Name:
Sex:
Nationality:
Photo
Date of birth:
Place of birth:
Occupation:
Type and number of Passport or ID card:
Tel:
Address:
Documents for attestation:
1. 4.
2. 5.
3. 6.
Purpose of this attestation:
The attested documents will be submitted to which authority in China:
Note: Please attach a set of copies of all the documents to be attested, copy of Passport/ID card and other supporting documents.
I hereby declare that the information given above is true, correct and complete. I shall bear the legal responsibility for the above information.
Signature of the applicant: Year Month Day
For official use:
???:
?/???:
???
??
