策留网中文
英语
英文 | 中文
||
Visa Information & Duration of Stay | 签证信息和停留期限
Visa Number | 签证号码
Visa Type | 签证类型
Date Visa Was Issued | 签证签发日期
Date Visa Expires | 签证到期日期
Intended Duration of Stay | 预计停留时间
Personal Information | 个人信息
Family Name (Last Name) | 姓氏
First Name (Given Name) | 名字
Middle Name (if any) | 中间名（如有）
Date of Birth (MM/DD/YYYY) | 出生日期（月/日/年）
Gender | 性别
Citizenship | 国籍
Country of Residence and Address | 居住地国家和地址
Passport Number | 护照号码
Date Passport Was Issued | 护照签发日期
Date Passport Expires | 护照到期日期
U.S. Social Security Number (if any) | 美国社会保险号码（如有）
Occupation | 职业
Employer's Name and Address | 雇主姓名和地址
Purpose of Trip | 旅行目的
Primary Purpose of Trip | 旅行的主要目的
Type of Visa Sought (if applicable) | 申请的签证类型（如适用）
Business or Pleasure | 商务或休闲
Previous Entry and U.S. Contact Information | 上一次入境和美国联系方式
Have you ever been in the U.S. before? | 您之前是否曾在美？
How many times have you visited the U.S. in the past six months? | 在过去的六个月内您访问美国多少次？
Date of Last Arrival (MM/DD/YYYY) | 上次抵达日期（月/日/年）
If you have a U.S. contact, provide their full name, address, phone number, and email address: | 如果你有美国的联系人，请填写他们的全名、地址、电话号码和电子邮件地址：
Address in the U.S. | 美国地址
City | 城市
State | 州
Zip Code | 邮政编码
Additional Information | 附加信息
Have you ever been arrested or convicted of a crime or offense? | 您是否曾被逮捕或被定罪过？
Do you have a communicable disease of public health significance? | 您是否有重大公共卫生意义的传染病？
Are you traveling to or through any of the following countries or regions at this time or within the past 14 days? | 您目前或在过去 14 天内是否前往或途经以下任何国家或地区？
Have you ever been denied entry to the United States? | 您是否曾被拒绝入境美国？
Have you ever ordered or attempted to order a passport or visa fraudulently? | 您是否曾以欺诈手段订购或试图订购护照或签证？
