| PARTICULARS OF APPLICANT 申请者的个人资料 |
| Date of Birth:
出生日期
| 30/10/1963
(DD/MM/YYYY)
(日日月月年年年年)
| Sex:
性别
| FEMALE | | Marital Status:
婚姻状况
| MARRIED | |
| Name 姓名 | | Family name/Surname 姓氏 : | BOJJIREDDY | | Given Name 名字 : | KRISHNAVENI | | Alias (leave blank if not applicable)
别名 (如不适用请勿填写)
| | Family name/Surname 姓氏 : | | | Given Name 名字 : | | |
| Country of Birth:
出生国
| INDIA | State / Province of Birth:
出生州属/省份
| ANDHRA PRADESH | | Nationality:
国籍
| INDIAN | ID No.:
身份证号码
| | | Race:
种族
| INDIAN | | Religion:
信仰
| HINDU | | Religious Denomination:
教派
| | |
| Type of Travel Document Held:
所持旅行证件的类别
| OFFICIAL PASSPORT | Travel Document No:
旅行证件编号
| G5481755 | Travel Document
Issue Date:
签发日期
|
27/09/2007 |
Expiry Date:
有效期至
|
26/09/2017 | | Country of Issue:
签发国
| INDIA | Place of Issue:
签发地
| HYDERABAD | |
| Address in Singapore 在新加坡的住址 | | Block/House No.:
大牌/门牌
| 871 | Floor No.:
楼层
| 02 | Unit No.:
单位号码
| 55 | | Street Name:
街名
| STREET - 84 , TAMPINES | Postal Code:
邮区
| 520871 | | Building Name:
大厦名称
| BLOCK-871 | Tel. No.:
电话
| 67814172 | |
| Address in Country of Origin 在所属国的住址 | | Country of Origin:
所属国
| INDIA | State / Province of Origin:
所属州属/省份
| ANDHRA PRADESH | | Address:
住址
| 4-219-T, BHAVANI NAGAR, RAJAMPET, KADAPA, AP | |
| Highest Academic / Professional Qualifications Attained:
考获之最高学历/专业资格
| SECONDARY | | Type Group:
组别
| SOCIAL | | Purpose of Visit:
到访之目的
| FAMILY TAKE CARER | | Type of visa:
签证类别
| MULTIPLE JOURNEY | Period of stay:
逗留天数
| 3 MONTHS | | Nationality of Spouse:
配偶的国籍
| SINGAPORE PERMANENT RESIDENT | | PR Status or valid multiple journey visa of any other country/countries:
申请者持有以下其他国家之永久居留权或有效的多次出入境签证
| | |
| List countries in which applicant has resided for one year or more during the last 5 years
请列下在过去5年里曾经居留1年或以上的国家
| | Country:
国家
| INDIA | | Address:
住址
| 4-219-T, BHAVANI NAGAR, RAJAMPET, KADAPA, AP | | Period of Stay:
居留期
| From 2000 To 2008 (YYYY) | | | Country:
国家
| | | Address:
住址
| | | Period of Stay:
居留期
| | | | Country:
国家
| | | Address:
住址
| | | Period of Stay:
居留期
| | | |
| Please choose in the box where appropriate against the following:
请针对下列问题作答
| | (a) Have you ever been refused entry into or deported from any country, including Singapore?
您是否曾经被任何国家拒绝入境或遣送回国，包括新加坡?
| NO | | (b) Have you ever been convicted in a court of law in any country, including Singapore?
您是否曾经被任何国家的法庭定罪，包括新加坡?
| NO | | (c) Have you ever been prohibited from entering Singapore?
您是否曾经被禁止进入新加坡?
| NO | | (d) Have you ever entered Singapore using a different passport or name?
您是否曾经使用不同的护照或姓名进入新加坡?
| NO | |
| |