斯里兰卡签证申请表

斯里兰卡签证 I.M.-32 DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA Photo Form “B”, Regulation 68 申请人照片 斯里兰卡共和国 (2.5x3.5cm) APPLICATION FOR A VISIT VISA (所有带*标记的用英文填写) *Passport No. *Date of Expiry 护照号码 有效期 *Date of Issue *Place of Issue 签发日期 签发地 Details of previous passports hold, if any若有旧护照,请提供详情 *1.Name in Full Name of Father 名 姓 *2.Nationality *3 (a). Date of Birth 国籍 出生日期 If nationalized, date and place of 3 (b) Place of Birth nationalization and former nationality 出生地 如有国籍变动，请注明变动时间、地点及原国籍 5.If married, where spouse is resident 4.Civil Status(Single ,Married, Widower, Widow or and full Postal Address divorcee) 已婚者配偶的住址及通讯地址 婚姻状况(单身、已婚、离婚) 6. Applicant’s height 申请人身高 7.Any Identification Marks or Peculiarities *8.Applicant’s address 申请人特征 申请人地址 8 (a). Profession *8 (b).During staying in Sri Lanka 在斯里兰卡的地址 职业 9.Profession or Occupation 10.Name and Address of employee, 职位 if any 单位名称及地址 11.If in business where business is 1 如经商，请写明地址 12.Whether previously in Sri Lanka? If so, last place of residence and date of leaving 以前是否到过斯里兰卡，上次去的地点及离境日期 Particulars of Visa or Residence Permit last obtained 上次签证或居留许可证的详情 12a.If visa, give date of issue and period of validity 若已获得签证，注明签发日期和有效期 12b .If Residence Permit, give date of issue, period of validity, permit No. and purpose of issue 若是居留许可证请写明签发日期、有效期、许可证号码及签发原因 13.Whether permission to visit Sri Lanka or to extend stay in Sri Lanka has been refused previously, if so, by whom and when or whether application has been made now or previously to any Sri Lanka visa office abroad? If so, full particulars and position of such application 如被拒签过，请说明原因 *14. Object of present visit? 访问目的 15. Route and mode of travel to Sri Lanka 赴斯里兰卡路线 *16. Period for which visit visa is required 停留时间 *17(a). Name and address of a person in Sri Lanka who can furnish information regarding applicant and security for maintenance and repatriation of the applicant, if so required: 在斯里兰卡联系人的姓名及住址 17(b).Name and address of a responsible person in applicant’s own country who can furnish information regarding applicant 在本国联系人的姓名及地址 18. How much money will the applicant have with him or have available for himself on arrival in Sri Lanka? 赴斯里兰卡所带现金数额 19. Any other reason to urge in support of application 申请签证的其他原因 I hereby declare that to the best of my knowledge and belief the foregoing statements are true, that I shall not engage myself in any employment, paid or unpaid, on arrival in Sri Lanka and that I shall leave Sri Lanka before the date of expiry of the period of my authorized stay in the Island, I also undertake to notify the Controller of Immigration and Emigration, Colombo, immediately any change of my address while in Sri Lanka occurs. 在此我声明所填内容属实，并保证如期离境，本人在斯里兰卡境内不从事任何劳务工作。如 在斯里兰卡期间住址更改，我保证通知科伦坡移民局。 Date日期 Signature签名 2