188宝金博页面版

在香港以外領取香港特別行政區護照付款表格[ 不適用於透過中國駐外國的使領館遞交的申請] Fee Payment Form for Hong Kong Special Administrative Region Passport to be collected outside Hong Kong [Not applicable to application submitted via the Chinese Diplomatic and Consular Missions (CDCM)] 1. 申請書資料 Particulars of application供中國駐外國的使領館／駐內地辦事處聯絡申請人領取護照 For CDCM/Mainland Offices to contact the applicant to collect the passport姓名 香港永久性居民身份證號碼Name: HK permanent identity card number: 當地聯絡電話 電郵Local contact no.: Email: 當地聯絡地址Local correspondence address: 2. 請選擇領取護照 的 領證辦事處 Please select the collection office for collection of passport領證辦事處︰Collection Office: 中國駐外國的使領館 CDCM 領證辦事處所在城市︰City location of collection office:__________________________________________ 駐內地辦事處 Mainland Office 注意: Note: 請註明選擇的中國駐外國的使領館或駐內地辦事處所在城市。如欲查閱各中國駐外國的使領館的地址及聯絡資料，請 參考 網站 www.fmprc.gov.cn。如欲查閱各駐內地辦事處的地址及聯絡資料，請參考網站 www.cmab.gov.hk.。 Please specify the city where the selected CDCM/Mainland Office is located. For addresses and contact details of CDCMs, please refer to the website: www.fmprc.gov.cn. For addresses and contact details of the Mainland Offices, please refer to the website: www.cmab.gov.hk. 2A. 只供 持有 「申請香港永久性居民身份證收據」(ROP140/ROP140A) 的人 士 填寫 Only applicable to holder of ‘Acknowledgement of application for a Hong Kong permanent identity card’ (ROP140/ROP140A) 注意 ︰ 申請人 在領取護照時 須 出示 香港永久性居民身份證 正本 ，以便核實。 請在以下適當方格填上「 ? 」號。 Note: The applicant should produce the original Hong Kong permanent identity card for verification upon collection of passport. Please tick ( ‘ ? ? ’) at appropriate box below. 本人要求入境事務處把申請人的香港永久性居民身份證連同護照一併寄往本人選擇的中國駐外國的使領館或駐內地辦事處簽發。本人明白在領取護照時，須把「申請香港永久性居民身份證收據」(ROP140/ROP140A) 交回中國駐外國的使領館或駐內地辦事處職員，以作註銷。 I request the Immigration Department to send my Hong Kong permanent identity card together with my passport to the selected CDCM/Mainland Office for issue. I understand the ‘Acknowledgement of Application for a Hong Kong permanent identity card’ (ROP140/ROP140A) should be returned to the staff of the selected CDCM/Mainland Office for cancellation upon collection of passport. 本人會於「申請香港永久性居民身份證收據」(ROP140/ROP140A) 上指定的辦事處領取申請人的香港永久性居民身份證，並於本人選擇的中國駐外國的使領館或駐內地辦事處領取護照時出示該身份證正本。 I will first collect Hong Kong permanent identity card at the designated office as specified on the ‘Acknowledgement of Application for a Hong Kong permanent identity card’ (ROP140/ROP140A) and produce such original identity card to the selected CDCM/Mainland Office upon collection of passport. 申請人簽署Signature of Applicant 3. 遞送護照 方式用 及費用 Passport delivery means and delivery charge除非另有註明，雙掛號空郵及特快遞送均適用於收費區目錄表內的所有國家/地區，請查閱本表格內所列出的收費區域。 Unless otherwise specified, double registered airmail and express despatch service are available for all countries/regions in the Fee Zone Table. Please see the list in this form to find out your fee zone. 遞送護照費用需連同護照費用一併遞交，收費詳情請參閱收費通告(ID852)。 Delivery charge has to be paid together with passport fee. Please see the up-to-date fees in the Fees Notice (ID852). (i) 所選擇的 遞送 方式 Delivery means selected (ii) 用 總費用 Total payment以雙掛號空郵遞送 Delivery by double registered airmail 或 或 or (1) 護照費用Passport fee$ (2) 遞送護照費用Delivery charge$ 總金額 Total Amount $ 特快遞送 (送遞時間較快及收費較貴) Delivery by express despatch service (Faster delivery and more expensive) 亞洲太平洋區 Asia-Pacific 北美洲及歐洲 North America and Europe 其他地區 Other places 4. 付款方法( 只適用於 香港以外郵遞 申請) Payment method (Applicable to postal application outside HK only)請使用香港特別行政區貨幣或美元付款。 Payment should be made in HKSAR currency or US dollar. 現附上劃線支票 ／ 匯票，號碼_________________________ (抬頭「香港特別行政區政府」) The crossed cheque/bank draft, No. is attached (Payable to “The Government of HKSAR”) 若該支票或銀行匯票不是指明由香港特別行政區的銀行付款或不是以香港特別行政區貨幣開出，請將銀行手續費一百港元[或美元十三元]包括在內If the cheque or bank draft is not drawn on a bank in HKSAR or not in HKSAR currency, please also include a bank handling charge of HK$100 (or US$13) 香港諮詢人付款 (聯絡地址及電話已在護照申請書 ID843／ID844 提供) Paid by Referee in Hong Kong (The contact number and address are provided in HKSAR passport application form ID843/ID844) ID 853A (11/2021) 請看後頁 Please see the next page 可輸入資料 Fillable Form 列印 Print 重設 Reset