Accommodation Registration Form for Foreign Nationals
外国人住宿登记表
No.
英文姓 Surname |
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英文名 Given Name |
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中文姓名（选填）Name in Chinese (If Any) |
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性别 Sex |
男（M）○ 女（F）○ |
国籍 Nationality |
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职业 Occupation |
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出生日期 Date of Birth |
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身份证件 Passport/Certificate Of Identification |
种类Type |
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号码No. |
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停（居）留证件 Visa/Resident Permit |
种类Type |
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有效期限Validity |
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号码No. |
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签证机关Issued by |
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来华事由 Purpose of Stay in
China
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工作机构 Employer |
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入住日期 Move-in Date |
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拟离开日期 Date of Departure |
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住房种类 Type of Accommodation |
宿舍Dormitory ○ 居民家Home Stay○ 出租房屋Rented House ○ 自购房屋Self-purchased House ○ 其他Others ○ |
住 址 Address |
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本人联系电话 Telephone Number |
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房主姓名 Name of Home Owner |
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房主身份证号码 ID No. of Home Owner |
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房主电话 Home Owner’s Telephone Number |
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紧急情况下的联系人 Contact in Emergency |
联系电话 Telephone Number |
备注 Remarks |
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申报人签名： 填表日期： 日 月 年
Signature: Date:
公安派出所盖章：
Seal of Police Station:
Accommodation Registration Form for Foreign Nationals.doc
