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1、BASICINFORMATIONSNAMEOTHERNAMESGENDERMARRIAGEDATEOFBIRTHCITYOFBIRTHNATIONALITYIDNO.LISTLANGUAGESYOUSPEAKHOMEADDRESSMAILADDRESSMOBILENO.EMAILADDRESSPASSPORTNO.CITYWHEREISSUEDPROVINCE/STATEWHEREISSUEDISSUANCEDATEEXPIRATIONDATETRAVELHISTORYTOTHEUSHAVEYOUEVERBEENINTHEUS?1)DATEARRIV
2、EDLENGTHOFSTAY2)DATEARRIVEDLENGTHOFSTAY3)DATEARRIVEDLENGTHOFSTAY4)DATEARRIVEDLENGTHOFSTAY5)DATEARRIVEDLENGTHOFSTAYHAVEYOUEVERBEENISSUEDAUSVISA:DATELASTVISAWASISSUEDVISANO.HAVEYOUEVERBEENREFUSEDAUSVISA,WHY?FAMILYINFORMATIONSFATHER’SSURNAMESFATHER’SGIVENNAMESDATEODBIRTHISYOURFATH
3、ERINTHEUS?MOTHER’SSURNAMESMOTHER’SGIVENNAMESDATEOFBIRTHISYOURMOTHERINTHEUS?SPOUSE’SSURNAMESSPOUSE’SGIVENNAMESDATEOFBIRTHCITYOFBIRTHPROVINCE/STATEOFBIRTHNATIONALITYHOMEADDRESSDOYOUHAVEANYIMMEDIATERELATIVESINTHEUS?1)SURNAMESGIVENNAMESRELATIONSHIPTOYOUSTATUSINTHEUS2)SURNAMESGIVENN
4、AMESRELATIONSHIPTOYOUSTATUSINTHEUSWORK/EDUCATIONINFORMATIONSPRIAMRYOCCUPATIONPRESENTEMPLOYERNAMEADDRESSWORKPHONENUMBERWORKFAXNUMBERDATEOFEMPLOYMENTMONTHLYINCOMEWEREYOUPREVIOUSLYEMPLOYED?1)EMPLOYMENTDATEFROMEMPLOYMENTDATETOEMPLOYERNAMEEMPLOYERADDRESSJOBTITLEYOURDUTIESSUPERVISOR’
5、SSURNAMESSUPERVISOR’SGIVENNAMESSUPERVISOR’SSURNAMES2)EMPLOYMENTDATEFROMEMPLOYMENTDATETOEMPLOYERNAMEEMPLOYERADDRESSJOBTITLEYOURDUTIESSUPERVISOR’SSURNAMESSUPERVISOR’SGIVENNAMESSUPERVISOR’SSURNAMESHAVEYOUATTENDEDANYEDUCATIONALINSTITUTIONSATASECONDARYLEVELORABOVE?1)ATTENDANCEDATEFR
6、OMATTENDANCEDATETOINSTITUTIONNAMEADDRESSCOURSESOFSTUDY2)ATTENDANCEDATEFROMATTENDANCEDATETOINSTITUTIONNAMEADDRESSCOURSESOFSTUDYLISTOFCOUNTRIESYOUTRAVELEDTOWITHINTHELASTFIVEYEARS.
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