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Please take down the Application Form Number below. When making appoinment and reviewing, you will need the Application Number. You will have access to downloading the Application Form after reading this page and clicking the button" I have studied and been aware of the Application Form Number ".
ALG2240531AL2297504
Section 10 - Declaration / Review
Section 1 - Personal Information | Edit |
| Name - Family name (as shown on your passport or travel document) | AMMARCHA |
| Name - Given name(s) (as shown on your passport or travel document) | SAMIR |
| Name - Former name(s) - Leave empty if not applicable | Samir |
| Name - Chinese name (if applicable, in Chinese) | عمارشة سمير |
| Name - Your own photos |  |
| Date of birth(yyyy-MM-dd) | 1979-07-10 |
| Gender | Male |
| Place of birth - Country / Region | Algeria |
| Place of birth - Province / State | AIN DEFLA |
| Place of birth - City | KHEMIS MILIANA |
| Marital status | Single |
| Nationality and permanent residence - Current nationality | Algeria |
| Nationality and permanent residence - National ID number | 109791420018950008 |
| Nationality and permanent residence - Do you have any other nationality(ies)? | No |
| Nationality and permanent residence - Other permanent resident countries or region | 0 |
| Nationality and permanent residence - Have you ever held any other nationality(ies)? | No |
| Passport - Type of passport / travel document | Ordinary |
| Passport - Passport / travel document number | 305954850 |
| Passport - Issuing country or region | Algeria |
| Passport - Issuing place | KHEMIS MILIANA |
| Passport - Expiration date - (yyyy-MM) | 2034-05-19 |
Section 2 - Application Information | Edit |
| Types of visa and major purpose of your visit to China | (L)Tourism (L) Independent tourist |
| Service - service | Normal |
| Visa Details - Validity of visa (months) | 24 |
| Visa Details - Maximum duration of longest stay (days) | 90 |
| Visa Details - Entries | Multiple |
Section 3 - Work Information | Edit |
| Current occupation | Company employee |
| Work experience in the past 5 years | Date from:2019-04,Date to:2023-10,Name of employerCSCEC ALGERIE,Address of employerBABA ALI,Telephone number of your employer0792352606,Name of supervisorzhao rui,Telephone of supervisor:55266532,Position:HVAC EXPERT ENGINEER,Duty:HEATING AND COOLING SYSTEM EXECUTION FOR MILITARY AIR BAS COMMAND Date from:2024-05,Date to:2024-06,Name of employerENT.GRAND TRAVAUX PUBLICS ET HYDRAULIQUES,Address of employerLES AMANDIERS,Telephone number of your employer0661448076,Name of supervisorJAMAL,Telephone of supervisor:0661448076,Position:HVAC EXPERT ENGINEER,Duty:HEATING AND COOLING SYSTEM EXECUTION FOR MILITARY AIR BAS COMMAND |
Section 4 - Education | Edit |
| Highest diploma/degree | Diploma / degree:Graduate or other equivilent study,Major:HVAC ENGINEER,Name of institution:KHEMIS MILIANA |
Section 5 - Family Information | Edit |
| Current residence address | 08 EPLF VILLA CADET |
| Phone number / mobile number | 0792352606 |
| Cellphone | 0792352606 |
| Email address | samir.ammarcha@gmail.com |
| Family members - Father | Family name:AMMARCHA,Given name(s):AHMED,Nationality:Algeria,Date of birth:1947-05-08,Is your father in China:No,Status in China: |
| Family members - Mother | Family name:SEFFAHLOU,Given name(s):AICHA,Nationality:Algeria,Date of birth:1956-04-04,Is your mother in China:No,Status in China: |
| Family members - Child(ren) | Not Applicable |
Section 6 - Travel Information | Edit |
| Itinerary - Intended date of arrival | 2024-07-26 |
| Itinerary - Number of arrival train / ship / flight | AhH3060 -AIR ALGERIE |
| Itinerary - City of arrival | Beijing |
| Itinerary - Destinations | City:Beijing,Address:东城区北新桥三条5号 北京华侨夜泊君亭酒店,Date of arrival:2024-07-26,Date of departure:2024-08-02 City:Dalian,Address:长江路123号 大连日航饭店,Date of arrival:2024-08-02,Date of departure:2024-08-23 |
| Itinerary - Intended date of departure | 2024-08-23 |
| Itinerary - Number of arrival train / ship / flight | AH3061 |
| Itinerary - City of departure | Beijing |
| Inviting person or organization in China - Name | 王怀萱 |
| Inviting person or organization in China - Relationship to you | 朋友 |
| Inviting person or organization in China - Phone number | +8613942077521 |
| Inviting person or organization in China - E-mail address | 8027633@qq.com |
| Inviting person or organization in China - Province /state | LiaoNing |
| Inviting person or organization in China - City | Dalian |
| Inviting person or organization in China - Postalcode | 116001 |
| Emergency contact - Family name | 王 |
| Emergency contact - Given name(s) | 怀萱 |
| Emergency contact - Relationship to you | 朋友 |
| Emergency contact - Phone number | +8613942077521 |
| Emergency contact - E-mail address | 8027633@qq.com |
| Who will pay for this travel | Self |
| Travel companion(s) for this visit - Are you travelling with Someone Sharing the Same Passport? | No |
Section 7 - Travel Infomation in the past | Edit |
| Have you been to China - Have you been to China？ | No |
| Previous Chinese visa - Have you ever been issued a Chinese visa? | No |
| Valid other country’s visa - Do you currently hold any valid visas issued by other countries? | No |
| Countries visited in the past 12 months-Have you travelled to any other countries or territories in the past 12 months? | No |
Section 8 - Other Information | Edit |
| Have you ever get any refusal of a visa for china or denial of entry into China? | No |
| Has any of your Chinese visa applications ever been declined? | No |
| Have you ever entered into China illegally, overstayed or worked illegally? | No |
| Do you have any criminal record in China or in any other country? | No |
| Do you have any serious mental disorder or infectious disease? | No |
| Have you ever visited countries or territories affected by infectious diseases in the last 30 days? | No |
| Do you have any special skills or have you ever been trained in the field of firearms, explosives, nuclear devices, biological or chemical products? | No |
| Have you ever served in the military? | No |
| Have you served or participated in any paramilitary organisations, civil armed units, guerrilla forces or rebellion organisations, or been a member thereof? | No |
| Have you belonged to, contributed to, or worked for any professional organisations? | No |
| Is there anything else you want to declare? | No |
Section9 - Mailing information | Edit |
| Would you choose to send your passport to the visa center? | No |
| How are you going to collect your passport? | By visting the Visa Center |
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