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出国签证出入境常用语 中英文对照
日期:2012-10-26   浏览:9155
Passport Number

◆签发护照地点 Place of Issuance
城市 City
国家 Country
州∕省份 State/Province

◆签发您护照的国家 Issuing Country

Issuance Date (dd-mm-yyyy)
日 day | 月 month | 年 year

Expiration Date (dd-mmh-yyyy)
日 day | 月 month | 年 year

Surnames (As in Passport)

First and Middle Names (As in Passport)

Other Surnames Used (Maiden, Religious, Professional, Aliases)

◆其他名字 -(没有请留空)
Other First and Middle Names Used

Date of Birth (dd-mm-yyyy)
日 day | 月 month | 年 year

◆出生地 Place of Birth
州∕省份 State/Province
城市 City
国家 Country


◆性别 Sex
男 Male
女 Female

National Identification Number

◆住址(国家 邮编区号 州∕省 城市 街道 单元号码)
Home Address (Include apartment number, street, city, state or province, postal zone and country)
Street Address Line 1
Street Address Line 1
城市 City
州/省份 State/Province
邮编区号 Postal Code
国家 Country

◆联系方式 (没有请填NONE) Contact
住宅电话 Home Telephone Number
工作电话 Business Phone Number
移动电话 Mobile/Cell Number
传 真 Fax Number
工作传真号码 Business Fax Number
传呼机号码(BP 机) Pager Number

Marital Status

Spouse's Full Name(Even if divorced or separated. Include maiden name.)

Spouse's DOB (dd-mm-yyyy)
日 day | 月 month | 年 year

Name and Address of Present Employer or School
名 称 Name
地址 Address

Present Occupation-(If retired, write & retired". If student, write "student".)

When Do You Intend To Arrive In The U.S.(Provide specific date if known)
日 day | 月 month | 年 year

E-Mail Address

At What Address Will You Stay in The U.S.
街道名称 Street Address Line 1
街道名称 Street Address Line 2
城市 City
省份/州 State/Province
邮遍区号 Postal Code

◆您将在美逗留∕旅游探访∕公干的联系人的姓名及电话号码 -(没有请填NONE)
Name and Telephone Numbers of Person in U.S. Who You Will Be Staying With or Visiting for Tourism or Business
姓名 Name
住宅电话 Home Phone
工作电话 Business Phone
移动电话 Cell Phone

How Long Do You Intend To Stay in The U.S.

What is The Purpose of Your Trip

Who Will Pay For Your Trip

Have You Ever Been to U.S.A
有 Yes 没有 No
何时 When
日 day | 月 month | 年 year
Enter Additional Visits to the U.S. Here

Have You Ever Been Issued a U.S. Visa
得到过 Yes 没有得到过 No
何时 When
日 day | 月 month | 年 year
在何地获得 Where
其他签证经历 Enter Additional Visa Issuances Here

Have You Ever Been Refused a U.S. Visa
有 Yes 没有 No
何时 When
日 day | 月 month | 年 year
在何地 Where
其他被美国拒签经验 Enter Additional Visa Refusals Here

Do You Intend To Work in The U.S.
有意 Yes 无意 No
(If YES, give the name and complete address of U.S. employer.)

Do You Intend To Work in The U.S.
有意 Yes 无意 No
(If YES, give the name and complete address of the school.)

◆同行人姓名,与您的关系 (没有请填NONE)
Names and Relationships of Persons Traveling With You

Has Your U.S. Visa Ever Been Cancelled or Revoked
有过 Yes 没有 No

Has Anyone Ever Filed an Immigrant Visa Petition on Your Behalf
有过 Yes 没有 No
If Yes, Who?

Has Your U.S. Visa Ever Been Cancelled or Revoked?Are Any of The Following Persons in The U.S., or Do They Have U.S.Legal Permanent Residence or U.S. Citizenship?
Mark YES or NO and indicate that person's status in the U.S. (i.e., U.S. legal permanent resident, U.S. citizen,visiting, studying, working, etc.).

1. 是否由于犯有任何罪刑而曾经被逮捕和被判有罪,即时后来得到了宽恕、赦免或受益于其他类似措施?是否曾非法分发或出售过受控物品(毒品)?是否曾从事卖淫活动或曾为卖淫者拉客?
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty or other similar legal action? Have you ever unlawfully distributed or sold a controlled substance(drug), or been aprostitute or procurer for prostitutes?
是 Yes 否 No

2. 是否曾经被美国拒绝入境或成为递解出境听证的对象?是否曾以欺骗或故意作假及其他手段歧途自己得到或帮助他人得到美国签证或任何其他移民福利、企图自己或帮助他人进入美国?是否曾在1996年11月30日以后以学生身份到美国公立小学或公立中学就读而未向学校补偿费用?
Have you ever been refused admission to the U.S., or been the subject of a deportation hearing or sought to obtain or assist others to obtain a visa, entry into the U.S., or any other U.S. immigration benefit by fraud or willful misrepresentation or other unlawful means? Have you attended a U.S. public elementary school on student (F) status or a public secondary school after November 30, 1996 without reimbursing the school?
是 Yes 否 No


3. 是否希望进入美国?是否为了违反出口控制的活动、为了从事颠覆或恐怖主义活动?是否有其他非法目的?是否是目前被美国国务卿认定的恐怖主义组织的成员或代表?是否曾参加过德国纳粹政府指使下进行的迫害?是否参加过旨在种族灭绝的屠杀?
Do you seek to enter the United States to engage in export control violations, subversive or terrorist activities, or any other unlawful purpose? Are you a member or representative of a terrorist organization as currently designated by the U.S. Secretary of State? Have you ever participated in persecutions directed by the Nazi government of Germany; or have you ever participated in genocide?
是 Yes 否 No

4. 是否曾违反过美国签证的有关规定?是否曾非法进入美国或者曾被美国递解出境?
Have you ever violated the terms of a U.S. visa, or been unlawfully present in, or deported from, the United States?
是 Yes 否 No

5. 是否曾拒绝把身为美国公民但身处美国境外的子女的监护权移交给美国法庭享有监护权的人?是否曾违反法规在美国投票或为达道逃避税务的目的而放弃美国国籍?
Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court, voted in the United States in violation of any law or regulation, or renounced U.S. citizenship for the purpose of avoiding taxation?
是 Yes 否 No

6. 是否曾感染对公共健康有影响的传染病或患过构成危险体质病变或精神病?是否曾滥用毒品或药物?是否用毒成瘾?
Have you ever been afflicted with a communicable disease of public health significance or a dangerous physical or mental disorder, or ever been a drug abuser or addict?
是 Yes 否 No

Was this Application Prepared by Another Person on Your Behalf
有 Yes 没有 No

Application Prepared By
姓 名 NAME
与申请人关系 Relationship to Applicant
申请人签字 APPLICANT'S SIGNATURE ____________________________________________
日期(日/月/年) DATE (dd-mm-yyyy) __________________________________________

I certify that I have read and understood all the questions set forth in this application and the answers I have furnished on this form are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result in the permanent refusal of a visa or denial of entry into the United States. I understand that possession of a visa does not automatically entitle the bearer to enter the United States of America upon arrival at a port of entry if he or she is found inadmissible.
申请人签字 APPLICANT'S SIGNATURE ____________________________________________
日期(日/月/年) DATE (dd-mm-yyyy) __________________________________________

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