Á¦¸ñ | ½Ì°¡Æú ÃâÀÔ±¹Ä«µåÀÛ¼º¹ý | ||
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ÀÛ¼ºÀÚ | °ü¸®ÀÚ | ÀÛ¼ºÀÏ | 2012-09-21 |
1. Full Name as it appears in passport/ travel d0cument (BLOCK LETTERS) -
¿©±Ç¼·ù¿¡ ÀûÈù´ë·Î º»ÀÎÀÇ Àüü À̸§ (´ë¹®ÀÚ)
2. Passport Number - ¿©±Ç ¹øÈ£
3. ¼ºº° - MALE ³²ÀÚ / FEMALE ¿©ÀÚ
3. Place of lssue - ¿©±Ç ¹ßÇà µµ½Ã
4. Date of Expiry - ¿©±Ç ¸¸±âÀÏ
5. Country of Birth - ±¹Àû : ÅÂ¾î³ ³ª¶ó
6. Date of Birth (DD-MM-YYYY) - »ý³â¿ùÀÏ (ÀÏ-¿ù-³âµµ)
7. Nationality - ±¹Àû
8. Identity Card Number(for MALAYSIAN only) - ½Å»ó ¹øÈ£ (¸»¿¡ÀÌ½Ã¾Æ »ç¶÷¸¸)
9. Tick if Malaysian - ¸»·¹ÀÌ½Ã¾Æ »ç¶÷ÀÌ¸é ¿©±â¿¡ üũÇϽÿÀ
10. Flight No/Vessel Name/Vehicle No - Ç×°ø Æí¸í / Ç×°ø»ç À̸§ / ÀÚµ¿Â÷ ¹øÈ£
11. OFFICE USE ONLY - °ü°èÀÚ »ç¿ë¿ë
12. Place of Residence - °ÅÁÖÁö. CITY - µµ½Ã / STATE / COUNTRY - ±¹Àû
13. Last City/ Port of Embarkation Before Singapore -
½Ì°¡Æú ÀÔ±¹ ¹Ù·ÎÀü¿¡ ÀÖ¾ú´ø µµ½Ã/ºñÇà±â ź µµ½Ã
14. Next City/ Port of Disembarkation After Singapore -
½Ì°¡Æú ´ÙÀ½¿¡ °ÅÄ¥ µµ½Ã/ºñÇà±â¿¡¼ ³»¸± µµ½Ã
15. Address In singapore - ½Ì°¡Æú ³»ÀÇ ÁÖ¼Ò - ½Ì°¡Æú ü·ùÁö ÁÖ¼Ò
16. Length of Stay Days - ü·ù ±â°£ Àϼö(¸îÀÏ)
17. Have you been to Africa or South America during the last 6 days?+
Áö³ 6Àϵ¿¾È¿¡ ¾ÆÇÁ¸®Ä«³ª ³²¹ÌÁö¿ª¿¡ °£ ÀûÀÌ ÀÖ½À´Ï±î?
18. Have you ever used a passport under different name to enter Singapore?
Áö±Ý°ú ´Ù¸¥ À̸§À¸·Î µÈ ¿©±ÇÀ» °¡Áö°í ½Ì°¡Æú¿¡ ÀÔ±¹ÇÑÀûÀÌ ÀÖ½À´Ï±î?
19. Have you ever been prohibited from entering Singapore?+ -
ÇѹøÀÌ¶óµµ ½Ì°¡Æú ÀÔ±¹À» °ÅÀý´çÇÑÀûÀÌ ÀÖ½À´Ï±î?
20. If 'yes'state name(s) different from current passport. -
¸¸ÀÏ "³×"¶ó°í ´äÇßÀ¸¸é, Áö±Ý ¿©±Ç°ú ´Ù¸¥ À̸§(µé)À» ±âÀÔÇϽʽÿÀ.
+ Please tick (/) appropriate box ÀûÀýÇÑ ¹Ú½º¿¡ ºø±Ý(/)À» Ãļ Ç¥ÇϽʽÿÀ.
21. Signature - ¼¸í
22 : ¿©±Ç»óÀÇ À̸§.
23 : ±¹Àû.
24 : ¸»·¹À̽þƸ¸±âÁ¦
25 : OFFICE USE ONLY - °ü°èÀÚ »ç¿ë¿ë (µ¿¹ÝÀÚ³à¶ó°í À§ »çÁø¿¡ À߸ø ³ª¿Í ÀÖ½À´Ï´Ù.)
22-25 ´Â ¸Ç ¿À¸¥ÂÊ Ä ( 3µîºÐÇؼ )
Ãâ±¹ ½Å°í¼·Î.. ÀÔ±¹ ½É»ç ÈÄ ¿©±Ç¿¡ ºÙ¿© ÁÝ´Ï´Ù..
Àý´ë ÀÒ¾î ¹ö¸®Áö ¸¶½Ã±¸, µ¹¾Æ°¡½Ç ¶§ ¿©±Ç°ú ÇÔ²² Á¦Ãâ ÇÏ¿©¾ß ÇÕ´Ï´Ù.