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PERSONAL INFORMATION
Family name
Given name(s)
Other name(s) or Former name(s)
Chinese name (if applicable, in Chinese)
Date of birth
Year
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Month
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Day
Gender
*
Male
Female
Country/Region of Birth
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Province/State of Birth
City of Birth
Marital status
*
Married
Divorced
Single
Widowed
Others
If Others, please enter details
NATIONALITY & PERMANENT RESIDENCE
Nationality
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National ID number or Ctizenship number
Do you have any other nationality?
*
Yes
No
Other nationality
Passport NO. of other nationality
ID number of other nationality
Specify why [ID number] or [Passport number] is not provided.
Do you have permanent residence of any other country or region?
*
Yes
No
Other permanent resident countries or region
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Have you ever held any other nationality?
*
Yes
No
Formal nationality
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PASSPORT
Type of passport / travel document
*
Ordinary
Diplomatic
Service
Official
Special
Other
Passport / travel doument number
If Others, please enter details
Issuing country or region
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Place of issue
Exiration date
Year
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Month
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Day
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