APPLICATION FORM FOR NOTARIZATION/ATTESTATION

姓名

Name：

性别

Sex：

国籍：

Nationality：

照

片

Photo

出生:   年  月  日Date of birth： 

出生地：

Place of birth:

职业：

Occupation:

身份证件种类及号码Type and number of Passport or ID card：

电话：

Tel：

联系地址Address：

公/认证内容Documents for attestation：

1.                                                                                                                                                        4.

2.                                                                                                                                                        5.

3.                                                                                                                                                        6.      

公/认证目的Purpose of this attestation:

公/认证后的文件将提交给: The attested documents will be submitted to which authority in China:

注意：请附上以上所提交文件的复印件一套，申请人护照复印件及其他相关文件。

Note: Please attach a set of copies of all the documents to be attested, copy of Passport/ID card and other supporting documents.

我保证以上所填内容真实。如有不实之处，本人愿承担一切法律责任。

I hereby declare that the information given above is true, correct and complete. I shall bear the legal responsibility for the above information.

    申请人签名：                        年        月      日

Signature of the applicant:                     Year      Month     Day

发证机关专用栏

For official use：

接案人：

公/认证号：

签署人：

领事机

关接谈

笔录

备注