TRAVEL VISA PRO ORDER FORM Call us for assistance – 866-378-1722 Fax – 866-511-7599

www.TravelVisaPro.com [email protected]

CHINA VISA APPLICATION CONCIERGE SERVICE* Travel Visa Pro will review your documents and prepare application for you to sign within three hours from receipt of your forms. Requests received outside business hours (5AM PST – 5PM PST Monday-Friday) will be completed the following business morning. To engage in this service, please: Step: #1 – Complete the following pages to sign up Step: #2 – Make a copy of your passport vital pages (signature and photo page) Step: #3 – Email to [email protected] or fax to 1-866-511-7599 the following pages: a) Copy of this payment (see below) b) Copy of your passport c) Copy of handwritten application * - If you do not wish to sign up for $35 concierge service, please do application yourself on our website click here: http://www.travelvisapro.com/visa/china

Requested Processing time _________ (in business days) Documents must be in my possession by: ______________ (mm/dd/yyyy)

□ EMAIL: ___________________________________ □ FAX: ___________________________________

PLEASE RETURN THE COMPLETED FORM FOR ME TO SIGN VIA:

PAYMENT METHOD FOR APPLICABLE FEES:

$35.00 per application *______ (# of applications) = ________________(grand total) ____ Please add $25 for FedEx Priority Overnight shipping label from me to Travel Visa Pro. Will be emailed to you.

I hereby authorize Travel & Visa Pro to charge the cost of its professional visa and passport services to the following card. I agree to pay this amount to my credit card company and agree to terms and conditions. I understand that requirements, fees, and processing times are subjec to change without prior notice and all fees are non-refundable.

Name on Card:__________________________________ Signature:_________________________________ Credit Card #:_____________________________ Expiration Date: ________ / _______ Security Code: ________ mm

yyyy

Billing Address: _________________________________________________________________________________ Shipping Address: _______________________________________________________________________

□ □

Please bill the remainder of the charges to my card on file. Shipping Address is the same as billing address

In San Francisco: 2021 Fillmore St San Francisco, CA 94115 Local: (415) 229-3210 [email protected]

In Washington DC: 1802 Vernon St NW Washington, DC 20009 Local: (202) 684 7150 [email protected]

In New York: 167 Madison Ave., Ste 201 New York, NY 10016 Local: (212) 380 7866 [email protected]

In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX 77002 Local: (713) 936 0773 [email protected]

In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA 90211 Local: (310) 878 2590 [email protected]

In Seattle: 600 First Ave, Ste 425 Seattle, WA 98104 Local: (206) 855-5185 [email protected]

TRAVEL VISA PRO Call us for assistance – Toll-free: (866) 378-1722 Fax: (866) 511-7599

www.TravelVisaPro.com China Visa Concierge Form 1. Passport Information Surname: __________________

First and middle names: ________________

Place of birth (city, state, country): _______________________________________ Sex:

□M

□F

Name in Chinese characters (if applicable): Date of Birth: _____/______/______ Current Nationality: ____________

Previous Nationality: ___________

Passport number: ___________________________ Issue Date: _____/_____/_____

Expiry Date: ____/_____/_____

Place of issue: _______________________________________________________

2. Travel Information: Purpose of Visit: □ Tourism

□ Business

□ Employment

□ Study

□ Other: ________________

Intended number of entries: □ One

□ Two

□ Multiple

Date of entry: _____/_____/______ Longest intended duration of stay: ________ days Address in China (hotel or other): ________________________________________ ___________________________________________________________________ Phone number in China: __________________________ Name of contact in China: __________________________ Have you visited China before? □ Yes □ No If yes, when and why: ________________________________________________ List any other country you have visited within the last year: ______________________________

_________________________________

______________________________

_________________________________

In San Francisco: 2021 Fillmore St San Francisco, CA 94115 Local: (415) 229-3210 Email: [email protected]

In Washington DC: 1802 Vernon St NW Washington, DC 20009 Local: (202) 684 7150 Email: [email protected]

In New York: 167 Madison Ave., Ste 201 New York, NY 10016 Local: (212) 380 7866 Email: [email protected]

In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX 77002 Local: (713) 936 0773 Email: [email protected]

In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA 90211 Local: (310) 878 2590 Email: [email protected]

TRAVEL VISA PRO Call us for assistance – Toll-free: (866) 378-1722 Fax: (866) 511-7599

www.TravelVisaPro.com 3. Personal Information: Home Address: ______________________________________________________ Home Phone: _______________________________ Email Address: ______________________________ Occupation: _________________________________ Current employer or school: ____________________________________________ Business or school address: ____________________________________________ Business or school phone: ______________________________________________ Please list the following information for three family members: NAME

NATIONALITY

OCCUPATION

RELATIONSHIP

Emergency contact: __________________________________ Emergency contact’s phone number: _____________________

In San Francisco: 2021 Fillmore St San Francisco, CA 94115 Local: (415) 229-3210 Email: [email protected]

In Washington DC: 1802 Vernon St NW Washington, DC 20009 Local: (202) 684 7150 Email: [email protected]

In New York: 167 Madison Ave., Ste 201 New York, NY 10016 Local: (212) 380 7866 Email: [email protected]

In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX 77002 Local: (713) 936 0773 Email: [email protected]

In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA 90211 Local: (310) 878 2590 Email: [email protected]

YOU MUST FILL THE FOLLOWING FORM ONLY IF YOU ARE NON-US CITIZEN

In San Francisco: 2021 Fillmore St San Francisco, CA 94115 Local: (415) 229-3210 Email: [email protected]

In Washington DC:

In Houston, TX:

1802 Vernon St NW Washington, DC 20009 Local: (202) 684 7150 Email: [email protected]

3401 Louisiana St, Ste 130 Houston, TX 77002 Local: (713) 936 0773 Email: [email protected]

In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA 90211 Local: (310) 878 2590 Email: [email protected]

中华人民共和国签证申请表附表

Form V.2011B

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, or other educational institution

university

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

□ 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

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□ 博士或更高 Doctorate or higher

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: 偕行人 1/ Person 1

偕行人 2/ Person 2

偕行人 3/ Person 3

Affix here

Affix here

Affix here

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

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: 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

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

□ 有效签证 Valid visa □ 无 None

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 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 Applicant’s signature:

日期 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.

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