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Personal, Address, Phone, and Passport Information Note: You have completed data entry for your NIV application. Before submitting the application, please review your entries below. To navigate to the next section to be reviewed, click the Next button on the bottom of the page. If an entry is incorrect, click on the links on the right side of the page, which will direct you to the page where you entered the data. Once you have reviewed all sections, you will be directed to the Sign and Submit page to complete the application process. Online Nonimmigrant Visa Application (DS-160) Application ID Photo Provided:Upload New Photo Edit Personal Information Full Name in Native Alphabet: Other Names Used: YES Telecode Name Used: YES Sex:Marital Status: MARRIED Nationality:CHINA Other Nationalities: NO U.S. Social Security Number:DOES NOT APPLY U.S. Taxpayer ID Number:DOES NOT APPLY Edit Address and Phone InformationCity:State/Province:GUANGDONG Country:CHINA Same Mailing Address?YES Name Provided:Telecode Name:Date of Birth:Place of Birth:National Identification Number:Home Address:Postal Zone/ZIP Code:Other Name (1): Edit Passport/Travel Document InformationPassport/Travel Document Type: REGULAR Country/Authority that Issued Passport/Travel Document:CHINA City where issued:FOSHAN State/Province where issued:GUANGDONG Country where issued:CHINA Have you ever lost a passport or had one stolen?NO Primary Phone Number:Secondary Phone Number:Email Address:Passport/Travel Document Number:Passport Book Number:Issuance Date:Expiration Date:Travel Information Online Nonimmigrant Visa Application (DS-160) Application ID Edit Travel InformationThe List of Purposes of Trip to the U.S. Purpose of Trip to the U.S. (1): EXCHANGE VISITOR (J) Specify:SPOUSE OF A J1 (J2) Have you made specific travel plans?NO Intended Date of Arrival:05 DECEMBER 2011 Intended Length of Stay in U.S.:2 YEAR(S) Address where you will stay in Relationship to You:SPOUSE Is the address of the party paying for your trip the same as your Home or Mailing Address?NO City:Country:Edit Travel Companions InformationOther Persons Traveling with You: YES Are you traveling as part of a group or organization?NO Persons Traveling with You: Name (1): Relationship to You:SPOUSE Edit Previous U.S. Travel InformationHave you ever been in the U.S.?NO Have you ever been issued a U.S. visa?NO Principal Applicants Name:the U.S.:Name of Person Paying for Your Trip:Person/Entity Paying for Your Trip:Telephone Number:Email Address:Payers Address:State/Province:Postal Zone/ZIP Code:Have you ever been refused a U.S. Visa, been refused admission to the United States, or withdrawn your application for admission at the port of entry? NO Has anyone ever filed an immigrant petition on your behalf with the United States Citizenship and Immigration Services? NO Print U.S. Contact Information Online Nonimmigrant Visa Application (DS-160) Application ID Edit U.S. Point of Contact Information Relationship to You:OTHER Contact Person Name in the U.S.:Organization Name in the U.S.:U.S. Contact Address:Phone Number:Email Address:Family Information Online Nonimmigrant Visa Application (DS-160) Application ID Edit Family Information: RelativesIs your father in the U.S.?NO Mothers Date of BiIs your mother in the U.S.?NO Do you have any immediate relatives, not including parents in the U.S.?NO Do you have any other relatives in the United States?NO Edit Family Information: SpouseSpouses Address: OTHER (SPECIFY ADDRESS) City: Country: Fathers Surnames:Fathers Given Names:Fathers Date of Birth:Mothers Surnames:Mothers Given Names:rth:Spouses Full Name:Spouses Date of Birth:Spouses Nationality:Spouses City of Birth:Spouses Country of Birth:Street Address:State/Province:Postal Zone/ZIP Code: Print Work / Education / Training Information Online Nonimmigrant Visa Application (DS-160) Application ID Edit Present Work InformationPresent Employer or SchoolCity:Country:Edit Previous Work InformationWere you previously employed?NO Have you attended any educational institutions at a secondary level or above? YES City:Country:Address of InstitutioCity:Primary Occupation:Name:Present Employer or School Address:State/Province:Postal Zone/Zip Code:Work Phone Number:Monthly Salary in Local Currency (if employed):Briefly Describe your Duties:Name of Institution (1): Address of Institution:State/Province:Postal Zone/ZIP Code:Course of Study:Date of Attendance From:Date of Attendance To:Name of Institution (2):n:State/Province:Country:City:Country:City:Country:Course of Study:ACADEMIC Edit Additional InformationDo you belong to a clan or tribe?YES Clan or Tribe Name:THE COMMUNIST PARTY OF CHINA Provide a List of Languages You Speak: Language Name: (1): MANDARIN Language Name: (2): ENGLISH Have you traveled to any countries within the last five years?NO Have you belonged to, contributed to, or worked for any professional, social, or charitable organization?NO Do you have
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