DS美国签证表填写说明完整版

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DS-160签证表填写说明

填写内容如下(除一项全名用中文填写后,其他项请用英文填写):

Personal Information 1个人信息1

NOTE: Data on this page must match the information as it is written in your passport.

注意:此页填写的信息必须与您护照上面的一致

Surnames姓:

Give name名:

Full name in Native Alphabet全名请用中文填写:

Have you ever used other names ., maiden, religious, professional, alias, etc.)?您是否有曾用名(如婚前用名、宗教用名、职业用名、别名等):

Sex性别:

Marital status婚姻状况:

Date and place of birth出生日期与出生地:

Date of birth生日:

City of birth 出生城市:

State / province of birth出生的省:

Country of birth出生国家:

Personal Information 2个人信息2

Nationality国籍:

Do you hold or have you held a nationality other than the one you have indicated above?

你是否拥有或曾经拥有除上述国籍以外的国籍:

National Identification Number身份证号码:

. Social Security Number美国社会安全号

选Does Not Apply

. Taxpayer ID Number美国纳税人身份号码

选Does Not Apply

Address and Phone Information地址和电话信息

Home Address家庭地址/(中英文):

中文:

英文:

Street Address (Line 1)街道地址(第一行):

Street Address (Line 2) *Optional街道地址(第二行):

CITY城市:

State/Province省:

POSTAL ZONE / ZIP CODE邮编:

COUNTRY国家:

Mailing Address邮寄地址:

Is your Mailing Address the same as your Home Address?(This is the address to which your passport will be sent if you qualify for a visa). 你的邮寄地址是否与家庭地址相同(如果您的签

证申请获批,我们将根据该地址邮寄您的护照):

如果选“NO”请在按要求填全下面的地址

Phone电话:

Home Phone Number家庭电话号码:

Work Phone Number 单位电话号码:

Work Fax Number单位传真号码:

Work Address单位地址:

Mobile/Cell Phone Number手机号码:

Email Address邮箱地址:

Passport Information护照信息

Passport Number护照号:

Country / authority that issued passport护照签发国家/机关:

Where was the Passport Issued?护照签发地?:

City城市:

State/Province *If shown on passport省:

Country国家:

Issuance Date签发日期(格试:日--月--年):

Expiration Date有效期至(格试:日--月--年):

Have you ever lost a passport or had one stolen? 你的护照是否曾遗失或被盗?:

Travel Information 旅行信息

Name of Company/Organization Paying for Trip支付您行程的公司或组织名称:

请填“自已的公司名称”

Telephone Number电话号码请埴“自已公司的电话号码”

Is the address of the party paying for your trip the same as your Home or Mailing Address? 支付您行程者的地址是否与您的家庭地址或邮寄地址相同?

Previous . Travel Information以往赴美旅行信息

Have you ever been in the .? 您是否曾经去过美国

,如果“是”,请填写以下内容:

Date of Arrival到达日期(格试:日--月--年)

Length of Stay 停留时间

Do you or did you ever hold a . Driver’s License?你是否持有或曾经持有美国驾照?

Have you ever been issued a . Visa? 您是否曾经获得过美国签证?

如选YES要填下面的

Date Last Visa Was Issued 上一次获得美国签证的日期

Have you been ten-printed? 你是否留取过十指指纹

Has your . Visa ever been lost or stolen? 您的美国签证是否曾经遗失或被盗

Has your . Visa ever been cancelled or revoked? 您的美国签证是否曾经被注销或撤销过

Have you ever been refused a . Visa, been refused admission to the United States, or withdrawn your application for admission at the point of entry? 您是否曾经被拒签、被拒绝入境美国,或者在入境时被撤回您的入境许可

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