OfficePLUS-新加坡簽證申請表

1、Affix a rece ntPassport-sizephotographhere貼上近期護(hù)照照片一張: 簽證申請表格（請用英語填寫）電話FORM 14ANotes:IMMIGRATION ACT CHAPTER 133, SECTION -55（1） * Tick （訝 where appropriate PASSPORTS ACT No. 33 of 2007請?jiān)谶m用處打勾（V）APPLICATION FOR AN ENTRY VISA（申請入境簽證）PART I -PARTICULARS OF APPLICANT申請者信息Name:Name as in Travel DocumentA

2、lias （別名）姓名（根據(jù)旅游證件格式 英文填寫）Date of Birth:岀生日期D D （日）M MSex:* 性別Female 女匸Male男（月）Y Y Y Y （年）Marital Status:* | | Single Married 口 Separated Divorced Widowed 婚姻狀況單身已婚分居離婚喪偶國籍Type of Travel Document Held:所持旅游證件種類（如：護(hù)照、身份證書、臨時(shí)身份證明等（e.g. Passport, Certificate of Identity, Document of Identity, etc）Travel

3、Document No.:旅游證件號碼Travel DocumentIssued Date: Date:旅游證件簽發(fā)日期 （年）I1ExpiryD D （日）M M （月） Y Y Y Y （年）Country of Issue: 簽發(fā)國家Place of Issue:簽發(fā)地點(diǎn)有效期至D D （日）M M （月） Y Y Y YCountry of Origin: 所屬國家Address in Country of Origin 所屬國家地址Division/State/Province of Origin:所屬省份Prefecture of Origin 所屬城市County/Distric

4、t of Origin 所屬縣/區(qū)Address :地址PART II -OTHER DETAILS其他信息Occupation: 職業(yè)Highest Academic/Professional Qualifications Attained: 最高學(xué)歷Religion/Denomination: 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(yù)計(jì)到訪新加坡的日期/欲申請簽證的期限How long do you intend to stay in

5、 Si ngapore ?* Up to 30 days More than 30 days您預(yù)計(jì)在新加坡居留多久？最多30天超過30天If your intended stay in Singapore is more than 30 days, please state the reason for your intended length of stay and the duration.若您預(yù)計(jì)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:* 口 Singapore Citizen匚| Singapore Permanent Re

6、sident配偶國籍新加坡公民新加坡永久居民 Others （Please Specify）其他（請注明）Address in Sing apore在新加坡的地址Where will you be staying in Sing apore ?*您將在新加坡何處住宿?口 Next-of- kin ' s Place Relative Specify） 直系親屬處明）s Place Friend親戚處s Place Hotel朋友處口 Others （Please酒店其他（請注Block/House No.（門號）:（樓號）：Postal Code（樓層）（郵編）Street Name:

7、 電話號碼Tel No: 街道名字Building 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？口 Yes 是口 No否If yes, please furnish details若是，請?zhí)峁┫嚓P(guān)詳情Period of Stay居留日期Country 國家Address 地址From 從To至申請人申請背景PART II

8、I -ANTECEDENT OF APPLICANT *Yes是No否是No否曾被禁止進(jìn)入(a) Have you ever been refused entry into or deported from any country, including Singapore?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? Yes您是否曾在任何國家(包括新加坡)的法律下被宣判有罪？(c) Have you ever be

9、en prohibited from entering Singapore?Yes 是 No 否 您是否新加坡？Yes是No否(d) Have you ever entered Singapore using a different passport or name?您是否曾用其他名字或護(hù)照進(jìn)入新加坡?If any of the answer is“YES” , please furnish details on a separate she若以上任何一個(gè)問題答案為"是”，請用另一頁紙?zhí)峁┰斍椤ART IV - DECLARATION BY APPLICANT(申請人宣誓)I de

10、clare that the particulars and documents furnished in respect of this application are true and corre本t人謹(jǐn)此聲明,本人在這份申請書里所提供的一 切資料均屬實(shí)與正確。I undertake not to misusecontrolled drugs or to take part in any political or other activities during my stay in Singapore which would make me an undesirable or prohib

11、ited 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(dòng)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(dòng)。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 in force in Singapore本人

12、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 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 is本人保證不沉溺于 任何不符合貴局簽發(fā)移民證件原意的活動(dòng)。I further

13、 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(jìn)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(zhǔn)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 overstaying or working illegally in S

14、ingapore is a serious offence and on conviction, the penalties may include mandatory imprisonmentorand caning.本人知道，在新加坡逾期居留或非法工作是很嚴(yán)重的罪行，而且罪名成立時(shí)的懲罰可能包括強(qiáng)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 undertaking or becomes an und

15、esirable prohibited immigrant, he will cancel my immigration pass and the passes ofthe membersof 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(guān)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(dān)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(shí)之內(nèi)離開新加坡。ry atI understand that this application for and possession of a visa does not guarantee entry into Singapore and permission to entry is entirely discretions 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(dān)保，本人能否入境，全視臨入境前的情況而定。I give my