ID520
ID520
ID520
香港特別行政區政府入境事務處 此欄由辦理機關處理
Immigration Department, the Government of FOR OFFICIAL USE ONLY
the Hong Kong Special Administrative Region 檔 案 條 碼 Reference barcode
申請 人 家 庭 狀 況 申報書
Statement of Applicant’s Family Background
注意: (i) 領取本申報書無須繳費。
Note : This form is issued free of charge.
(ii) 請用黑色或藍色筆以正楷填寫本申報書。
Please complete this form in BLOCK letters using black or blue pen.
(iii) 如申請在港延期逗留,本申報書須由申請人填寫及簽署。
In the case of an application for extension of stay for residence in the Hong Kong Special Administrative Region, this form will be completed and signed by the applicant.
(iv) 如申請來港居住,本申報書須由保證人代表申請人填寫及簽署。
In the case of an application for entry to reside in the Hong Kong Special Administrative Region, this form will be completed and signed by the sponsor on behalf of the
applicant.
(v) 在上述兩種情況均須提供全部子女及兄弟姊妹(包括已去世或在海外居住者)的詳情。
In both cases, details of all children, brothers and sisters (including those deceased or living overseas) will be provided.
婚姻狀況
姓名 出生日期及地點 (未婚/已婚) 職業 現居國家的名稱及住址
Name Date and place of birth Marital status Occupation Present country of domicile
(Single/Married) and residential address
申請人
Applicant
父親
Father
母親
Mother
配偶
Spouse
子女
Children
(參閱注意
事 項 v)
(See Note v)
兄弟姊妹
Brothers
and sisters
(參閱注意
事 項 v)
(See Note v)
本人聲明就本人所知所信,在本申報書內所申報的各項資料均屬正確、完備和真實。
I declare that all information given in this statement is correct, complete and true to the best of my knowledge and belief.
申請人簽署 保證人簽署
Signature of applicant Signature of sponsor
(參 閱 注 意 事 項 iii) (參 閱 注 意 事 項 iv)
(See Note iii) (See Note iv)
日期 日期
Date Date
ID 520 (08/2013) 1