STATUTORY DECLARATION

I, [name], a Chinese national, passport no.***, residing at [address] hereby declare that:

1. I am going to visit [country name] from [date/month/year] to [date/month/year]. The purpose of my trip is tourism only. I will not seek any employment orresidency in[country name] and will return to China prior before the expiration of my authorized visa;

2.I have sufficient financial resources to independently defray all expenses during my trip in [country name];

3.I will comply with the laws and regulations of [country name] during my stay;

4.I execute this statutory declaration for the purpose of the tourist visa application from the

embassy of [country name].

Signature:

Dated: