美国DS160签证申请表如何填写.doc

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1、美国DS-160签证申请表如何填写 美国签证的DS-160表填写： Personal, Address, Phone, and Passport Information Name Provided: WANG , ERXIAO Full Name in Native Language: DOES NOT APPLY Other Names Used: NO Sex: MALE Marital Status: SINGLE Date of Birth: 11 MAY 1982 Place of Birth: SHIJIAZHUANG , HEBEI , CHINA Nationality: CH

2、INA Other Nationalities: NO National Identification Number: 132402198205113616 U.S. Social Security Number: DOES NOT APPLY U.S. Taxpayer ID Number: DOES NOT APPLY Home Address: #2 PINGANLI, CHANGAN ROAD City: BEIJING State/Province: DOES NOT APPLY Postal Zone/ZIP Code: 100020 Country: CHINA Same Mai

3、ling Address? YES Home Phone Number: 8602462625656 Work Phone Number: DOES NOT APPLY Work Fax Number: DOES NOT APPLY Mobile/Cell Phone Number: 8613800000000 Passport Number: G102658 Passport Book Number: DOES NOT APPLY Country/Authority that Issued Passport: CHINA City Where Issued: BEIJING Country

4、Where Issued: CHINA Issuance Date: 10 JANUARY 2010 Expiration Date: 09 JANUARY 2020 Have you ever lost a passport or had one stolen? NO Travel Information Principal Applicant? YES Purpose of Your Trip to U.S. Purpose (1) : STUDENT/EXCHANGE VISA (F, J, M, Q) Specific Travel Plan? NO Intended Date of

5、Arrival: 16 APRIL 2010 Intended Length of Stay in U.S.: 2 YEAR(S) Address where you will stay in the U.S: #78 ABC ROAD LA, CALIFORNIA Person/Entity Paying for Your Trip: OTHER PERSON Name of Person Paying for Your Trip: WANG , LAODA Telephone: 861350000000 Email Address: DOES NOT APPLY Relationship

6、to You: PARENT Is the address of the party paying for your trip the same as your Home or Mailing Address? YES Other Persons Traveling with You: NO Have you ever been in the U.S.? NO Have you ever been issued a U.S. visa? NO Have you ever been refused a U.S. Visa, been refused admission to the United

7、 States, or withdrawn your application for admission at the point of entry? NO U.S. Contact Information Contact Person Name in the U.S.: DO NOT KNOW Organization Name in the U.S.: USC Relationship to You: SCHOOL OFFICIAL U.S. Contact Address: #34 ABC ROAD LA, CALIFORNIA Phone Number: (555)555-5555 E

8、mail Address: DOES NOT APPLY Family Information Fathers Surnames: WANG Fathers Given Names: LAODA Fathers Date of Birth: 03 MARCH 1958 Is your father in the U.S.? NO Mothers Surnames: WANG Mothers Given Names: LAOER Mothers Date of Birth: 22 MARCH 1958 Is your mother in the U.S.? NO Do you have any

9、immediate relatives, not including parents in the U.S.? NO Do you have any other relatives in the United States? YES Work / Education / Training Information Primary Occupation: STUDENT Present Employer or School Name: PEKING UNIVERSITY Address: #1 ZHONGGUANCUN ROAD City: BEIJING State/Province: DOES

10、 NOT APPLY Postal Zone/Zip Code: 100080 Country: CHINA Month Salary in Local Currency: DOES NOT APPLY Briefly Describe your Duties: STUDY Were you previously employed? NO Have you attended any educational institutions other than elementary schools? YES Name of Institution (1) : PEKING UNIVERSITY Add

11、ress of Institution: #1 ZHONGGUANCUN ROAD City: BEIJING State/Province: DOES NOT APPLY Postal Zone/ZIP Code: 100080 Country: CHINA Course of Study: FINANCE Date of Attendance From: 01 SEPTEMBER 2005 Date of Attendance To: 30 JUNE 2009 Do you belong to a clan or tribe? NO Have you traveled to any cou

12、ntries within the last five years? YES Country Visited (1) : AFGHANISTAN Have you belonged to, contributed to, or worked for any professional, social, or charitable organization? NO Do you have any specialized skills or training, including firearms, explosives, nuclear, biological, or chemical exper

13、ience? NO Have you ever served in the military? NO Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante unit, rebel group, guerrilla group, or insurgent organization? NO Security and Background Information Do you have a communicable disease of public health

14、 significance such as tuberculosis (TB)? NO Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others? NO Are you or have you ever been a drug abuser or addict? NO Have you ever been arrested or convicted for any offense or crim

15、e, even though subject of a pardon, amnesty, or other similar action? NO Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances? NO Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged

16、 in prostitution or procuring prostitutes within the past 10 years? NO Have you ever been involved in, or do you seek to engage in, money laundering? NO Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States? NO Do you seek t

17、o engage in terrorist activities while in the United States or have you ever engaged in terrorist activities? NO Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations? NO Are you a member or representative of a terrorist organization

18、? NO Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? NO Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? NO Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, polit

19、ical killings, or other acts of violence? NO Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom? NO Have you ever sought to obtain or assist others to obtain a visa, entry into the United St

20、ates, or any other United States immigration benefit by fraud or willful misrepresentation or other unlawful means? NO Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court? NO Have you voted in the United States in viola

21、tion of any law or regulation? NO Have you ever renounced United States citizenship for the purpose of avoiding taxation? NO Student/Exchange Visa Information Additional Point of Contact Information: Name(1): LI, SI Street Address: #1 ZHONGGUANCUN ROAD City: BEIJING State/Province: DOES NOT APPLY Po

22、stal Zone/ZIP Code: 100080 Country: CHINA Telephone Number: 8613811111111 Email Address: DOES NOT APPLY Name(2): ZHANG, SAN Street Address: #1 ZHONGUGANCUN ROAD City: BEIJING State/Province: DOES NOT APPLY Postal Zone/ZIP Code: 100080 Country: CHINA Telephone Number: 8613533333333 Email Address: DOE

23、S NOT APPLY SEVIS ID: N0006886299 Do you intend to study in the U.S.? YES Name of School: USC Course of Study: FINANCE Street Address: #3 ABC ROAD LA, CALIFORNIA 12312 Location Information Current Location: BEIJING, CHINA Preparer of Application: Did anyone assist you in filling out this application? NO