5.DS-160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 (i.e., 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: U.S. Social Security Number美国社会安全号



Does Not Apply

U.S. Taxpayer ID Number美国纳税人身份号码



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

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----年): Expiration Date有效期至(格试:日----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 U.S. Travel Information以往赴美旅行信息

Have you ever been in the U.S. 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----年) Length of Stay 停留时间

Do you or did you ever hold a U.S. Driver’s License你是否持有或曾经持有美国驾照? Have you ever been issued a U.S. 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 U.S. Visa ever been lost or stolen 您的美国签证是否曾经遗失或被盗 Has your U.S. 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 U.S. 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

Family Information: Relatives家庭信息:亲属

Father's Full Name and Date of Birth父亲的全名和出生日期 Surnames 姓:

Given Names 名字:

Date of Birth生日

Is your father in the U.S. 你的父亲是否在美国? Mother's Full Name and Date of Birth母亲的全名和出生日期 Surnames

Given Names 名字: Date of Birth生日 Is your mother in the U.S. 你的母亲是否在美国

Do you have any immediate relatives, not including parents, in the United States除父母以外你是否还有其他亲属在美国?

Do you have any other relatives in the United States您在美国是否还有其他亲属

Family Information: Spouse 家庭信息:配偶

Spouse's Full Name (include Maiden Name) 配偶的全名(包括婚前名字) Spouse's Surnames 配偶的姓: Spouse's Given Names 配偶的名字:

Spouse's Date of Birth 配偶的出生日期(格试:日------年)


Spouse's Nationality 配偶的国籍 Spouse's Place of Birth 配偶的出生地: City 城市:

Country国家:

Spouse's Address配偶的地址

Present Work/Education/Training Information当前工作/教育/培训信息

Primary Occupation 主要职业-------一般选“BUSINESS,请在根据您的实际情况来填; Present Employer or School Name当前工作单位或学校名称(中英文) Present employer or school address当前工作单位或学校地址(中英文) City 城市:

State/Province 省:

Postal Zone/ZIP Code邮政编码: Country国家:

Monthly Salary in Local Currency (if employed)按当地货币计算每收入: Briefly describe your duties:请简要描述您的工作职责: 以下内容英文填写:

列出你除中学以外的学校名: 地址: 城市: 省: 所学科目: 起止时间:

列出你前两任工作单位: 地址: 城市: 省: 职务:

职务描述: 起止时间: 主管名: 联系电话:


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