恢复中国国籍申请表

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1、W—3表人员编号______________档案编号______________恢复中华人民共和国国籍申请表申请人____________________申请日期_______年____月____日受理人____________________受理日期_______年____月____日二寸，正面彩色，免冠相片外文姓___________________________________________________外文名_______________________________________

2、____________中文姓名__________________国籍____________性别___________出生日期________年______月______日出生地_____________护照证件种类__________________号码_____________________有效期至________年______月______日签发机关___________________________所持签证种类__________________号码_________________

3、签发机关__________签证有效期___年___月___日本次入境日期___年___月___日入境口岸_________定居确认表号码______________________签发日期__________________________外国人居留证号码____________有效期______年____月____日职业或身份_____定居地住址_____________所属公安派出所________________联系电话__________申请恢复中国国籍的理由_______________

4、___________________________________申请人简历____________________________________________________________________________________________________________________________________________________________________________________________________________________

5、____________________________________________________________________________________________________________________________________________________国外亲属情况姓名性别国籍住址电话与申请人的关系_________________________________________________________________________________

6、_______________________________________________________________________________________________________________________________________________________________________________________________________________在华亲属情况姓名性别国籍住址电话与申请人的关系______________________

7、____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8、______________________________________________________________________________________我谨声明我已如实和完整地填写了上述内容并对此负责。我自愿放弃现有国籍，申请恢复中华人民共和国国籍。申请人签名__________________申请日期__________________以下由公安机关填写县市公安局初审意见省公安厅审核意见公安部审批意见