( 第 2 页 / Page2) 二护照信息 / PASSPORT INFORMATION 2.1 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 普通 Regular [ ] 其他 Other [ ] 2.2 护照号码 Passport

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1 출입국관리법시행규칙 [ 별지제 17 호서식 ] < 개정 > ( 第 1 页 / Page1) 大韩民国签证申请表 < 申请表填写指引 > 申请人必须如实完整准确地填写本表格请逐项在空白处用韩文或中英文填写请在相应的 [ ] 内打选择如选择其他, 请详细说明 <How to fill out this form> You must fill out this form completely and correctly. You must write in block letters either in English or Korean. For multiple-choice questions, you must check [ ] all that apply. If you select Other, please provide us with more information in the given space. 一个人信息 / PERSONAL DETAILS 照片 PHOTO (35 mm 45 mm ) - 粘贴一张近 6 个月免冠白色背景的彩色护照照片 A color photo taken within last 6 months(full face without hat, front view against white or off-white background) 1.1 护照英文姓名 /Full name in English (as shown in your passport) 姓 Family Name 1.8 是否曾用别名入境韩国或从韩国出境? 名 Given Names 1.2 汉字姓名 Name in Chinese 1.3 性别 Sex 1.4 出生日期 Date of Birth (yyyy/mm/dd) 1.5 国籍 Nationality 男 /Male[ ] 女 /Female[ ] 1.6 出生国家 Country of Birth 1.7 国家身份证号码 National Identity No. Have you ever used any other names to enter or depart Korea? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details ( 姓 Family Name, 名 Given Name ) 1.9 是否拥有双重国籍? Are you a citizen of more than one country? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please write the countries ( ) 本栏由工作人员填写 FOR OFFICIAL USE ONLY 기본사항체류자격체류기간사증종류단수ㆍ복수 (2 회, 3 회이상 ) 접수사항접수일자접수번호처리과 허가사항허가일자사증번호고지사항 결재 담당자 가 [ ] 부 [ ] < 심사의견 > < 수입인지부착란 >

2 ( 第 2 页 / Page2) 二护照信息 / PASSPORT INFORMATION 2.1 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 普通 Regular [ ] 其他 Other [ ] 2.2 护照号码 Passport No. 2.3 签发国家 Country of Passport 2.4 签发地点 Place of Issue 2.5 签发日期 Date of Issue 2.6 有效期至 Date Of Expiry 2.7 是否持有其他有效护照? Does the invitee have any other valid passport? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details a) 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 普通 Regular [ ] 其他 Other [ ] b) 护照号码 Passport No. c) 签发国家 Country of Passport d) 有效期至 Date of Expiry 三联系信息 / CONTACT INFORMATION 3.1 本国住址 Address in Your Home Country 3.2 现居住地址 Current Residential Address * 若与本国住址不同, 请填写 / Write if it is different from the above address 3.3 手机 Cell Phone No. 3.4 电话 Telephone No. 3.5 电子邮箱 3.6 紧急情况联系人信息 Emergency Contact Information a) 姓名 Full Name in English b) 居住国家 Country of Residence c) 电话 Telephone No. d) 与申请人关系 Relationship to you 四婚姻状况及家庭成员信息 / MARITAL STATUS AND FAMILY DETAILS 4.1 当前婚姻状况 Current Marital Status 已婚 Married [ ] 离婚 Divorced [ ] 单身 Single [ ] 4.2 配偶信息 Personal Information of Your Spouse * 仅限已婚人士 If Married please provide details of your spouse a) 姓 Family Name (in English) b) 名 Given Names (in English) c) 出生日期 Date of Birth (yyyy/mm/dd) d) 国籍 Nationality e) 居住地址 Residential Address f) 联系电话 Contact No. 4.3 是否有子女? Do you have children? 否 No [ ] 是 Yes [ ] 子女人数 Number of children [ ] 五学历 / EDUCATION 5.1 最高学历 What is the highest degree or level of education the invitee has completed? 硕士 / 博士 Master s /Doctoral Degree [ ] 学士 Bachelor s Degree [ ] 高中 High School Diploma [ ] 其他 Other [ ] 5.2 学校名称 Name of School 5.3 学校所在地 Location of School(city/province/country)

3 六职业 / EMPLOYMENT ( 第 3 页 / Page3) 6.1 当前职业 Current personal circumstances 事业家 Entrepreneur [ ] 自雇 Self-Employed [ ] 公司职员 Employed [ ] 公务员 Civil Servant [ ] 学生 Student [ ] 退休 Retired [ ] 无业 Unemployed [ ] 其他 Other [ ] 6.2 职业详细信息 Employment Details a) 公司 / 机关 / 学校名称 Name of Company/Institute/School b) 职位 / 课程 Position/Course c) 公司 / 机关 / 学校地址 Address of Company/Institute/School d) 联系电话 Telephone No. 七访问信息 / DETAILS OF VISIT 7.1 申请入境事由 Purpose of Visit to Korea 旅游 / 过境 Tourism/Transit [ ] 参加会议等活动 Meeting, Conference [ ] 医疗旅游 Medical Tourism [ ] 短期商务 Business Trip [ ] 学习 / 培训 Study/Training [ ] 就业活动 Work [ ] 贸易 / 投资 / 派驻 Trade/Investment/Intra-Corporate Transferee [ ] 探亲访友 Visiting Family/Relatives/Friends [ ] 外交 / 公务 Diplomatic/Official [ ] 其他 Other [ ] 如其他, 请详细说明 If Other please provide details ( ) 7.2 拟滞留天数 Intended Period of Stay 7.3 拟入境日期 Intended Date of Entry 结婚移民 Marriage Migrant [ ] 7.4 在韩滞留地址 ( 含酒店 ) Address in Korea (including hotels) 7.5 在韩联系电话 Contact No. in Korea 7.6 近 5 年内是否访问过韩国? Has the invitee travelled to Korea in the last 5 years? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details of any trips to Korea ( ) 次 times, 近期入境目的 Purpose of Recent Visit ( ) 7.7 近 5 年内是否访问过除韩国外其他国家? Has the invitee travelled outside his/her country of residence, excluding to Korea, in the last 5 years? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details of these trips 国家名称 Name of Country (in English) 访问目的 Purpose of Visit 访问期间 Period of Stay (yyyy/mm/dd)~ (yyyy/mm/dd) 7.8. 是否有偕行家属? Is the invitee travelling to Korea with any family member? 无 No [ ] 有 Yes [ ] 如有, 请详细说明 If Yes please provide details of the family members the invitee is travelling with 姓名 Full name in English 出生日期 Date of Birth (yyyy/mm/dd) 国籍 Nationality 与申请人关系 Relationship to the invitee * 注 : 家属范围申请人的配偶子女父母兄弟姐妹 Note : Definition of a Family Member - your spouse, father, mother, children, brothers and sisters

4 ( 第 4 页 / Page4) 八在韩邀请方信息 / DETAILS OF SPONSOR 8.1 是否在韩国有邀请人或邀请单位? Do you have anyone sponsoring you for the visa? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details a) 姓名或名称 Name of your visa sponsor (Korean, foreign resident in Korea, company, or institute) b) 出生日期或事业者登记证号码 Date of Birth/Business Registration No. c) 与申请人关系 Relationship to you d) 地址 Address e) 联系电话 Phone No. 九费用信息 / FUNDING DETAILS 9.1 在韩期间费用 ( 以美元为准 ) Estimated travel costs(in US dollars) 9.2 谁将承担在韩国期间的费用? Who will pay for your travel-related expenses? (any person including yourself and/or institute) a) 姓名 / 单位 ( 或团体 ) 名称 Name of Person/Company(Institute) b) 与申请人关系 Relationship to you c) 费用类别 Type of Support d) 联系电话 Contact No. 十协助填表人信息 / ASSISTANCE WITH THIS FORM 10.1 是否有人协助填写本表格? Did you receive assistance in completing this form? 否 No [ ] 是 Yes [ ] 如是, 请详细说明 If Yes please provide details of the person who assisted you 姓名 Full Name 出生日期 Date of Birth (yyyy/mm/dd) 电话 Telephone No. 与申请人关系 Relationship to you 十一声明 / DECLARATION 本人声明, 本人已确认本表格内所填内容真实准确无误, 并保证遵守大韩民国出入国管理法有关规定 I declare that the statements made in this application are true and correct to the best of my knowledge and belief, and that I will comply with the Immigration Act of the Republic of Korea. / / / 申请日期 ( 年. 月. 日 ) DATE OF APPLICATION (yyyy/mm/dd) 申请人签字 SIGNATURE OF APPLICANT 未满 17 周岁的未成年人由父母或监护人代签 Signature of Parent or Legal Guardian s for a person under 17 years of age 附件 ATTACHMENT 1. 根据大韩民国出入国管理法施行规则第 76 条第 1 款之 [ 附表 5: 大韩民国签证申请表等附件清单 ] 规定的所需附件

5 ( 第 5 页 / Page5) 注意事项 Notice 1. 申请人如需对涉及上述内容进行补充说明, 可另纸说明或者提交相关材料 If extra space is needed to complete any item, record on a separate sheet of paper or submit relevant documents which could support your application. 2. 获发签证后, 如因护照遗失或损毁等原因获发新护照, 必须告知相关签证机关新护照信息, 以便准确反映个人信息 If you received Korean visa approval, and have new passport issued thereafter in lieu of lost/damaged passport, you must notify the concerned visa office of changes in your passport information. 3. 外国人即使持有有效的韩国签证, 经入境查验发现不符合入境条件情形仍有可能被拒绝入境 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. 4. 根据大韩民国出入国管理法施行规则第 9 条第 1 款规定, 外国人持韩国 C 类签证入境后不能更改滞留资格种类 Please note that category C visa holders are not able to change their status of stay after their entry into the Republic of Korea in accordance with Article 9(1) of the Enforcement Regulations of the Immigration Act. 签证流程申请 Application 受理 Reception 审核 Review 审批 Approval 签发 Issuance 申请人 Applicant 受理机关 ( 韩国驻外使领馆 ) 审核机关审批机关签发机关

( 第二页 / Page2) 3. 护照信息 / PASSPORT INFORMATION 3.1 护照类型 Passport Type 外交护照 Diplomatic [ ] 公务护照 Official [ ] 普通护照 Regular[ ] 其他 Other

( 第二页 / Page2) 3. 护照信息 / PASSPORT INFORMATION 3.1 护照类型 Passport Type 外交护照 Diplomatic [ ] 公务护照 Official [ ] 普通护照 Regular[ ] 其他 Other 출입국관리법 시행규칙 [별지 제17호서식] ( 第一页 / Page1) 签证发给申请表 APPLICATION FOR VISA < 申请表填写方法 > 申请人须以事实为根据, 并将在以下空格处完整记载申请人必须用韩文或英文填写以下申请表在相关选项的 [ ] 内打钩如您

( 第 2 页 / Page2) 二 护照信息 / PASSPORT INFORMATION 2.1 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 普通 Regular [ ] 其他 Other [ ] 2.2 护照号码 Passport

( 第 2 页 / Page2) 二护照信息 / PASSPORT INFORMATION 2.1 护照种类 Passport Type 外交 Diplomatic [ ] 公务 Official [ ] 普通 Regular [ ] 其他 Other [ ] 2.2 护照号码 Passport