出入境证件申请表样表
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
出入境证件申请表样表
姓名：________________ 名字：________________
英文姓名（拼音）：
_________________________________________
出生日期：________________________________________________国籍：____________________________________________________性别：______________________ 证件类型：___________________目前职业：________________________________________________常住地址：________________________________________________电话号码：________________________ 电子邮箱：
_______________
申请出入境证件类型：
________________________________________
申请出入境证件有效期：
_____________________________________
是否有过出入境记录：
_______________________________________
是否有违法犯罪记录：
_______________________________________
紧急联系人姓名：______________________ 电话：
______________
申请人在国内的亲属情况及联系方式：
__________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________________________________________
申请人在国外的亲属情况及联系方式：
__________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________________________________________
申请人近期往来国家/地区：
__________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________________________________
申请人所需出入境证件的具体用途：
__________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ______________________________________________
申请人在国外工作/学习/居住的具体地址及联系人：
__________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________________________________________