必填v14申请表及填写指引 新加坡签证资料表格以及模板.docx
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必填v14申请表及填写指引新加坡签证资料表格以及模板
Notes:
*Checktheboxwhereappropriate
FORM14A
IMMIGRATIONACT[CHAPTER133,SECTION–55
(1)]
AffixarecentPassport-sizephotographhere
APPLICATIONFORENTRYVISA
PARTI–PARTICULARSOFAPPLICANT
Name:
(Fullnameasshownintraveldocument)
Alias:
DateofBirth:
DDMM
YYYY
Sex:
*
MaleFemale
MaritalStatus:
*
Single
Married
Separated
Divorced
Widowed
Cohabited
Customary
NationalityofSpouse:
*
CountryofBirth:
State/ProvinceofBirth:
Race:
(e.g.Malay,Indian,Chinese,Caucasian,etc)
Nationality:
SingaporeCitizenNRICNo.SingaporePermanentResidentNRICNo.
Others(PleaseSpecify):
TypeofTravelDocumentHeld:
*
InternationalPassportServicePassportOthers(pleasespecify)
DiplomaticPassportDocumentofIdentity
OfficialPassportCertificateofIdentity
TravelDocumentNo.:
TravelDocumentIssuedDate:
CountryofIssue:
PlaceofIssue:
DDMM
YYYY
ExpiryDate:
DD
MMY
YYY
ForChineseNationalsOnly
PRCIDNumber
1
IMM14A
PARTII–OTHERDETAILS
Occupation:
HighestAcademic/NoFormalEducationPrimarySecondaryPre-UniversityProfessional
QualificationsAttained:
*DiplomaUniversityPost-GraduateReligion/Denomination:
ExpectedDateofArrivalinSingapore:
DDMMYYYY
TypeofVisa:
*SingleJourneyDoubleJourneyTripleJourneyMultipleJourneyPurposeofvisit:
*SocialBusiness
Detailsofpurpose:
HowlongdoyouintendtostayinSingapore:
*Lessthan30daysMorethan30days
IfyourintendedstayinSingaporeismorethan30days,pleasestatethereasonforyourintendedlengthofstayandtheduration
AddressinSingapore
WherewillyoubestayinginSingapore?
:
*
NextofKin’sPlaceRelative’sPlaceFriend’sPlaceHotelOthers(Pleasespecify):
Block/HouseNo.:
FloorNo.:
UnitNo.:
PostalCode:
StreetName:
ContactNo:
BuildingName:
2
IMM14A
Didyouresideinothercountries,otherthanyourcountryoforigin,foroneyearormoreduringthelast5years?
*
YesNo
Ifyes,pleasefurnishdetails
PeriodofStay
Country
Address
From
To
PARTIII–PARTICULARSOFLOCALCONTACT
DetailsofLocalContactorCompany/HotelinSingapore
NameofLocalContact
/Company/Hotel:
Relationshipof
LocalContact/Company/Hotelto
Applicant:
ContactNo.:
EmailAddress:
3
IMM14A
PARTIV–ANTECEDENTOFAPPLICANT*
(a)Haveyoueverbeenrefusedentryintoordeportedfromanycountry,includingSingapore?
YesNo
(b)Haveyoueverbeenconvictedinacourtoflawinanycountry,includingSingapore?
YesNo
(c)HaveyoueverbeenprohibitedfromenteringSingapore?
YesNo
(d)HaveyoueverenteredSingaporeusingadifferentpassportorname?
YesNo
Ifanyoftheansweris“YES”,pleasefurnishdetailsbelow
PARTV-DECLARATIONBYAPPLICANT
Ideclarethatallinformationsubmittedinthisapplicationistrue,accurateandcompletetothebestofmyknowledgeandbelief.Iunderstandthat,ifIhaveconcealedrelevantinformationorprovidedfalse,inaccurateormisleadinginformation,Imaybeprosecutedandanyfacilities,rightsorprivilegesgrantedunderthisapplicationmaybewithdrawn.
IundertakenottomisusecontrolleddrugsortotakepartinanypoliticalorotheractivitiesduringmystayinSingaporewhichwouldmakemeanundesirableorprohibitedimmigrantundertheImmigrationAct.
IundertaketocomplywiththeprovisionsoftheImmigrationActandanyregulationsmadethereunderoranystatutorymodificationorre-enactmentthereofforthetimebeinginforceinSingapore.
IundertakenottoinvolveinanycriminaloffencesinSingapore.
Iundertakenottoindulgeinanyactivitieswhichareinconsistentwiththepurposeforwhichtheimmigrationpasseshavebeenissued
Ifurtherundertakenottobeengagedinanyformofemployment,businessoroccupationwhilstinSingaporewithoutavalidworkpassissuedundertheEmploymentofForeignManpowerAct(Cap.91A).
IamawarethatoverstayingorworkingillegallyinSingaporeisaseriousoffenceandonconviction,thepenaltiesmayincludemandatoryimprisonmentandcaning.
IunderstandthatiftheControllerofImmigrationissatisfiedthatIoranymemberofmyfamilybreachesthisundertakingorbecomesanundesirableorprohibitedimmigrant,hewillcancelmyimmigrationpassandthepassesofthemembersofmyfamily,andwemayberequiredtoleaveSingaporewithin24hoursofsuchcancellation.
IunderstandthatthisapplicationforandpossessionofavisadoesnotguaranteeentryintoSingaporeandpermissiontoentryisentirelydiscretionaryatthepointofentry.
Igivemyconsentforyourdepartmenttoobtainandverifyinformationfromorwithanysourceasyoudeemappropriatefortheassessmentofmyapplicationforimmigrationfacilities.
DateSignatureofApplicant
4
IMM14A
Notes:
12335245887
FORM14A
IMMIGRATIONACT[CHAPTER133,SECTION–55
(1)]
手机号码:
*Checktheboxwhereappropriate
APPLICATIONFORENTRYVISA
PARTI–PARTICULARSOFAPPLICANT
按照护照上所显示的名字拼音的格式进
Name:
(Fullnameasshownintraveldocument)(护照上显示的名字)
ZZ
HU
XIAO
BEI
行填写,姓与名之间空一格,不要使用任何符号隔开
Alias:
曾用名:
ZHU
SHANS
HAN
如有曾用名请参考以上模板进行填写
DateofBirth:
出生日期:
1988
Sex:
*
性别
Male
√Female
DD日
MM月
YYYY年男女
MaritalStatus:
*
婚姻状况
√Single
单身
Married
已婚
Separated
分居
Divorced
离婚
Widowed
丧偶
Cohabited
同居
Customary
旧式婚姻
NationalityofSpouse:
*
配偶国籍
婚姻状况为“已
婚”的需要填写配偶国籍,其他不用填
SingaporeCitizenNRICNo.
新加坡公民新加坡身份证号
SingaporePermanentResidentNRICNo.
新加坡永久居民新加坡身份证号
Others(PleaseSpecify):
其他国籍(请填写)
CountryofBirth:
出生国家
CHINA
State/ProvinceofBirth:
GU
出生省份
Race:
(e.g.Malay,Indian,Chinese,Caucasian,etc)
种族
Nationality:
国籍
ANG
D
ONG
TypeofTravelDocumentHeld:
*
旅行证件类型
√InternationalPassportSer国vi际ce护P照assport
Oth公er务s护(p照leasespecify)
DiplomaticPassport
外交护照
DocumentofIdentity
身份证明文件
OfficialPassport
Cert官if员ica护t照eofIdentity
身份证明书
其他证件(请填写)
TravelDocumentNo.:
旅行证号码
E
H8
855XX
按照本人护照,填写本人护照号码
TravelDocumentIssuedDate:
1008
2019
ExpiryDate:
旅行证件签发日期
DD日
MM月
YYYY年有效期至:
DD日
MM月
YYYY年
CountryofIssue:
签发国家
CHINA
PlaceofIssue:
签发地
ForChineseNationalsOnly
GUANGXI
GUANGDONG
朱小北
PRCIDNumber
中国公民身份证号码
440
108
198
807
18X
XXX
填写错误时,用斜线划掉错误的内容,在旁边重新填写正确的信息,并签上申请人的名字。
不能不能用涂改液/涂改带/透明胶等工具修改!
!
1
IMM14A
AddressinCountryofOrigin/Residence
CountryofOrigin/Residence:
国家
Division/State/ProvinceofOrigin/Residence:
省份
申请人现居住地址(需详细到门牌号)
1.请根据实际情况填写在本领区内的居住地址(左例仅为填写格式参考,并非真实居住信息);2.居住地址需在本领区内(广东、广西、海南、湖南、云南、贵州);3.地址需详细到门牌号。
PrefectureofOrigin/Residence:
城市
County/DistrictofOrigin/Residence:
所属区/县
Address:
详细地址:
NO.618JIEFANGBEIROAD
在职人士职务需与在职证明上的一致/FREELANCE(自由职业)/UNEMPLOYMENT(无业)/
PARTII–OTHERDETHAOILUSSEWIFE(家庭主妇)/RETIREE(退休人员)/STUDENT(学生)/CHILD(学龄前儿童)
Occupation:
职务
HighestAcademic/Professional
NoFormalEducation
未接受正式教育
Primary
小学
Secondary
初中/高中/中专
Pre-University
大学预科
QualificationsAttained:
*最高学历Religion/Denomination:
Diploma
大专
√University
大学本科
Post-Graduate
研究生
宗教信仰/宗派
NONE(没有)/BUDDIST(佛教)/CHRISTIAN(基督教)/HINDU(印度教)/MUSUM(伊斯兰教)/SIKH(锡克教)/TAOIST(道教)
ExpectedDateofArrivalinSingapore:
预计到达新加坡的日期
DD日
MM月
YYYY年
签证类型默认选“多次入境”
TypeofVisa:
*
签证类型
Purposeofvisit:
*
SingleJourney
单次入境
√Social
DoubleJourney
两次入境
Business
TripleJourney
三次入境
√MultipleJourney
多次入境
访问类型社会交流(旅游/探亲/访友)商务
Detailsofpurpose:
访问新加坡的具体目的:
TRAVEL
TRAVEL(旅游)/BUSINESSMEETING(商务目的必须与V39表格内容一致)/VISTFAMILY(探亲)/VISITFRIEND(访友)
HowlongdoyouintendtostayinSingapore:
*
预计在新加坡停留多久
√Lessthan30days
少于30天
Morethan30days
超过30天
IfyourintendedstayinSingaporeismorethan30days,pleasestatethereasonforyourintendedlengthofstayandtheduration若预计停留超过30天,请说明理由并注明您将停留的期限。
AddressinSingapore
新加坡居住地址
1.请按实际情况填写预计在新加坡的住宿信息(下列仅为填写格式参考,并非真实酒店信息);2.如居住酒店,需要与第3页填写的新加坡联系信息一致;
3.街道名称、电话号码及大楼名称必须清晰填写。
WherewillyoubestayinginSingapore?
:
*
在新加坡何处住宿?
NextofKin’sPlaceRelative’sPlaceFriend’sPlace
√HotelOthers(Pleasespecify):
直系亲属处亲戚处朋友处酒店其他(请说明):
Block/HouseNo.:
楼号
FloorNo.:
楼层
UnitNo.:
门号
PostalCode:
邮编
StreetName:
街道名称(必填)
BuildingName:
大楼名称(必填)
SINGAPOREMARRIOTTXXX
HOTEL
ContactNo:
6586123456
电话号码(必填)
2
IMM14A
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