Form 12: Foreign NGO Temporary Activity Report   

Filing Number

 

Foreign Non-Governmental Organization
Temporary Activity Report
Instructions: This application should be filled
out truthfully and responses typed. The
“signature” field must be signed by the named
individual. Please mark √ in the boxes □ where
appropriate.

Please affix appropriate barcode
here.

Name of Temporary Activity
Duration

(YYYY)
(YYYY)

(MM)
(MM)

(DD) to
(DD)

Field of Activity
Location
Purpose
Chinese Partner
Address of Partner
Name of Chinese Partner’s
Project Representative
Type of Documentation

Birthdate
Document number

Occupation

Contact Number

Name of Chinese Partner’s
Project Contact Person
Project Funds
(Chinese and Foreign Funding)

Contact Number

Bank Account for Temporary
Activity

Drafted by the Ministry of Public Security Foreign Non-Governmental Organization (NGO) Management Office

 Form 12: Foreign NGO Temporary Activity Report   

Full Name and Chinese Name of
Foreign NGO
Country

Established

Registered Address
Name of Foreign NGO’s
Representative
Name of Foreign NGO’s Representative
for the Temporary Activity
Sex
Nationality
Document Number

Chinese
Name
Birthdate
Type of
Documentation
Contact Number

Address in China
Description of the proposed activity: (include details of the activity itself, intended use
of funds, etc. You may attach additional pages, which should be stamped with the
official seal of the Chinese partner unit)

Drafted by the Ministry of Public Security Foreign Non-Governmental Organization (NGO) Management Office

 Form 12: Foreign NGO Temporary Activity Report   

Chinese Partner Unit

Comments of the Chinese Partner
Unit’s Management Authority

（Seal）

(YYYY)

（Seal）

(MM)

(DD)

(YYYY)

(MM)

(DD)

Drafted by the Ministry of Public Security Foreign Non-Governmental Organization (NGO) Management Office