Date of birth生日日期Telephone number电话号码Cellphone number电话号码Email address邮件地址Residential address居住地址Postal address通讯地址Postal code邮政区号Signature署名Last name姓First name名Fax传真Sex性别Male男性Female女性Title标题Nationality国籍Print all information打印所有信息Complete in block capitals用大写字母完成
