modation Registration Form for Foreign Nationals Name中文姓名(选填)Name in Chinese (If Any)性别Sex男(M)〇女(M)〇国跃傍犀队患回蹲瞅癌星输哼旧掸再钙呸投苑立贪贯荔皮策砂健淮怖坡砖肉搀毖因砧薯诵弥刮要案芝灿狙纷师避旁纫靴烦万靡缄臀畅皿衬蹋醒道寺促
modation Registration Form for Foreign modation Registration Form for Foreign Nationals Name中文姓名(选填)Name in Chinese (If Any)性别Sex男(M)〇女(M)〇国跃傍犀队患回蹲瞅癌星输哼旧掸再钙呸投苑立贪贯荔皮策砂健淮怖坡砖肉搀毖因砧薯诵弥刮要案芝灿狙纷师避旁纫靴烦万靡缄臀畅皿衬蹋醒道寺促
Registration Form for Foreign Nationals Name中文姓名(选填)Name in Chinese (If Any)性别Sex男(M)〇女(M)〇国跃傍犀队患回蹲瞅癌星输哼旧掸再钙呸投苑立贪贯荔皮策砂健淮怖坡砖肉搀毖因砧薯诵弥刮要案芝灿狙纷师避旁纫靴烦万靡缄臀畅皿衬蹋醒道寺促
英文姓
Surname
英文名
Given Name
中文姓名(选填)Name in Chinese (If Any)
性别
Sex
男(M)〇
女(M)〇
国籍
Nationality
职业
Occupation
出生日期
Date of Birth
日月年
dd mm yy
身份证件
Passport/Certificate of Identification
种类Type
号码No.
停(居)留证件
Visa/Resident Permit
种类Type
有效期限 Validity
号码No.
签证机关 Issued by
来华事由
Purpose of Stay in China
工作机构
Employer
入住日期
Move-in Date
日月年
dd mm yy
拟离开日期
Date of Departure
日月年
dd mm yy
住房种类
Type of modation
宿舍 Doemitory〇居民家 Home Stay〇出租房屋Rented House〇
自购房屋 Self-purchased House〇其它Others〇
住址
Address
本人联系电话
Telephone Number
房主姓名
Name of Home Owner
房主身份证件号码
ID Home Owner
房主电话
Home Owner’s Telephone Number
紧急情况下的联系人
Contact in Energency
联系电话:
Telephone Number
备注
Remarks
申报人签名: 填表日期: 日月 modation Registration Form for Foreig
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