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y/mm/dd)如果5年內(nèi)有訪問過(guò)其他國(guó)家,請(qǐng)?jiān)谶@里填上領(lǐng)事館審核欄 FOR OFFICIAL USEONLY????? ???????? ???? ???? ????? SDM???? ???? ???? ???? ????/ /?[ ?[] ] 印花稅票粘貼處(簽證票粘貼處)??? ???? ??(??)??/????(??)??/1 ???(第二頁(yè) /Page2) Are you travelling to Korea with any family member ? 無(wú) No [出生日期 Date of Birth(yyyy/mm/dd)] 有 Yes [ ]根據(jù)實(shí)際情況勾選→如您選擇“有”,請(qǐng)寫具體內(nèi)容 If‘Yes’pleaseprovide detailsofthe familymembersyou aretravellingwith姓名 Full name in English國(guó)籍Nationality關(guān)系 Relationship to you *注:家屬范圍配偶,子女,父母,兄弟姐妹Note: Definition of a Family Memberyour spouse, father, mother, children, brothers and sisters /EMPLOYMENT What are your current personal circumstances ? 企業(yè)家 Entrepreneur [ 公務(wù)員 Civil Servant [ 無(wú)職 Unemployed [ ] ] ]個(gè)體經(jīng)營(yíng) SelfEmployed [學(xué)生 Student []] 工作者 Employed [ 退休者 Retired [ ]]此處根據(jù)實(shí)際情況勾選,填寫b)職位/課程 Your Position/Course其他 Other [ ] Details →如您選擇“其他 ”,請(qǐng)寫具體內(nèi)容 If‘Other’please provide details()a)單位/機(jī)構(gòu)/學(xué)校(名稱)Name of Company/Institute/School 填上名稱 填上地址行政/經(jīng)理/....d)電話號(hào)碼 Telephone )單位/機(jī)構(gòu)/學(xué)校(地址)Address of Company/Institute/School公司電話號(hào)碼 /DETAILSOFSPONSOR [ ] 有 Yes [ ] →如您選擇“有”,請(qǐng)寫具體內(nèi)容 If‘Yes’please provide detailsa)邀請(qǐng)人/邀請(qǐng)單位(名稱)Name of your visa sponsor(Korean, foreign resident in Korea, pany, or institute)b)出生日期/營(yíng)業(yè)執(zhí)照號(hào)碼 Date of Birth/Business Registration )關(guān)系 Relationshiptoyou e)電話號(hào)碼 Phone )地址 Address / FUNDING DETAILS(以美元為準(zhǔn))Estimated travel costs(in US dollars)$1000 根據(jù)實(shí)際情況填寫10005000 ?(anypersonincludingyourselfand/orinstitute)如果是自己出,就寫本人,如果是其它人出就按實(shí)際情況填寫a)姓名/單位名稱 Name of Person/Company(Institute)b)關(guān)系 Relationship to you 趙XX c)支援內(nèi)容 Type of Support父親/母親/夫妻d)聯(lián)系電話 Contact /CONTACTINFORMATION Address in Your Home Country電話號(hào)碼身份證上的地址 Current Residential Address *僅限于現(xiàn)居住地與本國(guó)地址不同者/ Write if it is different from the above address 現(xiàn)在居住的地址,如果與身份證上的不一樣就寫上 Telephone Email 180XXXXX a)姓名 Full Name in English如有寫上b)居住國(guó)家 Country of residence Emergency Contact Information 李XX根據(jù)實(shí)際填寫d)關(guān)系 Relationship to you c)電話號(hào)碼 Telephone 父親/姐弟/.....這里不要寫一同前往的人(第三頁(yè) /Page3) /PASSPORTINFORMATION Passport Type 外交護(hù)照 Diplomatic [ ] 根據(jù)實(shí)際類型勾選公務(wù)護(hù)照 Official []普通護(hù)照 Regular[ ]其他 Other [] →如您選擇?其他?,請(qǐng)寫具體內(nèi)容 If‘Other’please provi