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1、Tel: 電話Notes:* Tick ( V) where appropriate 請在適用處打勾(V簽證申請表格(請用英語填寫)FORM 14AIMMIGRATION ACT CHAPTER 133, SECTION-55(1)PASSPORTS ACT No. 33 of 2007 APPLICATION FORAN ENTRY VISA(申請入境簽證)Affix a rece ntPassport-sizephotographhere貼上近期護照照片一張申請者信息PART I -PARTICULARS OF APPLICANTDate of Birth:I1Sex:*性別匚| Male

2、男匚| Female女D D (日)M M (月)Y Y Y Y (年)Marital Status:*口 Single1 1 Married口 Separated 口 Divorced 口 Widowed婚姻狀況單身已婚分居離婚喪偶Cou ntry of Birth: 出生國家State/Provi nee of Birth: 出生省份Race: ( e.g. Malay, Indian, Chinese, Caucasian, etc 種族(如馬來人、印度人、Nati on ality: 國籍Expiry Date:有效期至D D (日)M M (月)Y Y Y Y (年)華人、歐亞人等)

3、Type of Travel Docume nt Held:所持旅游證件種類(如:護照、身份證書、臨時身 份證明等)(e.g. Passport, Certificate of Identity, Docume nt of Ide ntity, etc)Travel Docume nt No.:旅游證件號碼Travel Docume ntIssued Date:旅游證件簽發(fā)日期Country of Issue: 簽發(fā)國家Place of Issue:簽發(fā)地點D D (日)M M (月)Y Y Y Y (年)IMM 14A-4 -THIS FORM IS ISSUED FREE此表免費分發(fā)(只限

4、用于中國國內(nèi))Address : 地址PART II -OTHER DETAILS其他信息Occupati on: 職業(yè)Highest Academic/Professio nal Qualificati ons Atta in ed: 最高學歷Religio n/De no mi natio n: 宗教信仰/宗派Purpose of visit : 到訪目的Date of Intended Arrival in Singapore / Period of Visa Applied For: 預計到訪新加坡的日期/欲申請簽證的期限How long do you intend to stay i

5、n Sin gapore ?* 您預計在新加坡居留多久?ZZI Up to 30 days最多30天1 More than 30 days 超過30天If your inten ded stay in Sin gapore is more tha n 30 days, please state the reas on for your inten ded len gth of stay and the duratio n.若您預計將在新加坡居留超過30天,請說明理由并注明您將居留的期限。Nationality of Spouse:*I I Singapore Citizen配偶國籍新加坡公民I

6、 I Others (Please Specify) 其他(請注明)Address in Singapore在新加坡的地址口 Sin gapore Perma nent Reside nt 新加坡永久居民Where will you be stay ing in Sin gapore ?*您將在新加坡何處住宿? Next-of-ki n Place 直系親屬處Relati ve親戚處PlaceFri end Place 口 Hotel朋友處酒店Others (Please Specify) 其他(請注明)Block/HouseNo.(樓號)InitNc (門號)Postal Crda (郵編)

7、:Street Name: 街道名字Tel No: 電話號碼Buildi ng Name:大樓名稱Did you reside in other countries, other than your country of origin, for one year or more during the last 5 years ?* 您是否在過去5年內(nèi),除了在您所屬國家外,在其他國家居留一年或以上?O Yes 是 No 否If yes, please furnish details若是,請?zhí)峁┫嚓P詳情Period of Stay 居留日期Country 國家Address 地址From 從To至

8、PART III -ANTECEDENT OF APPLICANT *申請人申請背景Yes是No否Yes是No否Yes是No否Yes是No否(a) Have you ever bee n refused entry into or deported from any cou ntry, in cludi ng Sin gapore?您是否曾被任何國家(包括新加坡)拒絕入境或遣返回國?(b) Have you ever been convicted in a court of law in any country, including Singapore?您是否曾在任何國家(包括新加坡)的法律下

9、被宣判有罪?(c) Have you ever been prohibited from entering Singapore?您是否曾被禁止進入新加坡?(d) Have you ever en tered Sin gapore using a differe nt passport or n ame?您是否曾用其他名字或護照進入新加坡?If any of the answer is YES please furnish details on a separate sheet of paper.若以上任何一個問題答案為是,請用另一頁紙?zhí)峁┰斍?。PART IV - DECLARATION BY

10、APPLICANT(申請人宣誓)I declare that the particulars and documents furnished in respect of this application are true and correct.本人謹此聲明,本人在這份申請書里所提供的一切資料均屬實與正確。I undertake not to misuse controlled drugs or to take part in any political or other activities during my stay in Singapore which would make me an

11、 undesirable or prohibited immigrant under the Immigration Act.本人保證在居留新加坡期間不濫用受管制藥物,或參加任何政治性活動或其他足以使本人成為在移民法令下不受歡迎或被禁入境人士的活動。I undertake to comply with the provisions of the Immigration Act and any regulations made thereunder or any statutory modification or re-enactment thereof for the time being i

12、n force in Singapore.本人保證遵守移民法令的規(guī)定以及該法令下的任何條列,或新加坡現(xiàn)行的對該法令所作的任何法定修改或重新制定。I undertake not to involve in any criminal offences in Singapore.本人保證在新加坡期間不涉及任何刑事罪行。I undertake not to indulge in any activities which are inconsistent with the purpose for which the immigration passes have been issued 本人保證不沉溺于

13、任何不符合貴局簽發(fā)移民證件原意的活動。I further undertake not to be engaged in any form of employment, business or occupation whilst in Singapore without a valid work pass issued under the Employment of Foreign Manpower Act ( Cap. 91A ).本人進一步保證在居留新加坡 期間,在沒持有外國勞工雇傭法令簽發(fā)的工作準證 的情況下,不參與任何形式的就業(yè),商業(yè)或職業(yè)。I am aware that oversta

14、ying or working illegally in Singapore is a serious offence and on conviction, the penalties may include mandatory imprisonment and caning.本人知道,在新加坡逾期居留或非法工作是很嚴重的罪行,而且罪名成立時的懲罰可能包括強制性監(jiān)禁和鞭刑。I understand that if the Controller of Immigration is satisfied that I or any member of my family breaches this

15、undertaking or becomes an undesirable or prohibited immigrant, he will cancel my immigration pass and the passes of the members of my family, and we may be required to leave Singapore within 24 hours of such cancellation.本人明白,如果移民與關卡局總監(jiān)確信本人或本人任何一名家庭成員違背了這份擔保書或成為不受歡迎或被禁入境人士,他將取消我與我家人的移民證件,而我們可能必須在證件被取消后24小時之內(nèi)離開新加坡。I understand that this application for and possession of a visa does not guarantee entry into Singapore and permission to entry is entirely discretionary at the point of entry.本人明白,提呈這份簽證申請書以及持有簽證都不能成為入境擔保,本人能否入境,全視臨入境前的情況而定。I give my

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