostsoflivingduringyourstayinKazakhstan?:______________________________________________________________22.您是否为在哈萨克斯坦的停留期间购买了保险?/HaveyougotaninsurancefortheperiodofyourstayinKazakhstan?:否/No是/Yes.若是,请指出该保险的有效期限和保险公司的名称/Ifyes,pleaseindicateitsvalidityandthenameofinsurancecompany:______________________________________________________________________________________23.若您是办理从哈萨克斯坦过境的签证，您是否取得前往国家的签证或居留证?/IncaseoftransitthroughKazakhstan,haveyougotanentryvisaorresidencepermitforyourdestination?:否/No是/Yes.若是,请指出前往国家/Ifyes,indicatethecountryofdestination:________________入境口岸/borderpointthroughwhichentryisplanned__________________________过境路线/routeoftransit____________________________24.所申请的签证期限/Periodofrequestedvisa:自/from_______________________至/to__________________________照片photo哈萨克斯坦共和国签证申请表TheRepublicofKazakhstanVISAAPPLICATIONFORM25.所申请签证的入境次数/Numberofentriesrequested:123多次往返/multiple26.若注册至您护照的孩子与您同行，请填写/Children(pleaseindicatewhethertheyaretravelingwithyouandareenteredinyourpassport):№姓名/Surname,Firstnames出生地点和日期/Dateandplaseofbirth国籍/Nationality我证实上述所填写的信息是完整准确，我知道虚假的信息会成为被拒签或取消已办签证的原因之一。我必须在签证有效期结束前离开哈萨克斯坦共和国领土。我知道根据哈萨克斯坦共和国2001年6月12日通过的《关于税收及上缴财政的其他须缴税费》的209-II号法律（税务法）第514条所支付的签证费用不能退还。我知道该签证不能作为进入该国的保证书并在哈萨克斯坦权威部门工作人员拒绝我入境的情况下，我不能要求退还签证费用。Iundertakethattheabovementionedpersonaldataarefullandcorrect.Iamaware,thatwrongdatacancauserefuseandcancelingofalreadyissuedvisa.IamobligedtoleavetheterritoryoftheRepublicofKazakhstanbeforevisaexpiration.Iamtold,thatinaccordancewiththearticle514oftheTaxCodeoftheRepublicofKazakhstan№209-IIofthe12ofJune2001thesumofmoneypaidasconsularfeeisnotsubjectforreturn;theissuedvisadoesnotfullyguaranteeentryintoKazakhstanandwillnotserveasbasisforcompensationincasetheauthorizedbodiesoftheRepublicofKazakhstanrefuseentryfortheownerofvisaintoterritoryofKazakhstan.日期/Date:«____»_____20___年/year签名/Signature:_________________DONOTWRITEBELOW请勿填写下列表格ВИЗАЛЫҚЖАПСЫРМАНЫҢТҮБІРШЕГІНІҢОРНЫВизаберушініңқолы:Ескерту:Визаныңмәртесі____________________Категориясы____________________Тез__________Жaй_______________Мерзімі«____»________200__ж.бастап«____»________200__ж.дейінКонсулдықжинақалымы_______________ҰНақтышығын_______________ҰКвитанцияныңномері_______________Визабері