附件1 驻华使馆备案信息表.docx

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1、附件1驻华使馆备案信INFORMATI ON FORM OF EMBASSY IN CHINA海关代码Customs Code机构设立批文号ApprovaI Document No. of Estab Iishing the Mission机构类别大使馆口领事馆 口联合国驻华代表处口Type of MissionEmbassy 口Consulate 口U.N. Representative Office in China 国际组织口外交其他口International Organization 口Other Missions 机构名称(中央文)Mission Name(Chinese and

2、Engli sh)馆印、机构印鉴样本Specimen of Sea I of Mission机构地址(中英文)Mission Address (Chinese and English)邮政编码PostaI Code Telephone联系人Contact Person开馆日期一年月日Estab Ii shment DateYearMonthDate备注Remarks(因扫描需要，馆印及签字样本请勿超出表格边框)(Scanning need requests you not to make the seal and signature specimen across the frames.) 注

3、：领馆、国际组织驻华代表机构也适用本表(This form i s a I so appl icable to consulates and representat i ve offices of i nternat iona I organizations)馆长/负责人或被授权人姓名(中英文)Name of Head of Mission/Person in Charge or Hi s Author ized Agent (Chinese and English)签字样本Signature Specimen被授权人姓名(中央文)Name of Author ized Agent (Chinese and English)签字样本Signature Specimen被授权人姓名(中英文)Name of Author i zed Agent (Ch i nese and Engli sh)签字样本Signature Specimen双面打印 Double-sided Printing