莫桑比克入境申请书

REQUEST FOR ENTRY VISA TO MOZAMBIQUE 莫桑比克入境申请书 RECIBO N.o TO BE FILLED IN LEGIBLE LETTERS 请用清晰字体填写 For official use VISTO N.o DATA DE EMISSÃO ......... / ......... /20......... Temporary 临时入境 □ Single entry 单次入境 □ VALIDADE ......... / ......... /20......... Multiple entries 多次入境 　　　　　　□ Surname 姓 Full name 全名 Maiden name 婚前姓名 Country and place of birth 出生地、国家 Date of birth 出生日期 Sex 性别 Marital status 婚姻状况 □未婚　　　　□已婚 Nationality 国籍 CHINA Passport number 护照号码 Date of issue 发照日期 .... / ...... /...... Validity 有效期 ..... / ...... /...... P.te nationality 护照国籍 CHINA Profession / Occupation 职业 Position you hold 职位 Institution, organization or firm you work 你工作的机构,组织或公司 Address of the permanent residence 固定住所地址 Have you ever before been in Mozambique？ 　YES NO 是否曾经到过莫桑比克？ 　　　是 □ 否 □ Have you ever been a resident in Mozambique？ 　YES 　 NO 是否曾经在莫桑比克居住过？ 　　 是 □ 否　　□ Why did you leave Mozambique？ Date of exit 因何种原因离开莫桑比克？ 　离境日期 } ........./ ............. / ........ Mention the institutions and firms to which you were attached 列出你曾经隶属过的莫桑比克的机构和公司 INCOMPLETE OR INCORRECT FILLING IN OF THIS FORM MAY RESULT IN DELAY DEVOLUTION OR REJECTION 表格中不完整或错误可能导致延迟或拒签 In detail give reasons for your entry in Mozambique 详细列明访莫缘由 □Tourism □Explore business opportunity □Visit relatives or friends 　旅游 寻找商业机会 拜访亲戚或朋友 Length of stay in Mozambique 驻莫时长30 days Date of entry 入境日期 20 MAR 2011 Date of exit 离境日期 19 APR 2011 Entry border 入境地点 Mozambique Beira Exit border 出境地点 Mozambique Beira Address of residence in Mozambique 在莫桑比克的住所地址 Provinc