Instruction to Supplementary Visa Application Form

Form V.2011Bof the Peoples Republic of China

The free Adobe Acrobat Reader 6.0 or later is required to
open and fill in this Application Form
Please fill in the Application form truly and completely.
Please fill in your name in English, your passport number and
your date of birth.
Part A
If you are applying to work in ChinaZ-visa, please fill out the
following.
1. Please select your education background. If not listed, please
specify.
2. Please fill in the name of your last school, college
university or other educational institution.
3. Please fill in your major or focus in studies of your last school,
college university or other educational institution.
4. Please fill in your professional or technical qualifications.
5. Please fill in your occupation in China.
6. Please fill in the name, address and phone number of your
employer in China.
7. Please fill in your Alien Employment License Number.
Part B
If you are applying to study (X-visa) in China, please fill out the
following.

1. Please select your education background. If not listed, please

specify.
2. Please fill in the name of your last school, college, university
or other educational institution.
3. Please fill in your major or focus of in studies of your last
school, college university or other educational institution.
4. Please fill in your professional or technical qualifications.
5. Please fill in the name, address and phone number of your
school in China.
6. Please fill in your major or course in China
Part C
If someone else travelling with you shares the same passport
with you, please give that persons details below.
1. Please fill in the full name of the person(s) who shares the
same passport.
2. Please fill in the sex of the person(s) who shares the same
passport.
3. Please fill in the date of birth of the person(s) who shares the
same passport.
4. Please affix the photo(s) of the person(s) who shares the same
passport.
Part D
If you are applying for a visa in a country or territory other than
the country of your nationality, please fill out the following.
1. Please select the duration of your stay in this country or

territory.
2. Please select whether you have a valid visa or other residence
permit of this country or territory.
3. Please fill in the number of your visa or residence permit and
its expiration date.
4. Please select whether you have permission to return to this
country or territory with the visa or residence permit above.
5. Please fill in the mailing address of your residence in this
country or territory.
6. Please fill in your phone number in this country or territory.
Please confirm the information given above is accurate and
truthful, sign and fill in the date.