讲义课件教案consular electronic application form

iApplication-SensitiveButUnclassiWedonotneedaprintedcopyofyourapplicationatanypointduringyourinterviewprocess.Onlyprintthisapplicationifyouwantacopyforyourownrecords.Ifyouprintyourapplication,pleasekeepitsecure.PhotoConfirmaton alCopy--DoNotBringtoName FullNamenNativeLanguage: OtherNamesUsed: ecodeName Teecode 1728,1979 Marital DateofB 12MARCHceof HENAN,Country/RegonofOrign(Natona Doyouholdorhaveyouheldanynatonaityotherthanthe oneindicatedaboveonnationalty?NationalIdentificationU.S.SocaSecurity DOESNOTU.S.TaxpayerID DOESNOTHome 37XUEYUAN State/Prov DOESNOTPostaZone/ZIP SameMailing PrmaryPhoneSecondaryPhone DOESNOTWorkPhone Emal Exp PASSPORTFORPUBLIC PassportBook DOESNOTCountry/AuthoritythatIssued CtyWhere Country/RegionWhere Issuance 07JUNEExpration 07JUNEHaveyoueverlostapassportorhadone TheLstofPurposesofTriptotheU.S.PurposeofTrptotheU.S. TEMP.BUSINESSPLEASUREVISITOR Haveyoumadespecfctravelpans? ProvideacompetetineraryforyourtraveltotheU.S.:DateofArrivalin 26JULYArrvalC DateofDeparturefrom 14AUGUSTAddresswhereyouwllstayintheU.S.: 2001SOUTHFIRSTSTREETCity,State,Posta/ZipCode: CHAMPAIGN,ILLINOIS61820/EntityPayingforYour /OrganzationPayngfortheTrip: TeephoneNumber: Relatonshpto Addressof/OrganizationPaying: DOESNOTPostalZone/ZIP Arethereother stravelingwithyou? Areyoutravelingaspartofagroupororgan NameoftheGroup: MANAGEMENTTRAININGPROGRAMHaveyoueverbeennthe HaveyoueverbeenssuedaU.S.v HaveyoueverbeenrefusedaU.S.Visa,orbeenrefused admissiontotheUnitedStates,orwthdrawnyourapplicatonforadmissionattheportofHasanyoneeverfiedanimmgrantpettiononyourbehalf wththeUntedStatesCtzenshpandImmigratonServices?ContactNameinthe OrganzationNamenthe Relatonshpto U.S.Contact SUITECHAMPAIGN,ILLINOISPhoneAddress: Fathers FathersGiven ZHIFathersDateofB 21JULYIsyourfatherinthe Mothers MothersGiven PEIMothersDateof 10OCTOBERIsyourmotherinthe Doyouhaveanymmedatereatives,notincludngparentsn theU.S.?DoyouhaveanyotherreativesntheUnited Spouse'sFul LIU,XINGSpouse'sDateof Spouse'sCountry/RegionofOrgin Spouse'sCtyof Spouse'sCountry/RegionofB Spouse’s SAMEASHOMEPrimary PresentEmpoyerorSchool 37XUEYUAN DOESNOTPostalZone/Zip Country/Reg WorkPhone MonthySalaryinLocalCurrency(if BriefyDescrbeyour Wereyouprevously Haveyouattendedanyeducationalinstitutionsatasecondaryevelorabove?

NameofInstitution Addressof 37XUEYUAN DOESNOTPostalZone/ZIP Courseof ELECTRONICANDDateofAttendance 01SEPTEMBERDateofAttendance 01JULYDoyoubelongtoacanor ProvdeaListofLanguagesYouSpeak:LanguageName: LanguageName: Haveyoutraveedtoanycountreswithintheastfve Haveyoubeongedto,contrbutedto,orworkedforany professional,soca,orchartabeorganzaton?Doyouhaveanyspecializedskilsortraining,includng firearms,exposves,nucear,bioogical,orchemcalHaveyoueverservedinthem Haveyoueverservedin,beenamemberof,orbeennvolved withaparamitaryunt,vigilanteunit,rebegroup,guerrllagroup,ornsurgentorganizatDoyouhaveacommuncabediseaseofpublicheathsgnificance?(Communicablediseasesofpublc sgnificancencudechancroid,gonorrhea,granuomangunale,nfectousleprosy,lymphogranuomavenereum,infectiousstagesyphilis,actvetuberculosis,andothersdiseasesasdeterminedbytheDepartmentofHeathandHumanServces.)Doyouhaveamentalorphyscadisorderthatposesorslkelytoposeathreattothesafetyor welfareofyourseforothers?Areyouorhaveyoueverbeenadrugabuseroradd Haveyoueverbeenarrestedorconvictedforanyoffenseorcrime,eventhoughsubjectofapardon, amnesty,orothersmaraction?Haveyouevervioated,orengagednaconspiracytovolate,anylawreatingtocontrolled AreyoucomingtotheUnitedStatestoengageinprostitutionorunawfucommercazedviceorhave youbeenengagedinprostitutonorprocurngprostituteswithnthepast10years?Haveyoueverbeennvolvedin,ordoyouseektoengagein,money HaveyouevercommttedorconspiredtocommtahumantraffickngoffenseintheUntedStatesor outsidetheUntedStates?Areyouthespouse,son,ordaughterofanindvduawhohascommittedorconspiredtocommta humantraffickngoffenseintheUntedStatesoroutsidetheUnitedStatesandhaveyouwthintheastfveyears,knownglybeneftedfromthetraffckngactvHaveyouknowinglyaded,abetted,assistedorcoludedwithanndividuawhohascommittedor conspredtocommitaseverehumantraffickngoffenseintheUntedStatesoroutsidetheUnitedDoyouseektoengagenesponage,sabotage,exportcontrolviolations,oranyotherlegalactvty whilentheUnitedStates?DoyouseektoengagenterrorstactviteswheintheUnitedStatesorhaveyoueverengagedin terroristactivites?Haveyoueverordoyouintendtoprovdefnanciaassistanceorothersupporttoterroristsorterrorist organzations?Areyouamemberorrepresentativeofaterrorist Haveyoueverordered,incited,committed,assisted,orotherwiseparticipatedn Haveyouevercommtted,ordered,incited,assisted,orotherwiseparticipatedn Haveyoucommtted,ordered,incited,asssted,orotherwiseparticpatednextrajudicialkillngs, politcakllings,orotheractsofvoence?Haveyoueverengagedntherecrutmentortheuseofthechld Haveyou,wheservngasaernmentofficial,beenresponsbleforordrectycarredout,atany time,particularlyseverevolatonsofregiousdom?Haveyoueverbeendirectlyinvovedintheestablishmentorenmentofthepopulationcontrols forcingawomantoundergoanabortionagainstherchoiceoramanorawomantoundergosterilzationagainsthisorherHaveyoueverbeendirectlyinvovedinthecoercvetransntatonofhumanorgansorbodly Haveyoueversoughttoobtanora