Withdrawal
of Visa Application
撤销签证申请
I hereby elect to withdraw my application submitted at Visa Application Centre, Belgium – Guangzhou on …………….......... and I understand that the application fee is not refundable.
本人同意撤销于 在广州比利时签证申请中心递交的比利时入境签证申请,并且明白申请费是不予退回的。
Name姓名
Passport No.护照号
Signed签名……………………………………
Date日期…………………………………...
Contact No.联系电话
VAC Officer签证申请中心官员………………………..
Date日期……………………………...………
Reason of Withdrawal撤销原因: .