【正文】
___________證件號(hào)碼/Identification Number:____________________與申請(qǐng)人關(guān)系/Relationship with the Application:_____________住址/Address:____________________單位/Name of Employer:_______________電話(住宅)/Telephone Number (Home ):__________________(單位/Office):_____________擔(dān)保人簽字/Signature:______________日期/Date:________