China  Visa  Checklist  for  Non-­‐US  Citizens    GLP  Beijing-­‐Shanghai-­‐2015  

1. Your  current  non-­‐US  passport  (and  any  other  passports  with  previous  visas  for  China,  even  if  expired).  If  you  also  have  US  citizenship,  you  must  apply  using  your  US  passport  

2. Passport-­‐style  photo  (2x2)    

3. Visa  application  (download  it  to  your  computer,  type  in  your  answers  on  the  6-­‐page  PDF,  save,  print  in  BLACK  INK  on  WHITE  PAPER  ONLY,  sign  the  forms)    

4. Copy  of  USC  student  I.D.  

5. Copy  of  your  driver’s  license  or  state-­‐issued  ID  

6. USC  support  letter  (provided  by  the  USC  staff)  

7. Flight  itinerary  (provided  by  USC  staff)  

8. Original  US  visa:  permanent  resident  (green)  card,  or  up-­‐to-­‐date  I-­‐20  and  I-­‐94  

9. Arista  Work  Order  Form  with  payment  information  

VISA  FEE  PAYMENT     By  Check:  $30.00.  (Make  your  check  payable  to  “Arista  Passport  &  Visa  Services  Inc.”)  

    Or…     By  Credit  Card:  $35.00.  (Enter  your  credit  card  info  on  the  Arista  Work  Order  Form.)  

 

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~~A~~~OO~YE$1#~ f/isa Application FUI'm of tile People's Republic of Cllina

(For the Mabdand of China only)

titA..~·~l-*"~. st4. 7tjiJt!AIP~U4 . itltlJi~~ro ;t:Jf-l 'I'~A,l:~:k.~~.BJ:.ff!!p~~. A.{£o I*J-tr'i'i&#--. -*"* *.l/i SJ ;f:i!Jf-l , ~~ " fG ' . The applicant should nn in tbis form truthfully , completely and clearly. Please type the answer in capital English

letters In the space provided or tick ('I') the relevant box to select. H some of the Items do not apply, please type N I A or None.

-, -1'-A ffi ,lffi, Part 1: Personal Information

~Last name

1.1~)(~~ t~!IJi-tijgj.iEifi!Mif, ~~-Jf Full English name 9='raJ~ Middle name

as In passport ·ll<J~~!Pil«JIIlJt.

lftUt!Photo ~ Firstname Aflb: one rec:ent c:ollll' passport

1.2 9=')(~~ 1.3 ~J~!ltf.t ffl~ photo (full fac:e, front view, bareheaded and against a plain

Name In Chinese Other name(s) light colored ba~oond).

1.4 ·~~j Sex D!JJM D ""!;: F 1.s I±!~BM DOB(yyyy-mm-dd)

1.6 JJII.:ff~- 1.7 if:ffi'!UI Former nationallty(ies) Current nationality(ies)

1.81±\~:ti!L~(rtr, ~/ftl, ~) Place of birth( city, province/state,country)

1.9 ~·6HiEt0~iiE~lij Local ID/ Citizenship number

1.10 ~ Iff( tth. :ff iiE {lj: # ~ Passportffravel document D *3t Diplomatic D 0~, '§' ~ Sen1c:e or Official

type D -ft:li Ordinary D ;ltftki!E1tf(1filt~) Other (Please specify):

1.11 ~Jm~{il! 1.12~1t B:M Passport number Date of lssue(yyyy-mm-dd)

1.13~1t~~ 1.14~~B:M Place of issue Date of e:r.piry(yyyy-mm-dd)

D mi'A Businessperson D fJJ/JJ/I.tEiSCm Former/incumbent member of parliament

D *iil liRJn Company employee J{R{i[ Position

D ~~AJn Entertainer D fJJ/JJ/I.tE:®:Jf.f'§' Jji Former/incumbent government

D IN :ft.~ Industrial/Agrkultural worker official

liR{iL Position

1.15 ~litrliR~ D ~~Student D~A Military personnel

( PJ~$:g)i) D ~~ A9i Crew member liR {iL Position Current D 13 )li! Self-employed oa:upation( s) D ~1=-iltJf.fmAAAJn NGO staff

D X~ Unemployed D *~A± ReUgious personnel

D lll-Pf\ Retired D ifllilhJ..~A~ Statfofmedla

D ;ltfm(lfilt~) Other (Please •eclfy):

1.16 ~~lfM D ~~~ Postgraduate D -};:.~College

Education D ;ltfm(l#iSt~) Other (Please •eclfy):

~:f$ ll*ffilt!i! 1.17 I f!=.l)l{iLJ~;fSt Name Phone number

Employer/School llr~ilttJ!ilfi!3 ~bi: Address Zip Code

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1.18 ~BlH±fJI: 1.19 ~~lll~.fj.q Home address Zip Code

1.20 11!1%/~:m 1.2111!-T~~m Home/mobile phone number E-mail address

1.22 tfi1ii~Pt~m. Marital status D Bf@ Married D lfi.~ Single D Jtftk Other(Please specify):

!e:~ Name 00 Mf Nationality JIR~ Occupation ~~ Relationship 1.23 .:E~~J!n!GLQ (fta~, r~- :5t-BJ. ~.iiJ~~) MI\Jor family members (spouse, chlldren,parents,et c.,may type on separate paper)

1.24 te:~ ¥-m jt~lfR~.A.ffi.m Name Mobile phone number Emergency ~~iiAB<J~~ Contact Relationship with the appUcant

1.25 *~.A. ~~:'£i!E lit nf{E (!(} j;i!l ~!!Jt:tikl8: Country or territory where the applicant is located when applying for this visa

:bttrm .~ Part 2: Travel Information

D '$'1J1/i fR] Official VIsit o 'I!UH~~' @i$, P!l~m~A.M

D /h..W/ Tourism As resident diplomat, consul or staff of international organization

D 3t:v!t, ~-. 1/ifRJ Non-businessvim D i.k?-..Mii As permanent resident

D ill.ikM J1r Business & Trade D I fF Work

D A;t~l:itt As Introduced talent D -~ As child in foster care

D t4.:fr~* As crew member

D )i;lj Transit

2.1 *iW D mWH*~tf!~~~~iilt~A:fl9='1Ei.kAMiiJ£~a<J D ~9=' 00 ~~lilt~ A:fltf' OOi.kAMiiJf~a<J;r lEA

,A:Ijt~JEI:i MI\Jor * j;i!l A Short-term visit to Chinese cltlzen or ~I! 00 ~Mit S r1: 180 13 Family reunion for over

purpose foreigner with Chinese permanent residence datus 180 days with Chinese cltlzen or foreigner with

of your visit Chinese permanent residence status D ~H!Il~~~If'F, ?F;J~$EI=rtE9='00WIWMIWa<J o *»~i~t~~I fF,?F;a~$mtE9=' oomii a<J9rOOA *lEA Short-term visit to foreigner residing in As accompanying family member of foreigner China due to work, study or other reasons residing In China due to work, study or other reasons

D mM?F;J Short-term study for less than 180 days D *»>?F;J Long-term study for over 180 days

0 m»J*1/imli AsjournaUst for temporary oews D9r Pi! 'lit llt 9=' 00 jj-pg :mtJ;Jm~ As resident Journalist coverage

D Jtftk(ijJill,I@)Other (Please specify):

D -tX( § ~~2.13 ® 31-~ :fl~) One entry vaUd for 3 months from the date of issue

2.2 -H-i!! D .::::.tX(§~~Z.I3® ~61-~:fl~) Twoentrlesvalldfor 3to6 months from the date of Issue .A:IjttXIV: D :$-~~tX ( § ~~Z. 13 ® 61-~ :fl~) Multiple entries vaUd for 6 months from the date of Issue Intended number of entries D -~~tX ( §~~2.13® 1 ~:fl~O MultlpleentrlesvaUdfor 1 year from the date of Issue

D Jtftk ( iiY"ill. I@) Other (Please specify):

2.3 ~~ ~~:bll ~Jllt* Are you applying for express service? tl:: :fm~JIIH ~®!·if .!JHitJ'l, ~:fml&l! ffl . Note: Expre1111!1'vlc:e needsappr11Y81 of 0 ~Yes 0 ~No consular offidals, and extra fees may apply.

2.4 *tX.:fr@~-ff-~tX~~9='m~13M Expected date of your flrst entry Into China on this trip (yyyy-mm-dd)

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2.s fJJ!#-trn~•?X:fi:~~m 1¥.1•-t(~f( Days Longest Intended stay In China among aU entries

BM Date W!tll:tl!!ill: DetaUed address

2.6 :fi:~ liil~tr ft (~II'JraJJ!IiJi./¥, lifl!f.HHl£;1f{~ ) Itinerary in China (in time sequence, may type on separate paper)

2. 7 -$ ~ ~ 1§. :fi: ~ 00 }UJ flij i¥J ¥Jt )fl ? Who wiD pay for your travel and expenses during your stay in China?

~~Bl~¥1\ Name

2.8 ~l:i!lil~ll-1# :l:lt:tll: Address

•1ll:BJG~ .A:rn.m. Information of li*~Et!i!S Inviter In China Phone number

~~ifA'!fr.~ Relationship with the appUcant

2. 9 no:a~~~:ffft~ OO~itt? :!411f, i#istOO:Iilli:-?X~:ff~ OO~iJEI¥3111" fiiJ~:ti!!R. Have you ever been granted a Chinese visa? If applicable, please specify the date and place of the last time you were granted the visa.

2. 10 n-* 12 ~ JJ J:j:l-j;ljfRJI¥J;ltft!!~l(BJG:ti!!JR Other countries or territories you visited In the last 12 months

~' Jtftk:¥:1Ji Part3: Other Information

3. 1 :J! :a '8 :fi: ~ ~ M1. M ~itt Bl ffl Iii i!f liT fc ilf 1¥3 }UJ ~ W Iii ? Have you ever overdayed your visa or D J! Yes D:aNo residence permit in China?

3. 2 :J!:a 'l!f~ftlffi.i!&~£~ OO~iJE. Blftl1ei!&iltA~ 00? Have you ever been refused a visa for China, or D~Yes D:aNo

been refused entry Into China?

3. 3 ;I! :atE ~ 00 BJG ;It ft!! 00 * fl m.@ iG ~ ? Do you have any crlmlnal record In China or any other D~Yes D:a No

country? 3. 4 :J!:a A if!!). r -a:-#·11~ Are you experiencing any ofthe foUowlng conditions? CDF1t:M~~.fi!J Serious mental disorder

D)! Yes D:aNo ®~~ttiDHti~fl1f Infectious pulmonary tuberculosis ®lif*~!e;1!fiHtJJ.1:1¥J;Itft!!~~fl1; Other Infectious disease of pubUc health hazards

3. Slli: 30 B ~ :J!:afl!ttft¥Jifff•[1:~fli;)~~I¥JOO*!l!C;!ik]R? Did you visit countries or territories affected D~Yes D:aNo

by Infectious diseases In the last 30 days?

3. 6:flJL~:t>t 3.1 ~J 3. 5i¥Jif{iiJ-1-fRJIJ~~ "£', iJtETOOW~iJtljlj. If you select Yes to any questions from 3.1 to 3.5, please give details below.

3. 7 WI*:«***¥1Y&mH~-'f:ri'1~~1¥J;ltftk~~iiE$il:ffl:XI¥J$~. il:tE!It!i!G~~~~. If you have more information about your visa applcatlon other tban the above to dedare,please give detaUs below or type on a separate paper.

3. 8 WI $if A~!mlf:t i¥J{lftr A~ $il A -jiiJ.~tr, il~f.'!ltr AJmftf,ljNi:fFfl:fff;Jt:fl~Mtr AWl.@.. If someone else travels and shares the same passport with the applicant , please affix their photos and give their information below.

f~trA 1 f~trA 2 MtrA 3 Person 1 Person 2 Person 3

flftrAffig MMJ!«Jt-FJ/t MJ!Iif!«Jt-FJ/t MJ!Iif!«Jt-FJ/t Information

4/]ixPitoto 4/]ixPitoto A.flixPIJoto II ere llere llere

~-1Zi Full name

fijJ Sex

~B DOB(yyyy-mm-dd)

~, PI~:&.~~ Part 4: Declaration & Signature

4.1 ~p:r~, ~BOO~:Jtl!I!M!It*~:«I*J~~*· :1tiU\1t3Tfli:J!H~g~$if;fitf41¥JJt~fi*m-trJr!-1$m*· I hereby declare that I haw read and understood all the quedions In tbis applcatlon and shall bear all the legal consequences for the authenticity of the information and materials I provided. 4. 2 ~J!I!M, ~~i'f~~~iiL ~~fiiJ;f!l!~i[, A.jj~J!rW.&:«~»J, ~IW.M:W~E8®!$'g.!JHR~. tEfiiJ::f~, ~-'i¥!ilt:!J~::f%ff;I$J m~-'i¥~~-w:E¥~~ffi~!ilt~ffi~*A.If:tm. I understand that whether to issue a visa, type of visa, number of entries, validity and duration of each stay will be determined by consular oftlclal, and that any false, misleading or Incomplete datement may result In the refusal of a visa for or denial of entry Into China. 4. 3 ~J!I!JW, .fljflf:tfit.Mft, $iiA~P1ttif~Jf:tfi~i[i'J~%fmftffif@A.;tt. I understand that, according to Chinese law, applicant may be refused entry Into China ewn If a visa is granted.

... $-iWA~.ti B.M AppUcant' s signature:, •.••.••.••.••.••.••.••.••.••.••.••.••.. Date (yyyy-mm-dd): •.••.••.••.••.••.••.••.••.••.••.•.

~: *nit 18 Jl!J:&: I¥J*Rlt~A@!ffi:$t-BJ:!ilt~~ A-ft~. Note: The parent or guardian shall sign on behalf of a minor under 18 years of age.

Part 5 : If the application form is completed by another person on the I' t' b h If. I till t th • ., ti fth h I te th ti appncan s e a , please 1 ou em orma on o eonew o comp1e s e orm

5. 1 ~.ti Name 5.2 !3$iiA:X~ Relationship with the applicant

5. 3 :f:l!!.itl: Address 5. 4 It 1:5 Phone number

5. 5 ylf l!ij Declaration

~F~;;t;:A~~~$~A~~W~~~~.iiE~$~Al!I!M:Jt~~~Jf:tm~~~~~~x~. I declare that I have assisted in the completion of this form at the requed" of the appUcant and that the appDcant understands and agrees that the information provided is true and correct.

-ft:J;lA~.tiJSignature: .••.••.••.••.••.••.••.••.••.••.••.•. B MIDate (yyyy-mm-dd): ..••.••.••.••.••.••.••.••.•.

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Form V.2011B 中 华 人 民 共 和 国 签 证 申 请 表 附 表

Supplementary Visa Application Form of the People’s Republic of China

英文姓名 Name in English

护照号码 Passport number

出生日期（年月日） Date of birth (yyyy-mm-dd)

A、如申请到中国工作，请填写。If you are applying to work in China (Z-visa), please fill out the following:

1.受教育状况 Education

□ 本科 Bachelor □ 硕士 Master’s □ 博士或更高 Doctorate or higher

□ 其他（请说明）Other (Please specify):

2.最后学习的大学名称 Name of your last school, college, university or other educational institution

3.专业 Your major or focus in studies

4.职业技术资格 Your professional or technical qualifications

5.在中国从事何种职业 Your occupation in China

6.在中国就职单位的名称、地址及联系电话 Name, address and phone number of your employer in China

7.就业许可编号 Alien Employment License Number

B、如申请到中国留学，请填写。If you are applying to study in China（X-visa）, please fill out the following:

1.受教育状况 Education

□ 本科 Bachelor □ 硕士 Master’s □ 博士或更高 Doctorate or higher

□ 其他（请说明）Other (Please specify):

2.最后学习的大学名称 Name of your last school, college, university or other educational institution

3.专业 Your major or focus in studies

4.职业技术资格 Your professional or technical qualifications

5.在中国就读学校的名称、地址及联系电话 Name, address and phone number of your school in China

6.在中国学习的专业或课程 Your major or course in China

第 2 页 共 2 页 / Page 2 of 2

C、如有使用同一本护照一同旅行的偕行人，请在下面填写偕行人情况。If someone else travelling with you shares the same passport with you, please give that person’s details below:

D、如不在国籍国申请签证，请填写。If you are applying for a visa in a country or territory other than the country of your nationality, please fill out the following:

我谨声明，我理解上述内容和问题，所有填写内容真实无误。 I solemnly declare that I understand all content and questions included on this form , and the information given

is accurate and truthful. 申请人签名 日期 Applicant’s signature: Date (yyyy-mm-dd): . 注：未满 18周岁的未成年人可由父母或监护人代签。Note: A parent or guardian may sign on behalf of a minor aged less than 18 years.

偕行人 1/ Person 1 偕行人 2/ Person 2 偕行人 3/ Person 3

1.姓名 Full name

2.性别 Sex

3.出生日期 Date of birth (yyyy-mm-dd)

4.偕行人照片 Photo(s) of the person(s) traveling with you sharing the same passport

Affix here Affix here Affix here

1.在当地的居留或停留时间？ Duration of your stay in this country or territory

□ 少于 6个月 Less than 6 months

□ 超过 6个月 More than 6 months

□ 超过 12个月More than 12 months

2.持有何种当地的有效签证或居留证件？ What kind of visa or residence permit of this country or territory do you hold?

□ 有效居留证件 Valid residence permit

□ 有效签证 Valid visa

□ 无 None

3.签证或居留证件的号码及有效日期 Number of your visa or residence permit and its expiration date

号码 Number

有效日期 Expiration date (yyyy-mm-dd)

4.持上述签证或居留许可是否被允许返回当前所在国家或地区? Do you have permission to return to this country or territory with the visa or residence permit above?

□ 是 Yes □ 否 No

5.在当地住所的邮政地址 Mailing address of your residence in this country or territory

6.在当地的联系电话 Your phone number in this country or territory

Your citizenship Fee Your citizenship Fee Your citizenship Fee Your citizenship Fee

USA $160.00 USA $140.00 China $30.00 USA $80.00

Australia $35.00 All Others $30.00 Brazil $80.00

China $80.00

Italy $80.00

S. Korea $80.00

Your citizenship Fee Your citizenship Fee Your citizenship Fee Your citizenship Fee

Brazil $31.00 China $40.00 China $23.00 China By Aptm

Gabon $31.00 India $40.00 India $23.00 India ONLINE

India $9.00 Indonesia ONLINE

Indonesia $31.00

Turkey* $31.00

China $31.00

Saudi Arabia $31.00

Your citizenship Fee Your citizenship Fee Your citizenship Fee

China $40.00 All Nationalities $20.00 All Nationalities $100.00

India $40.00

Pakistan $40.00

Check (Payable to: ARISTA Passport and Visa Services) Credit Card* (+$5)

TURKEY Visa VIETNAM VisaTHAILAND Visa

WORK ORDER FORMArista Passport and Visa Services, Inc.

2217 Olive Ave, Burbank, CA 91506 Phone: (818) 665-2051 - Fax: (818) 230-2169

E-MAIL: _________________________________ PHONE: (________) ________ - ________________

TOTAL PAYMENT :$___________

Payment Method:

CONSULATE FEES

BRAZIL Visa CHINA Visa HONG KONG Visa INDIA Visa

JAPAN Visa S. KOREA Visa SINGAPORE Visa

*NO VISA

REQUIRED for

Biometric

passport

holders from

Turkey

Web: www.aristavisa.com Email: info@aristavisa.com

(*) For Credit Card payments, please add + $5 to your visa fees to cover credit card processing charges.

Card Number: __________________________________________________ EXP.:__________

Card Holder Signature: X_____________________________________________________By signing this Work Order Form, I authorize Arista Passport & Visa Services, Inc. to process the payments made in the amount indicated below:

Please complete this form and include it with your visa requirements package to Arista.

TODAY’S DATE: ______/______/________

FULL NAME: ______________________________________________________________________

TAIWAN Visa