査證發給申請書 Application For Visa
査證發給申請書 Application For Visa
:
1. Surname
2. Given Names
3. Date of Birth
Y M D
4. Sex
M F
5. Nationality . !la"e of Birth
#.
!ass$ort Num%er
&. 'lassifi"ation
. . !". #$
D! () (*
+.%&
Date of ,ssue
1-.%&
!la"e of ,ssue
11.%&'(
,ssuin. /uthority
12.)*
0x$iry Date
13.+,-. Marital Status
/+ marrie1 0+123456
14.789 S$ouse2s Name 15.789 S$ouse2s Nationality
1.:; (""u$ation 1#.:< => Name an1 /11ress of !resent 0m$loyer 1&.:<?@ Business !hone Num%er
1+.A BC !ur$ose of 0ntry
30x$lain fully4
2-.ADE !ro%a%le Date of 0ntry 21.FGDEHI Desire1 5en.th of Stay
22.J=> 6ome /11ress ?@ !hone No.
23.K FG /11ress in 7orea ?@ !hone No. 24.LMNO !revious 8isit3,f /ny4
25. 6ave You 0ver Been ,ssue1 a 7orean 8isa9 P61 QR
ST63U ST6V6U :hat ;y$e of 8isa
2. 6ave You 0ver Been *efuse1 a 7orean 8isa9 P61 QR
ST63U ST6V6U :hat ;y$e of 8isa
2#.WXY<9 :ho :ill !ay )or Your ;ri$9 2&.Z[ \]-.
6as Your 7orean 8isa 0ver Been 'an"elle1 or *evo=e19
P61 QR
2+.^_ 5I W` 'ountries :here You 6ave 5ive1 or ;ravelle1 Durin. ;he !ast 5 Years
3-.ab`c
/""om$anyin. )amily
Nationality Name Sex Date of Birth
31.K def ghi
Guarantor or *eferen"e
in 7orea
Name => /11ress ?@ !hone No. (j
*elationshi$
, 1e"lare that the statements ma1e in this a$$li"ation are true an1 "orre"t to the %est of my =no>le1.e an1 %elief? that ,
>ill o%serve the $rovisions of the ,mmi.ration 5a> of the *e$u%li" of 7orea an1 that , >ill not en.a.e in any a"tivities irrelevant to
the $ur$ose of entry state1 herein. Besi1es? , am fully a>are that any false or mislea1in. statement may result in the refusal of a
visa? an1 that $ossession of a visa 1oes not entitle the %earer to enter the *e$u%li" of 7orea u$on arrival at the $ort entry if
he@she is foun1 ina1missi%le.
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