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새로운 DS-160 신청서 입력사항 리스트(Sample)
최종 업데이트 2010.05.07

새로운 DS-160신청서 작성은 너무길고 시간도 많이 걸립니다. 그리고 오류 및 사진도 까다롭습니다.

전체 입력사항 리스트입니다. 미리 참고하시고 도움이 되었으면 합니다.

Personal, Address, Phone, and Passport Information

Name Provided: HONG, GILDONG
Full Name in Native Language: 홍길동
Other Names Used: NO 

Sex: MALE
Marital Status: SINGLE
Date of Birth: 29 JANUARY 1900
Place of Birth: SEOUL , SEOUL , KOREA, REPUBLIC OF (SOUTH)
Nationality: KOREA, REPUBLIC OF (SOUTH)
Other Nationalities: NO
 
National Identification Number: 1000000
U.S. Social Security Number: DOES NOT APPLY
U.S. Taxpayer ID Number: DOES NOT APPLY

Home Address: 12
NAMSANDONG
City: CHUNGGU
State/Province: BUSAN
Postal Zone/ZIP Code: 100-010
Country: KOREA, REPUBLIC OF (SOUTH)
Same Mailing Address? YES
Home Phone Number: 008227574227
Work Phone Number: 008227574227
Work Fax Number: 008227761520
Mobile/Cell Phone Number: 008201084201111
Email Address: admin@uhakmagazine.com

Passport Number: JR4010000
Passport Book Number: A10516616M
Country/Authority that Issued Passport: KOREA, REPUBLIC OF (SOUTH)
City Where Issued: BUSAN 
State/Province Where Issued: BUSAN
Country Where Issued: KOREA, REPUBLIC OF (SOUTH)
Issuance Date: 08 JULY 2008
Expiration Date: 08 JULY 2018
Have you ever lost a passport or had one stolen? NO

Travel Information

Principal Applicant? YES
▲ Purpose of Your Trip to U.S.
Purpose (1) : TOURIST/PERSONAL TRAVEL VISITOR (B2)

Specific Travel Plan? NO
Intended Date of Arrival: 28 APRIL 2010
Intended Length of Stay in U.S.: 10 DAY(S)
Address where you will stay in the U.S: HOTEL
MANHATAN
NEW YORK, NEW YORK
Person/Entity Paying for Your Trip: SELF

▲ Other Persons Traveling with You: YES
Are you traveling as part of a group or organization? NO
Persons Traveling with You: 
Name (1) : PARK , JINCHEOL
Relationship to You: OTHER RELATIVE
 

Have you ever been in the U.S.? NO
▲ Have you ever been issued a U.S. Visa? YES
Date Last Visa was Issued: 08 JULY 2004
Visa Number: DO NOT KNOW
Are you applying for the same type of visa? YES

Are you applying in the same country where the visa above is issued and is this country your principal country of residence? YES
Have you been ten-printed? NO
Has your U.S. Visa ever been lost or stolen? NO
Has your U.S. Visa ever been cancelled or revoked? NO 
 
Have you ever been refused a U.S. Visa, been refused admission to the United States, or withdrawn your application for admission at the point of entry? NO

U.S. Contact Information

Contact Person Name in the U.S.: HOTEL, HOTEL
Organization Name in the U.S.: PARK JINSOO
Relationship to You: OTHER
U.S. Contact Address: MANHATAN
 NEW YORK, NEW YORK
Phone Number: (010)842-0152
Email Address: DOES NOT APPLY

Family Information

Father's Surnames: PARK
Father's Given Names: JONGMOON
Father's Date of Birth: 13 APRIL 1938
Is your father in the U.S.? NO
Mother's Surnames: KIM
Mother's Given Names: KEUMSOON
Mother's Date of Birth: DO NOT KNOW
Is 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

Work / Education / Training Information

Primary Occupation: BUSINESS
Present Employer or School Name: CROWNLSP
Address: NAMSANDONG
 CHUNGGU
City: SEOUL
State/Province: SEOUL
Postal Zone/Zip Code: 100-010
Country: KOREA, REPUBLIC OF (SOUTH)
Month Salary in Local Currency: 3,000,000
Briefly Describe your Duties: C.E.O

Were you previously employed? NO
Have you attended any educational institutions other than elementary schools? NO

Do you belong to a clan or tribe? NO
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 any specialized skills or training, including firearms, explosives, nuclear, biological, or chemical experience? NO
Have you ever served in the military? NO
Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante unit, rebel group, guerrilla group, or insurgent organization? NO

Security and Background Information

Do you have a communicable disease of public health significance such as tuberculosis (TB)? NO
Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others? NO
Are you or have you ever been a drug abuser or addict? NO

Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action? NO
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances? NO
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years? NO
Have you ever been involved in, or do you seek to engage in, money laundering? NO

Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States? NO
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities? NO
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations? NO
Are you a member or representative of a terrorist organization? NO
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? NO
Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? NO
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, or other acts of violence? NO
Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom? NO

Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United States immigration benefit by fraud or willful misrepresentation or other unlawful means? NO

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? NO
Have you voted in the United States in violation of any law or regulation? NO
Have you ever renounced United States citizenship for the purpose of avoiding taxation? NO

Location Information

Current Location: SEOUL, SOUTH KOREA

Preparer of Application:  
Did anyone assist you in filling out this application? NO

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