WORK PERMIT QUESTIONNAIRE - TECHNICAL VISA
IMPORTANT: Please fill out this questionnaire as complete as possible, to allow us to assess the likelihood of
success of the visa application, and to prepare the visa application the best way possible
I - APPLICANT’ DATA:
Full name (as stated in the passport and birth certificate - all updated. If you find any divergence, please
contact EMDOC):
1.2. Last name (Surname): Huang
1.4. Marital Status: Married
1.5. Place of birth (city/country): Guigang /China
1.6. Date of birth: 08/10/1993
1.7. Schooling (level of school):Technic (这里和 3.1 保
持一致,标红部分字母大写)
1.8. Profession: Concrete Technician (不能出现工
程师(engineer)标红部分字母大写,且尽量与
4.3 部分保持一致。)
1.9. Full address in home country (street, number, apt.,
city, state / province, zip code, country):Group 1,Village
7 ,Luojia Town , Nanchong City , Sichuan Province ,
637000,China (标红部分字母大写,南充、四川这
种市、省像模板写在一起,不能写成:Nan chong 或
Nan Chong ,中间不留空格。)
1.10. Email address:369576955@qq.com
1.11. Please inform at which Brazilian Consulate/Embassy you will collect your visa after the immigration
process approval in Brazil: Beijing(北京/上海/广州只填一个)
(标红部分字母大写,地点填写方式参照 1.9)
Note: In case of doubt regarding the question 1.11, please check the jurisdiction over the Chinese territory
through the website: http://pequim.itamaraty.gov.br/en-us/jurisdiction.xml
Father’s name (based on updated birth certificate)
Mother’s name (based on updated birth certificate)
1.12. Given Name: Junming(标红部分字母大写)
1.15. Given Name: Shuqiong ( 标 红 部 分 字 母 大
写)
1.13. Last name (Surname): Liu(标红部分字母大写)
1.16. Last name (Surname): Zhang(标红部分字母
大写)
1.14. Nationality: China(标红部分字母大写)
1.17. Nationality: China (标红部分字母大写)
Note: Brazilian government requires full and complete names according to your birth certificate. Provision of
incomplete names may result in considerable delay of procedures.
如果父母过世也需要填写此表格中的信息。
!!!关于名字的填写方式参考 1.1
2.1. Please provide detailed description of the technical activities to be performed in Brazil, including the
name of the machines/systems/equipment involved in the project:
● Sample and test concrete materials to ensure they meet specifications and standards.
● Supervise the mixing process of concrete, ensuring correct proportions and thorough
mixing.