hong kong immigration form.pdf

8/15/2019 Hong Kong Immigration Form.pdf

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ID(E) 981 (07/2008) 1

Immigration Department, the Government ofthe Hong Kong Special Administrative Region

Quality Migrant Admission Scheme Application for Entry Visa/Entry Permit

Note: (i) Please Read ‘Guidance Notes’ [ID(E) 982] carefully before completing this form. (ii) Chinese version [ID(C) 981] is also available.

[ID(C) 981]

(iii) This form is issued free of charge.

(iv) Please complete this form in BLOCK letters using black or blue pen, most preferably in printed or typed format.

(v) Application will be considered on the basis of information furnished on this form and documentary evidence provided.(vi) Each separate page of this form must be signed by the applicant as appropriate.

(vii) Please tick as appropriate.(viii) * Please delete where inappropriate.

Warning: Any person who knowingly and wilfully makes a statement or gives information which he/she knows to be false or does not believe to be true undefor the purpose of the Scheme shall be guilty of an offence under the Laws of Hong Kong and is liable to prosecution and subsequent removal f Hong Kong. His/her application may be refused, and that any visa/entry permit/extension of stay so granted or issued to him/her and hisdependants and any conditions of stay so imposed on him/her and his/her dependants may become null and void.

r orrom/her

1. Personal Particulars (Please refer to ‘Guidance Notes’ Paragraph 82)

Name in Chinese (if applicable) Maiden surname (if applicable)

Surname in English

Given names in English

Any other names you have used, or been known by

Sex Male Female Date of birth dd mm yyyy

Place of birth

Marital status Single Married Separated Divorced Widowed Nationality

Travel documents held (i.e. Passport, Re-entry Permit, Certificate of Identity, Affidavit, PRC Travel Permit, Exit-entry Permit for Travelling to and from Hong Kong and Macao, etc.)

Type Nu

mber Place of issue

Date of issuedd mm yyyy

Date of expirydd mm yyyy

Photograph

Affix one recent photograph here

(Photograph should not be

larger than 55mm x 45mm

and not smaller than 50mm x 40mm)

People’s Republic of Chinaresident identity card no. (if applicable)

Place of issue of People’s Republic of China Date of issue ofresident identity card (if applicable) People’s Republic of China

resident identity card(if applicable) dd mm yyyy

Contact telephone no. Fax no. (if any)

E-mail address (if any)

Present address (please fill in within border) Permanent address (if different from present address ) (please fill in within border)

Country/territory of domicile Have you acquired permanent residence in your country/territory of domicile? Yes No

The information given on this page is correct Please complete this column if this form is a

otocop ph

y or Signature of applicantDate

FOR OFFICIAL USE ONLY

Reference barcode

The information given on this page is correct, complete and true.

Date Signature of applicant


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ID(E) 981 (07/2008) 2

2. Particulars of All Family Members(Please provide details of all family members listed below, including those deceased or living overseas. Tick the box in the last column if the family member isaccompanying you to Hong Kong. Continue on a separate sheet in the same format if necessary)

Date and Marital status country/ HK I/C Accompany Name Sex ingle/ Occupation place of birth (e.g.: S territory of No. (if any) to HKMarried)domicile

Present

Father

Mother

Spouse

Children

Brothers and

Sisters

The information given on this page is correct, complete and true. Date Signature of applicant


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ID(E) 981 (07/2008) 3

3. Prerequisites (Please refer to ‘Guidance Notes’ Paragraphs 12-24 & 83) Official use only

3.1 Are you aged 18 or above?

□ YES □ NO → You are not eligible to apply. 3.2 Are you capable of supporting and accommodating yourself and your accompanying dependent family members as indicated

in section 2 of this form, (if any), on your own financial resources without relying on public assistance during your stay inHong Kong?

□ YES □ NO → You are not eligible to apply. If yes, please list details of personal net worth below to support your statement in section 3.2 above.

3.21 AssetsDescription

(e.g. Bank deposits/Real Estate/Securities/Name of a privately-owned enterprise)Amount (HK$)

3.22 Subtotal in HK$ (A)

3.23 Liabilities

Description(e.g. Mortgage, Personal loan) Amount (HK$)

3.24 Subtotal in HK$ (B)

3.25 Personal Net Worth (C) = (A)-(B)

.




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ID(E) 981 (07/2008) 4

3. Prerequisites (Continued) (Please refer to ‘Guidance Notes’ Paragraphs 12-24 & 83) Official use only

3.3 Have you ever been convicted of any crimes or offences either in Hong Kong or elsewhere?

□ YES □ NOIf yes, please state details in chronological order:

3.31 Have you ever been refused entry to, deported from, removed from or required to leave Hong Kong or elsewhere?

□ YES □ NOIf yes, please state in details in chronological order:

3.32 Have you ever been refused a visa/entry permit for entry to Hong Kong or elsewhere?


3.33 Have you ever breached any immigration law in Hong Kong or elsewhere?


3.34 Have you ever applied for a visa/entry permit for entry to Hong Kong or entered Hong Kong using a name or identitywhich is different from that stated on the travel document, and/or People’s Republic of China resident identity card,currently held by you as mentioned in section 1 of this application form?


3.4 Are you proficient in written and spoken Chinese (Putonghua or Cantonese) or English?

□ YES, I am proficient in □ NO → You are not eligible to apply.

3.5 Do you have a minimum of graduate level education or a good technical qualification?

□ YES □ NO → You are not eligible to apply.

4. Application Category (Please refer to Guidance Notes Paragraph 25)

Please choose one application category below:

□ General Points Test □ Achievement-based Points Tests (Please fill in all sections except section 6) (Please fill in all sections except section 5)




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ID(E) 981 (07/2008) 5

5. General Points Test (Please refer to ‘Guidance Notes’ Paragraphs 26-50 & 84.1) Official use only

Please indicate below your points claimed under the General Points Test.

.1 Age (Max. 30 points)

18-39 30 45-50 15

40-44 20 51 or above 0

5

POINTS CLAIMED

A

5.2

Two or more Doctoral Degrees 45

Doctoral Degree/Two or more Master Degrees 40

Master Degree/Two or more Bachelor Degrees 35

Bachelor Degree/Professional Qualification awarded by a nationally orinternationally recognised or acclaimed professional body which 30demonstrates that the holder has a very high level of technical expertise orskill

Academic/Professional Qualifications (Max. 45 points)

POINTS CLAIMED

B

5.3 Work Experience (Max. 50 points)

Not less than 10 years’ graduate or specialist level work experience, including 50at least 5 years in a senior role

Not less than 5 years’ graduate or specialist level work experience, including 40at least 2 years in a senior role

Not less than 5 years’ graduate or specialist level work experience 30

Not less than 2 years’ graduate or specialist level work experience 10

5.4 Language Proficiency (Max. 20 points)

Being proficient both in written and spoken Chinese(Putonghua or Cantonese) and 20English

Being proficient in at least one foreign language (written and spoken) in additionto written and spoken Chinese (Putonghua or Cantonese) or 15English

Being proficient in written and spoken Chinese(Putonghua or Cantonese) or 10English

POINTS CLAIMED

C

POINTS CLAIMED

D

5.5 Family Background (Max. 20 points)

At least one immediate family member (married spouse, parents, siblings, a) 5children) is a Hong Kong permanent resident residing in Hong Kong

b) Accompanying married spouse is educated to the equivalent level of a 5degree or above

5 points for each accompanying unmarried dependent child under the age 5 / 10of 18, maximum 10 points

POINTS CLAIMED

E

POINTS CLAIMED

F

POINTS CLAIMED

G

TOTAL POINTS CLAIMED

G)

(Maximum 165 points)

H=(A+B+C+D+E+F+



c)


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ID(E) 981 (07/2008) 6

6. Achievement-based Points Test (Please refer to ‘Guidance Notes’ Paragraphs 51-53 & 84.2) Official use only

6.1 Please summarise below in not more than 500 words your achievement in order to claim a maximum point under theAchievement-based Points Test. Do not write on any separate sheet.

6.2 Proofs of my achievement are (you may tick more than one):

□ Published work □ Press article □ Scholarship/Research award certificate□ International award/honour

□ Intellectual property rights (*Patent/Copyright/Trademark/Others______________________) □ Reference from industrial peers

□ Others (please specify) _______________________________________________

Information provided below is for statistical purpose only.

6.3 Is your accompanying married spouse educated to the equivalent level of a degree or above?

□ YES □ NO □ N/A 165POINTS CLAIMED




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ID(E) 981 (07/2008) 7

7. Higher Educational/Professional Attainment (Please refer to ‘Guidance Notes’ Paragraph 85) Official use only

List all higher educational attainments, professional qualifications and memberships in chronological order. Continue on aseparate sheet in the same format if necessary.

Degree/Qualification(Major)

Awarding Institution(Full time/Part time/Distance Learning)

City/Province/Country(Period of Study(Fr./To)/

Year Obtained)

( ) ( ) ( )

( ) ( ) ( )

( ) ( ) ( )

( ) ( ) ( )

( ) ( ) ( )

8. Work Experience (Please refer to ‘Guidance Notes’ Paragraph 86)

8.1 List full-time graduate/specialist level work experiences in chronological order. Continue on a separate sheet in the same format if necessary.

.

Period (Fr/To) Name and City/Province/Country of Employer

(Employer Nature) Position

(Occupational Level) Nature of DutiesDuration (Yrs.)

/

( ) ( ) /

( ) ( ) /

( ) ( ) /

( ) ( ) /

( ) ( ) /

( ) ( ) /

( ) ( )8.2 Total number of years of full-time graduate/specialist level work experience




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ID(E) 981 (07/2008) 8

9. Career or Academic Accomplishment/Future Plan (Please refer to ‘Guidance Notes’ Paragraph 87) Official use only

Please summarise below in not more than 500 words your key career or academic accomplishments, your future plan in HongKong and other information which you think we should take into consideration when assessing your application. Do not write on any separate sheet.




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ID(E) 981 (07/2008) 9

10. List all countries/territories, including your country/territory of domicile, where you have lived in for 12 months or longer since birth in chronological order. (Please refer to ‘Guidance Notes’ Paragraph 88.1)

Official use only

Continue on a separate sheet in the same format if necessary.

DurationCountry/Territory From (MM/YY) To (MM/YY)

11. Language Skills (Please refer to ‘Guidance Notes’ Paragraph 88.2)

List the language(s) that you are proficient in (including Chinese and/or English).

First Spoken LanguageLanguage Writ ten Spoken

Yes No

□ □ □ □

□ □ □ □

□ □ □ □

□ □ □ □

□ □ □ □

□ □ □ □

12. Sector (Please refer to ‘Guidance Notes’ Paragraph 88.3)

Please list the sector that you think can best represent the skills possessed by you.

Sector Name : _________________________________________________________________________________

The information given on this page is correct, complete and true .



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ID(E) 981 (07/2008) 10

13. Declaration of Applicant

(a) I consent to the making of any enquiries necessary for the processing of this application.

(b) I consent to releasing my information to any organisations and authorities, including those inside or outside the Hong Kong SpecialAdministrative Region (HKSAR), for the processing of this application.

(c) I authorise all private and public organisations, including those inside or outside the HKSAR, to release any record or information which theImmigration Department of the Government of the HKSAR may require for the processing of this application.

(d) I understand that the Director of Immigration has absolute discretion to award points under the two points-based tests to applicants as theDirector thinks fit and to approve or refuse any application without giving any reason. The Quality Migrant Admission Scheme (‘theScheme’) or details of the Scheme may also be subject to change as the Director thinks fit without prior notice.

(e) I understand that any person who knowingly and wilfully makes a statement or gives information which he/she knows to be false or does not believe to be true under or for the purpose of the Scheme shall be guilty of an offence under the Laws of Hong Kong and is liable to prosecution and subsequent removal from Hong Kong. His/her application may be refused, and that any visa/entry permit/extension of stayso granted or issued to him/her and his/her dependants and any conditions of stay so imposed on him/her and his/her dependants may

become null and void.

(f) I declare that, to the best of my knowledge, my personal net worth is not less than the amount stated in section 3.25 of this application form.

Note(g) I declare that should this application be successful, I will apply for an Exit-entry Permit for Travelling to and from Hong Kong and Macao(EEP) and the relevant exit permission from the relevant Mainland authorities for travelling to Hong Kong to take up residence. Iunderstand that an entry permit granted to me under the Scheme is to be affixed onto an EEP with the relevant exit permission prior to myarrival in Hong Kong and that should I enter Hong Kong on other travel document for the purpose of admission under the Scheme, I will berefused entry to Hong Kong.

(h) I declare that information given in this application form is correct, complete and true to the best of my knowledge and belief.


Note: (g) Applicable to residents in the Mainland of China including those who are currently residing in Hong Kong or Macao on a temporary basis.


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Statement of Purpose

Purpose of Collection

The personal data provided in the application form will be used by the Immigration Department for one or more of the following purposes:

1. to process your application;

2. to administer/enforce relevant provisions of the Immigration Ordinance (Chapter 115) and Immigration Service Ordinance (Chapter 331), and to assist in theenforcement of any other Ordinances and Regulations by other government bureaux and departments through carrying out immigration control duties;

3. to process other person’s application for immigration facilities in which you are named as a sponsor or referee;

4. for statistics and research purposes on the condition that the resulting statistics or results of the research will not be made available in a form which willidentify the data subjects or any of them; and

5. any other legitimate purposes as may be required, authorised or permitted by law.

The provision of personal data by means of this application form is voluntary. If you do not provide sufficient information, we may not be able to process yourapplication or to conduct the record search or positively identify the record.

Classes of Transferees

The personal data you provide may be disclosed to government bureaux, departments and other organisations for the purposes mentioned above.

Access to Personal Data

You have a right to request access to and correction of your personal data as provided for in sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data(Privacy) Ordinance (Chapter 486). Your right of access includes the right to obtain a copy of your personal data provided in the application form subject to

payment of a fee.

Enquiries concerning the personal data collected by means of the application form, including making of access and corrections, should be addressed to:

Chief Immigration Officer (Quality Migrants and Mainland Residents)Immigration Tower7 Gloucester Road, Wan ChaiHong KongTel.: (852) 2294 2050

General Enquiries

For general enquiries, please contact us at:

Tel.: (852) 2824 6111Fax: (852) 2877 7711E-mail: [email protected]: www.immd.gov.hk


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Addendum

An applicant who is a Mainland resident should take note of the following:

Upon successful application, an entry permit label will be issued to theapplicant. The applicant should then obtain an Exit-entry Permit forTravelling to and from Hong Kong and Macao (EEP) and a relevant exitendorsement from the Public Security Bureau office where his/her householdregistration is kept. The entry permit label issued to him/her should beaffixed onto a blank endorsement page of the applicant's EEP on which his/herrelevant exit endorsement has been obtained. The applicant should present theEEP for immigration examination upon arrival in the HKSAR. In case theapplicant’s EEP bearing the relevant exit endorsement is an electronic EEP, it

should be presented together with the entry permit label issued to him/her forimmigration arrival clearance.

Immigration DepartmentThe Government of the Hong Kong

Special Administrative Region

May 2014

Addendum to ID817C (10/2010), ID(E)959 (06/2013), ID(E)981 (07/2008),ID(E)982 (03/2014) , ID990A (10/2008) , ID(E)991 (03/2014) ,ID992A (10 /200 8) , ID( E)993 ( 03 /2013) , ID99 5A (10 /2008) ,I D ( E ) 9 9 6 ( 0 3 / 2 0 1 4 ) , I D 9 9 7 ( 0 4 / 2 0 11 ) , I D ( E ) 9 9 8 ( 0 3 / 2 0 1 4 ) ,

ID999A (01/2009) , ID1001A (10/2008) , ID(E)1002 (08/2013)

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