新加坡签证申请表格-范本

IMM14A1THISFORMISISSUEDFREE此表免费分发(只限用于中国国内)Tel:_*__电话Notes:*Tick(√)whereappropriate请在适用处打勾(√)签证申请表格(请用英语填写)FORM14AIMMIGRATIONACT[CHAPTER133,SECTION-55(1)]PASSPORTSACT[No.33of2007]APPLICATIONFORANENTRYVISA（申请入境签证）PARTI—PARTICULARSOFAPPLICANT申请者信息Name:NameasinTravelDocument姓名(根据旅游证件格式,用英文填写）Alias（别名）WUYUGANGDateofBirth:出生日期DD(日)MM(月)YY(年)Sex:*性别□Male男Female女MaritalStatus:*□SingleMarried□Separated□Divorced□Widowed婚姻状况单身已婚分居离婚丧偶CountryofBirth:出生国家State/ProvinceofBirth:出生省份Race:(e.g.Malay,Indian,Chinese,Caucasian,etc)种族（如马来人、印度人、华人、欧亚人等）Nationality:国籍CHINASHANDONGCHINESECHINESETypeofTravelDocumentHeld:所持旅游证件种类(如：护照、身份证书、临时身份证明等)（e.g.Passport,CertificateofIdentity,DocumentofIdentity,etc）TravelDocumentNo.:旅游证件号码TravelDocumentIssuedDate:ExpiryDate:旅游证件签发日期DD(日)MM(月)YY(年)DD(日)MM(月)YY(年)CountryofIssue:签发国家PlaceofIssue:签发地点PASSPORTECHINASHANDONGAffixarecentPassport-sizePhotographhere贴上近期护照照片一张紧急联系人：MrWU1***********IMM14A2THISFORMISISSUEDFREE此表免费分发(只限用于中国国内)AddressinCountryofOrigin所属国家地址CountryofOrigin:所属国家Division/State/ProvinceofOrigin:所属省份PrefectureofOrigin所属城市County/DistrictofOrigin所属县/区Address:**********SHANDONGPROVINCEPRC地址CHINASHANDONGLANSHANPARTII-OTHERDETAILS其他信息Occupation:职业HighestAcademic/ProfessionalQualificationsAttained:UNIVERSITY最高学历Religion/Denomination:NO宗教信仰/宗派Purposeofvisit:TRAVEL到访目的DateofIntendedArrivalinSingapore/PeriodofVisaAppliedFor:DECEMBER22014——DECEMBER82014预计到访新加坡的日期/欲申请签证的期限HowlongdoyouintendtostayinSingapore?*Upto30days□Morethan30days您预计在新加坡居留多久？最多30天超过30天IfyourintendedstayinSingaporeismorethan30days,pleasestatethereasonforyourintendedlengthofstayandtheduration.若您预计将在新加坡居留超过30天，请说明理由并注明您将居留的期限。NationalityofSpouse:*□SingaporeCitizen□SingaporePermanentResident配偶国籍新加坡公民新加坡永久居民Others(PleaseSpecify)CHINESE其他（请注明）VICEPRESIDENTAddressinSingapore在新加坡的地址WherewillyoubestayinginSingapore?*您将在新加坡何处住宿？□Next-of-kin’sPlace□Relative’sPlace□Friend’sPlaceHotel□Others(PleaseSpecify)______________直系亲属处亲戚处朋友处酒店其他（请注明）Block/HouseNo.（楼号）:FloorNo.（楼层）:UnitNo.（门号）:PostalCode（邮编）:StreetName:TelNo:******街道名字电话号码BuildingName:大楼名称*******486462IMM14A3THISFORMISISSUEDFREE此表免费分发(只限用于中国国内)Didyouresideinothercountries,otherthanyourcountryoforigin,foroneyearormoreduringthelast5years?*您是否在过去5年内，除了在您所属国家外，在其他国家居留一年或以上？Yes是No否Ifyes,pleasefurnishdetails若是，请提供相关详情PeriodofStay居留日期Country国家Address地址From从To至PARTIII-ANTECEDENTOFAPPLICANT*申请人申请背景(a)Haveyoueverbeenrefusedentryintoordeportedfromanycountry,includingSingapore?□Yes是No否您是否曾被任何国家（包括新加坡）拒绝入境或遣返回国？(b)Haveyoueverbeenconvictedinacourtoflawinanycountry,includingSingapore?□Yes是No否您是否曾在任何国家（包括新加坡）的法律下被宣判有罪？(c)HaveyoueverbeenprohibitedfromenteringSingapore?□Yes是No否您是否曾被禁止进入新加坡？(d)HaveyoueverenteredSingaporeusingadifferentpassportorname?□Yes是No否您是否曾用其他名字或护照进入新加坡？Ifanyoftheansweris“YES”,pleasefurnishdetailsonaseparatesheetofpaper.若以上任何一个问题答案为“是”，请用另一页纸提供详情。PARTIV-DECLARATIONBYAPPLICANT（申请人宣誓）Ideclarethattheparticularsanddocumentsfurnishedinrespectofthisapplicationaretrueandcorrect.本人谨此声明,本人在这份申请书里所提供的一切资料均属实与正确。IundertakenottomisusecontrolleddrugsortotakepartinanypoliticalorotheractivitiesduringmystayinSingaporewhichwouldmakemeanundesirableorprohibitedimmigrantundertheImmigrationAct.本人保证在居留新加坡期间不滥用受管制药物,或参加任何政治性活动或其他足以使本人成为在移民法令下不受欢迎或被禁入境人士的活动。IundertaketocomplywiththeprovisionsoftheImmigrationActandanyregulationsmadethereunderoranystatutorymodificationorre-enactmentthereofforthetimebeinginforceinSingapore.本人保证遵守移民法令的规定以及该法令下的任何条列,或新加坡现行的对该法令所作的任何法定修改或重新制定。IundertakenottoinvolveinanycriminaloffencesinSingapore.本人保证在新加坡期间不涉及任何刑事罪行。Iundertakenottoindulgeinanyactivitieswhichareinconsistentwiththepurposeforwhichtheimmigrationpasseshavebeenissued本人保证不沉溺于任何不符合贵局签发移民证件原意的活动。Ifurtherundertakenottobeengagedinanyformofemployment,businessoroccupationwhilstinSingaporewithoutavalidworkpassissuedundertheEmploymentofForeignManpowerAct(Cap.91A).本人进一步保证在居留新加坡期间,在没持有外国劳工雇佣法令签发的工作准证的情况下,不参与任何形式的就业,商业或职业。IamawarethatoverstayingorworkingillegallyinSingaporeisaseriousoffenceandonconviction,thepenaltiesmayincludemandatoryimprisonmentandcaning.本人知道,在新加坡逾期居留或非法工作是很严重的罪行,而且罪名成立时的惩罚可能包括强制性监禁和鞭刑。IunderstandthatiftheControllerofImmigrationissatisfiedthatIoranymemberofmyfamilybreachesthisundertakingorbecomesanundesirableorprohibitedimmigrant,hewillcancelmyimmigrationpassandthepassesofthemembersofmyfamily,andwemayberequiredtoleaveSingaporewithin24hoursofsuchcancellation.本人明白,如果移民与关卡局总监确信本人或本人任何一名家庭成员违背了这份担保书或成为不受欢迎或被禁入境人士,他将取消我与我家人的移民证件,而我们可能必须在证件被取消后24小时之内离开新加坡。IunderstandthatthisapplicationforandpossessionofavisadoesnotguaranteeentryintoSingaporeandpermissiontoentryisentirelydiscretionaryatthepointofentry.本人明白,提呈这份签证申请书以及持有签证都不能成为入境担保,本人能否入境,全视临入境前的情况而定。Igivemyconsentforyourdepartmenttoobtainandverifyinformationfromorwithanysourceasyoudeemappropriatefortheassessmentofmyapplicationforimmigrationfacilities.本人同意让贵局向任何视为恰当的消息来源获取或核实资料,以便对本人的移民证件申请作出评估。Date日期SignatureofApplicant申请人签名