<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<title>麦子(MAGE) ERP</title>
</head>
<body>
<div id="app" class="page_vpf" style="width:100%;background-color: white;" v-cloak>
<div class="page_vpf" style="width:100%;background-color: white;" v-cloak>
<div class="page_VisaPersonalForm" style="margin: 0 auto;max-width: 793px;min-width: 793px;background-color: white;padding:50px 25px;height: auto !important;margin-bottom: 20px">
<div class="_vp_box" style="margin:0 20px;overflow: hidden;">
<p style="margin: 5px 0 ;text-align: center;font-size: 22px;letter-spacing:20px;white-space: nowrap;" class="_tit">赴日签证申请表</p>
<div class="_head clearfix" style="text-align:center;margin-top: 20px;display: flex;align-items: center;justify-content: space-between;">
<div style="display: inline-block;border: 1px solid #000;margin-top: 45px;margin-left: 280px;width: 190px;height: 72px;line-height: 72px;font-size: 12px" class="_left">此处空白处仅供官方使用</div>
<div style="display: inline-block;height: 170px;width: 170px;border: 1px solid #333;margin-right: 50px;font-size: 12px;line-height: 40px" class="_right">贴</br>照</br>片</br>处</div>
</div>
<div class="_form" style="margin-top: 20px;font-size: 14px;">
<p style="margin: 5px 0 ;margin: 10px 0;white-space: nowrap;" class="_f_name">
<span class="_fn_left" style="width: 69%;display: inline-block">姓(请按照护照填写)(英文)<span style="width: 58.2%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$Name$</span></span>
<span class="_fn_right" style="width: 30%;display: inline-block">(中文)<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span>
</p>
<p style="margin: 5px 0 ;margin: 10px 0;white-space: nowrap;" class="_f_name">
<span class="_fn_left" style="width: 69%;display: inline-block">名(请按照护照填写)(英文)<span style="width: 58.2%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span>
<span class="_fn_right" style="width: 30%;display: inline-block">(中文)<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;margin: 10px 0;white-space: nowrap;" class="_f_name">
<span class="_fn_left" style="width: 69%;display: inline-block">曾用名(如有)(英文)<span style="width: 66.3%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span>
<span class="_fn_right" style="width: 30%;display: inline-block">(中文)<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span>
</p>
<p style="margin: 5px 0 ;margin-bottom:0;white-space: nowrap;">
<span>出生日期<span style="border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block;width: 20%;">$$</span></span>
<span>出生地点<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span>
</p>
<p style="margin: 5px 0 ;margin: 0;white-space: nowrap;" class="_tips"><span class="_left" style="display: inline-block;font-size: 10px;padding-left: 140px;">(年)/(月)/(日)</span><span class="_right" style="display: inline-block;font-size: 10px;padding-left: 240px;">(省) (市)</span></p>
<p style="margin: 5px 0;white-space: nowrap;" class="_f_sex">
<span class="_fx_left" style="display: inline-block;margin-right: 133px;margin-left: 0!important;display: inline-block;margin-left: 180px">性别 <span> 男<i v-if="infoData.PeopleModel.Sex!='1'" style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i><i v-else style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span><span>女<i v-if="infoData.PeopleModel.Sex!='2'" style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i><i v-else style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span>
</span>
<span class="_fn_right">婚姻状况
<span class="_mr10 _MarriageType" style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>已婚<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span>
<span class="_mr10 _MarriageType" style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>离异<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
<span class="_mr10 _MarriageType" style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>未婚<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
<span class="_mr10 _MarriageType" style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>丧偶<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
<span class="_mr10 _MarriageType" style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>其他<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
</span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>国籍（或公民身份）<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"> <span>曾有的或另有的国籍（或公民身份）<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>身份证号码<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block" >$$</span></span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>护照类别</span>
<!-- PassportType -->
<span style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>外交<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
<span style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>公务<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
<span style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>普通<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span>
<span style="margin-right: 10px;display: inline-block;margin-left: 180px;margin-left: 0!important"><span>其他<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>护照号码<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span></p>
<p style="margin: 5px 0 ;white-space: nowrap;margin-bottom: 0" class="_mb0">
<span>签发地点<span style="width: 55.1%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
<span>签发日期<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;margin: 0;white-space: nowrap;font-size: 10px;text-align: right;padding-right: 78px" class="_tips _date"><span>(年)/(月)/(日)</span></p>
<p style="margin: 5px 0 ;white-space: nowrap;margin-bottom: 0" class="_mb0">
<span>签发机关<span style="width: 55.1%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
<span>有效日期<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;margin: 0;white-space: nowrap;font-size: 10px;text-align: right;padding-right: 78px" class="_tips _date"><span>(年)/(月)/(日)</span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>赴日目的<span style="width:100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>预定在日逗留日期<span style="width:30%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>～<span style="width:26%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></p>
<p style="margin: 5px 0 ;white-space: nowrap;"><span>预定在日逗留期间<span style="width:30%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span> 天</p>
<p style="margin: 5px 0 ;white-space: nowrap;" class="">
<span>入境口岸<span style="width: 34%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display:inline-block">$$</span></span>
<span>船舶或航空公司名称<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display:inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">申请人在日拟入住的酒店名称或友人姓名及住址</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>酒店名称或友人姓名<span style="width: 38%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
<span>电话<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<br/>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>地址<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>上次赴日日期及停留时间<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">家庭地址（如有多处居住地，请全都写上)</p>
<br/>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>地址<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>电话<span style="width: 15%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
<span style="display: inline-block;margin-left: 130px;">手机<span style="width: 85%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">工作单位名称及地址</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>名称<span style="width: 44%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display:inline-block">$$</span></span>
<span>电话<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display:inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>地址<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>目前的职位<span style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;display: inline-block">$$</span></span>
</p>
</div>
</div>
</div>
<div class="page_VisaPersonalForm" style="margin: 0 auto;max-width: 793px;min-width: 793px;background-color: white;padding:50px 25px;height: auto !important;margin-bottom: 20px">
<div class="_vp_box" style="margin:0 20px;overflow: hidden;">
<div class="_form">
<p style="margin: 5px 0 ;white-space: nowrap;">*配偶所从事的职业（如果申请人是未成年人，请填写父母的职业）</p>
<p style="margin: 5px 0 ;white-space: nowrap;"><input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></p>
<p style="margin: 5px 0 ;white-space: nowrap;">在日担保人(请填写担保人的详细内容)</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>姓名<input style="width: 48%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" value='参照"身元保证书"'></span>
<span>电话<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ;margin-top: 20px;;white-space: nowrap;">
<span>地址<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;margin-bottom: 0" class="_mb0">
<span>出生日期<input style="width: 11%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
<span class="_sex" style="display: inline-block;margin-left: 180px">性别:<span> 男<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>女<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span></span>
</p>
<p style="margin: 5px 0 ;text-align: left;padding-left: 120px;;white-space: nowrap;font-size: 10px;text-align: right;padding-right: 78px" class="_tips _date"><span>(年)/(月)/(日)</span></p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>与申请人的关系<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>职业和职务<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>国籍(或公民身份)及签证种类<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ;white-space: nowrap;">
<span>*备注/其他需特殊声明的事项（如有）<input style="width: 100%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text" ></span>
</p>
<p style="margin: 5px 0 ">是否:</p>
<p style="margin: 5px 0 "><span>● 在任何国家曾被判决有罪？</span> <span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 "><span>● 在任何国家曾被判处一年或一年以上徒刑？**</span> <span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 "><span>● 在任何国家曾因非法滞留或违反该国法律法规而被驱逐出境？</span> <span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 "><span>● 因违反任何国家关于取缔毒品、大麻、鸦片、兴奋剂或精神药物的法律法规被</span> </p>
<p style="margin: 5px 0 "><span> 判刑？**</span><span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 "><span>● 从事卖淫活动或曾为卖淫中介、拉客，或曾为卖淫或其他与卖淫有直接联系的</span> </p>
<p style="margin: 5px 0 "><span> 活动提供场所？</span><span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 "><span>● 有过贩卖人口的经历或教唆或协助他人从事贩卖人口的活动？</span> <span class="_sex _yes" style="display: inline-block;margin-left: 180px;float: right"><span> 是<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px"></i></span><span>否<i style="display: inline-block;width: 12px;height: 12px;border: 1px solid #000;margin: 0 5px">√</i></span></span> </p>
<p style="margin: 5px 0 ;font-size:10px;white-space: nowrap;" >**若您曾被判刑，即使该刑罚为缓期执行，请选择“是”。</p>
<br/>
<p style="margin: 5px 0 ;white-space: nowrap;">若以上问题的回答中有“是”的，请说明具体情况。</p>
<p style="margin: 5px 0 ;height:64px;border: 1px solid #000;width:97%;white-space: nowrap;">
</p>
<div>
<p style="margin: 5px 0 ;white-space: nowrap;">本人特此声明：上述填写内容真实且无误。本人了解入境身份及在日停留期限将在入境日本时由日本入国管理局决定。</p>
<p style="margin: 5px 0 ;white-space: nowrap;">本人知悉，签证并非授予持有者进入日本的权利，如果签证持有者在到达港口时被发现属于不允许入境的情况，亦无权</p>
<p style="margin: 5px 0 ;white-space: nowrap;">进入日本。</p>
<p style="margin: 5px 0 ;white-space: nowrap;">本人特此同意：我（通过指定的且有签证代办权的旅行社）向日本使馆/总领馆提交个人材料。以及当需要支付签证费</p>
<p style="margin: 5px 0 ;white-space: nowrap;">时，（委托代办机构）向日本使馆/总领馆支付签证费。</p>
</div>
<div style="margin-top:45px;margin-bottom:15px">
<p style="margin: 5px 0 ;white-space: nowrap;margin-bottom: 0" class="_mb0"><span>申请日期</span><input style="width: 15%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text"><span style="display: inline-block;margin-left: 100px;">申请人签名</span><input style="width: 15%;border: none;border-bottom: 1px solid #000;padding: 0 20px;margin-left: 10px;outline: none" type="text"></p>
<p style="margin:0;white-space: nowrap;"><span style="padding-left: 110px; font-size: 10px;">(年)/(月)/(日)</span></p>
</div>
<p style="margin: 5px 0;font-size:8px;white-space: nowrap;" >* 可不填写</p>
<p style="margin: 5px 0 ;white-space: nowrap;">签证申请中提交的任何个人信息以及追加材料所涉及的个人信息（以下简称“保留的个人信息”）将依照行政机关保护</p>
<p style="margin: 5px 0 ;white-space: nowrap;">个人信息法（第58号法案，2003，以下简称“该法”），被恰当的处理。保留的个人信息仅会被用做处理签证申请的目</p>
<p style="margin: 5px 0 ;white-space: nowrap;">的以及该法中第八条款所认定的必要目的范围之内。</p>
<p style="margin: 5px 0 ;text-align: right;font-size:10px;white-space: nowrap;" >(H24.05改訂)</p>
</div>
</div>
</div>
</div>
</div>
</body>
</html>