以色列必威体育精装版 签证表.docVIP

State of Israel以色列国 Application for entry visa to Israel签证申请表 Instructions for completing application form: 申请表填写说明： Please attach a recent ID photograph. 1. 请附一张近期护照照片。 If application is not for the purpose of visit,specify 2. 如申请不是为了访问以色列，请详述 reasons and supply documentation. 申请原因，并递交相关材料。 3.Please fill in following details in Hebrew orEnglish 3. 请用希伯来文或英文填写表格。 Family name 姓 Given name 名 Father’s name 父亲姓名 Mother’s name 母亲姓名 Previous family name 曾用名 Place of birth 出生地点 Date of birth 出生日期 Occupation 职业 Present nationality 现国籍 Previous nationality 曾有国籍 Family status 家庭状况 □ Passport 护照 □ Laissez passer 临时护照 In English □ married □ single □ widowed □divorced Number 号码 Issued at 签发地点 Issued on 签发时间 valid until 有效期至 中文 □ 已婚 □ 未婚 □ 丧偶 □ 离异 Purpose of entry into Israel 进入以色列的目的 If you hold a Laissez-Passer issued by the State of your permanent residence, state whether you have a return visa and indicate its validity.若持永久居留国签发的临时护照，请说明是否具有回程签证及有效期。 permanent address abroad 中国/他国永久地址 Country 国家 Province/City 省/市 Street and house no. 街道及房号 telephone no. 电话 Address in Israel 在以色列地址 Anticipated date and place of entry to Israel 入境日期及地点 Approximate duration of stay 拟停留期限 Countries of transit 中转国 Dates of previous stays in Israel 曾在以色列停留日期 Category of previous residence permit in Israel visitor, student, tourist, temporary resident, resident, immigrant, work 曾在以色列居留许可类型（访问者、学生签证、旅游签证、临时居民、居民、移民、工作签证） 申请人随行家属详细情况 particulars of dependants included in the application 配偶 Spouse family name 姓 given name 名 maiden name 婚前姓名 father’s name 父亲姓名 place of birth 出生地点 Date of birth 出生日期 18岁以下儿童 Children under the age of 18 Given name 姓名 Place of birth 出生地点 Date of birth 出生日期 以色列联系人/亲属 Relation/references in Israel Name 姓名 Relationship关系 Address地址 声明 Declaration I declare that the particulars contained in this application are correct and have 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 ha