以色列簽證表

1、以色列國(guó) State of Israel 內(nèi)務(wù)部 Ministry of Interior簽證申請(qǐng)表 Application for entry visa to Israel申請(qǐng)表填寫(xiě)說(shuō)明： Instructions for completing application form: 1. 請(qǐng)附近期護(hù)照照片一張。1. Please attach a recent photograph.2.如不是因?yàn)樵L問(wèn)以色列而提交辭申請(qǐng)，請(qǐng)?jiān)斒鲈虿⑦f交相關(guān)材料。2. If application is not for the purpose of visit, specify reasons and supp

2、ly documentation.3.請(qǐng)用希伯來(lái)文或者英文填寫(xiě)3. Please fill in following details in Hebrew or English.姓Family name名Given name父親姓名Fathers name母親姓名Mothers name曾用名Previous family name出生地點(diǎn)Place of birth出生日期Date of birth職業(yè)Occupation現(xiàn)國(guó)際Present nationality曾有國(guó)籍Previous nationality婚姻狀況Family status 護(hù)照 Passport Laissez pas

3、ser 臨時(shí)通行證件 未婚 已婚離異 喪偶護(hù)照號(hào)碼number簽發(fā)地點(diǎn)Issued at簽發(fā)時(shí)間Issued on有效期至valid until married single widowed divorced進(jìn)入以色列的目的Purpose of entry into Israel " , .若持永久居留國(guó)簽發(fā)的臨時(shí)通行證件，請(qǐng)說(shuō)明是否具有回程簽證及簽證有效期。國(guó)定居留地址 permanent address abroad 國(guó)家Country城市City街道以及門(mén)牌號(hào)Street and house no.電話(huà)號(hào)碼telephone no.在以色列的地址 Address in Isra

4、el 擬入境日期及地點(diǎn)Anticipated date and place of entry to Israel擬停留期限Approximate duration of stay 中轉(zhuǎn)國(guó)Countries of transit曾在以色列停留日期Dates of previous stays in Israel曾入境以色列的許可類(lèi)型（訪問(wèn)；學(xué)生；旅游；臨時(shí)居留；移民；工作）Category of previous residence permit (visitor, temporary resident, resident, immigrant, work)申請(qǐng)人隨行家屬詳細(xì)情況particul

5、ars of dependants included in the application配偶spouse姓f(shuō)amily name名given name婚前姓maiden name父親姓名fathers name出生地點(diǎn)place of birth出生日期Date of birth歲以下未成年人18Children under the age of 18姓名Given name出生地點(diǎn)Place of birth出生日期Date of birth1.2.3.以色列聯(lián)系人/親屬Relation/references in Israel姓名name關(guān)系relationship地址address1.

6、2.聲明declaration1.我聲明，以上申請(qǐng)表中所填寫(xiě)的所有信息均屬實(shí)，并將作為審核申請(qǐng)的依據(jù)。我無(wú)任何危害猶太人民或以色列國(guó)安全的犯罪記錄，且沒(méi)有任何危害公共健康的疾病。我無(wú)任何司法限制，也未被任何國(guó)家的警方通緝。2.我聲明，我沒(méi)有受到任何出行限制，也未曾被以色列禁止入境，我知曉若因我受到此類(lèi)的限制，我將會(huì)被拒絕入境并遣送回原籍國(guó)。3我知曉若我填寫(xiě)虛假信息即使申請(qǐng)得到簽證，一旦查明，以色列內(nèi)務(wù)部將仍有權(quán)力拒絕我入境以色列。1. I declare that the particulars contained in this application are correct and hav

7、e been made in awareness of the fact that they are to serve as basis for the consideration of my application. I also declare that I have not committed any criminal offence or any act directed against the Jewish people or the security of the state of Israel and that I am not affected with any illness

8、 which might endanger public health. There is no judicial warrant against me and I am not wanted by the police of any country.2. I hereby declare that I have not been issued with a restraining order. Furthermore, I have not been denied entry into Israel. I am aware that if a preventive order of this kind has been issued against me, I will be denied entry into Israel, and will be sent back to my country of origin.3. I am also aware that the receipt of a visa does not in any way invalidate the right of the Israel Ministry of the Interior to deny my entry into the territory of the State