赴美簽證ds-160表范例及填寫說明-資料下載頁

　　

【正文】 要訪問的商店、公司或者組織的名稱。Contact Person or Organization in the United States 在美國的聯系人或組織Contact Person 聯系人.Do Not KnowSurnames 姓LeeGiven Names 名CortRELATIVE 聯系人關系SPOUSE 配偶FRIEND 朋友BUSINESS ASSOCIATE 商務伙伴EMPLOYER 雇主SCHOOL OFFICIAL學校官員OTHER 其他Relationship to You 與您的關系FRIEND 朋友Contact Person or Organization in the United States 在美國的聯系人或組織Organization Name 組織名稱 Do Not KnowAddress and Phone Number of Point of Contact 聯系人的地址和電話號碼. Street Address (Line 1) 美國地址1:222 South. Mountain View Ave.. Street Address (Line 2) *Optional 美國地址2 （可選）City 城市POMONAState 洲CALIFORNIAZIP Code (if known) 郵政編碼91000Phone Number 電話號碼6265555858Email Address 電子郵箱cort@Family Information: Relatives家庭信息：親屬NOTE: Please provide the following information concerning your biological parents. If you are adopted, please provide the following information on your adoptive parents. 注意：請提供以下有關您生身父母的信息。如果您是領養的，請提供下面有關您養父母的信息。Father39。s Full Name and Date of Birth父親的全名與出生日期Surnames (., Hernandez Garcia) LI Do Not KnowGiven Names (., Juan Miguel) BA Do Not KnowDate of Birth 01/JAN/1920 Do Not KnowIs your father in the .? 您父親是否在美國？No Yes NoMother39。s Full Name and Date of Birth母親的全名與出生日期Surnames (., Hernandez Garcia) WANG Do Not KnowGiven Names (., Juanita Miguel) MA Do Not KnowDate of Birth 01/JAN/1922 Do Not KnowIs your mother in the .? 您母親是否在美國？No Yes NoDo you have any immediate relatives, not including parents, in the United States? 除父母以外，您在美國是否還有其他直系親屬?No Yes NoDo you have any other relatives in the United States? 您在美國是否還有其他親屬？No Yes NoHelp: Immediate Relatives 直系親屬Means fianc233。/fianc233。e, spouse (husband/wife), child (son/daughter), or sibling (brother/sister). 指未婚夫/妻、配偶（丈夫/妻子）、子女（兒子/女兒）或者兄弟/姐妹。Family Information: Relatives 家庭信息：親屬NOTE: Please provide the following information concerning your biological parents. If you are adopted, please provide the following information on your adoptive parents.注意：請提供以下有關您生身父母的信息。如果您是領養的，請提供下面有關您養父母的信息。Do you have any immediate relatives, not including parents, in the United States? 除父母以外，您在美國是否還有其他直系親屬?No Yes NoDo you have any other relatives in the United States? 您在美國是否有其他親屬?No Yes NoFamily Information: Spouse家庭信息：配偶NOTE: Enter current spouse information. 注意: 輸入當前配偶的信息.Spouse39。s Full Name (include Maiden Name) 配偶的全名(包含婚前用名)Spouse39。s Surnames配偶的姓氏LIUSpouse39。s Given Names配偶的名字QISpouse39。s Date of Birth 配偶的出生日期17 OCT 1958Spouse39。s Nationality 配偶的國籍CHINASpouse39。s Place of Birth 配偶的出生地City 城市SHENYANG Do Not KnowCountry 國家CHINASpouse39。s Address 配偶地址Same as Home AddressPrevious Work/Education/Training Information當前工作/教育/培訓信息 NOTE: Provide your employment information for the last five years, if applicable. 注意：請提供以下關于您當前工作及教育的信息。Primary Occupation 主要職業Government政府Present Employer or School Name當前工作單位或學校的名稱SHENYANG BUREAU OF SURVEYING AND MAPPINGPresent employer or school address: 目前工作單位或學校的地址Street Address (Line 1) 街地址1 TAIYUANJIEStreet Address (Line 2) *OptionalDoes Not ApplyCity 城市SHENYANGState/Province 洲/省LIAONINGPostal Zone/ZIP Code 郵政編碼110001 Does Not ApplyPhone Number 電話02423242558Country 國家CHINAMonthly Ine in Local Currency (if employed) 月收入（如果有工作）當地貨幣5000Does Not ApplyBriefly describe your duties: 簡要描述您的工作職責Senior Lecturer of Education Center，Shenyang Bureau Of Surueying And Mapping.Were you previously employed? 您之前有工作嗎？Yes NoEmployer /Employment Information: 單位/工作信息Employer Name 單位名稱SHANYANG MINING MACHINERY FACTORYEmployer Street Address (Line 1) 地址1 DONGTAJIEEmployer Street Address (Line 2) Optional City 城市SHENYANGState/Province 洲/省LIAONING Does Not Apply ..Postal Zone/ZIP Code 郵政編碼110043 Does Not Apply.Country 國家CHINATelephone Number 電話024 88484848Job Title 職位EngineerSupervisor39。s Surname主管姓氏ZHANGSupervisor39。s Given Names主管名字SANEmployment Date From工作開始日期01/FEB/1982Employment Date To 工作結束日期01/JUL/1989Briefly describe your duties: 請簡要描述您的工作職責：Engineer，Responsible for quality control of metal materialsHave you attended any educational institutions at a secondary level or above? 您是否在任何相當于中學水平或以上的教育機構里學習過？YesYou must answer Yes to this question if you have ever attended, for any length of time, a high school/secondary school (or its equivalent in your country) or college, university, graduate school, a doctoral program, or a vocational program. 如果您曾上過高中/職業學校（或相當于本國這個程度的教育院校）、或大專、大學、研究生學校、博士項目或職業項目等，不管多長時間，您對這個問題均須回答“是”。Provide the following information on the educational institution(s) you have attended.請提供你所經歷的教育機構的相關信息。Name of Institution 學校名稱Northeastern UniversityStreet Address (Line 1) 3 WENHUALUStreet Address (Line 2) *Optional City SHENYANGState/Province 洲/省 Does Not Apply LIAONINGPostal Zone/ZIP Code 郵政編碼110819Country CHINACourse of StudyMetal MaterialDate of Attendance From01/ FEB/1978Date of Attendance To01/ FEB/1982ditional Work/Education/Training Information其他工作/教育/培訓信息NOTE: Provide the following work, education, or training related information. Provide plete and accurate information to all questions that require an explanation.注意：請提供以下有關工作、學歷或培訓的信息。 對于所有要求解釋的問題， 請提供完整、準確的信息。Do you belong to a clan or tribe? 您是否屬于一個宗族或者部落？ NoProvide a List of Languages You Speak 請列出您所說語言的種類 CHINESEHave you traveled to any countries within the last five years? 最近五年里您是否去過其他國家？ NoHave you belonged to, contributed to, or worked for any professional, social, or charitable organization?您是否從屬于任何一個專業的、社會或慈善組織？并為其做過貢獻、或為其工作過？NoDo you have any specialized skills or training, such as firearms, explosives, nuclear, biological, or chemical experience? 您是否具有特殊技能或接受過特殊培訓，例如有關槍械、炸藥、 核裝置、 生物或化學方面的經驗？NoHave you ever s