Ibania

VISA APPICATION FOR CANADA

Please attach two 2 ’ x 2 head & shoulder photos in color ( taken within the last six months )

VISAAPPLICATION FORM FOR ENTRY INTO TAIW AN, REPUBLIC OF CHINA
Theapplicant must sign this form. Applicants who have not reached the age of majority must have the form signed by a parent or legal guardian. Please complete all sections in BLOCK LETTERS

WHICH CATEGORYOF VISA ARE YOU APPLYING FOR？ Category Visitor visa Resident visa Group visitor visa Entry Single Multiple

Diplomatic visa

Courtesy visa

APPLICANT’S DETAILS：
名 Given name(s)

姓 Surname(exactly as in passport)

Former or other name (if any ) name (if any) Nationality Sex
Year

Former or other nationality (if any) Male
Month

Female
Day

Marital status
(City)

SingleMarried
(Country)

Widowed

Separated

Divorced

Date of birth Occupation

Place of birth Name of employer or school

Address and telephone number in …………………………………………………. Permanent addressand telephone number in home country APPLICANT’S PASSPORT： Type Diplomatic No. Date of expiry
Year Month Day

Official

Regular

Other; Please specify

Date of issue

Place of issueJOURNEY TO TAIWAN, R.O.C.：
Purpose of travel Tourism Business Transit Study Employment Joining family

Other; (please specify)
Year Month 日Day Year Month Day

Proposed date of arrival Particularsof Reference in Taiwan(if applicable)： Name ROC ID / ARC No. of your reference…………… Telephone No. Residential address

Duration of intended stay

Relationship to applicant

Office telephone No.ALL APPLICANTS ARE REQUIRED TO READ AND CHECK THE APPROPRIATE BOX FOR EACH :
Have you had any criminal record within or outside the territory of the R.O.C. or have you ever been denied entry,ordered to leave or deported by the R.O.C. government？…..…………………………………………………………..….. □Yes….□NO Have you ever entered Taiwan, R.O.C. illegally？……………………………………………………………………………□Yes….□NO Have you ever been...