Note: 1. Please fill in the blanks in block letters; The content must be true and complete, which is the most important basis for whether the visa can be approved. ?

2. The applicant's exit record should be filled in completely, including going abroad for personal and official reasons, and those who have not applied for a visa should also be written out. ? 3. Especially those who have applied for a visa to the United States or have been refused a visa, please fill in the form carefully to ensure that the information in the form is complete and correct. ?

Please be accurate to the date. If you don't remember, please indicate. ?