跳转至

LJH-DS-160-L2-2016.note

Source: /Volumes/X9 Pro/ObsNotes/YoudaoYunNotes/LJH-DS-160-L2-2016.note.pdf Converted: 2025-12-10 12:17:10


Personal, Address, Phone, and Passport/Travel Document Information

Name Provided: LIN, JINGHUAN

Full Name in Native Language: 林景焕

Other Names Used: NO

Telecode Name Used: YES

Telecode Name 2651, 2529 3562

Sex: FEMALE

Marital Status: MARRIED

Date of Birth: 15 SEPTEMBER 1973

Place of Birth: JILIN, CHINA

Country/Region of Origin (Nationality): CHINA

Do you hold or have you held any nationality other than the one

indicated above on nationality? NO

National Identification Number: 120104197309156821

U.S. Social Security Number: DOES NOT APPLY

U.S. Taxpayer ID Number: DOES NOT APPLY

Home Address: RM 4A APT 150 BUILDING 23

MUDANYUAN WUYIHUAYUAN

TONGZHOU DIST

City: BEIJING

State/Province: DOES NOT APPLY

Postal Zone/ZIP Code: 101100

Country/Region: CHINA

Same Mailing Address? YES

Primary Phone Number: 008618601090915

Secondary Phone Number: 00861080852378

Work Phone Number: DOES NOT APPLY

Email Address: linjinghuan@gmail.com

Passport/Travel Document Type: REGULAR

Passport/Travel Document Number: G44435296

Passport Book Number: DOES NOT APPLY

Country/Authority that Issued Passport/Travel Document: CHINA

City Where Issued: BEIJING

Country/Region Where Issued:CHINA

Issuance Date: 23 JULY 2010

Expiration Date: 22 JULY 2020

Have you ever lost a passport or had one stolen? NO

Travel Information

The List of Purposes of Trip to the U.S.

Purpose of Trip to the U.S. (1):INTRACOMPANY

TRANSFEREE (L)

Specify: SPOUSE OF A L1 (L2)

Principal Applicant Name: HUANG, HAIYUAN

Application Receipt/Petition Number: WAC1504850610

Have you made specific travel plans? NO

Intended Date of Arrival: 22 FEBRUARY 2016

Intended Length of Stay in U.S.: 3 YEAR(S)

Address where you will stay in the U.S.: 503 W GARDEN OF THE

GODS RD

City, State, Postal/Zip Code:COLORADO SPRINGS,

COLORADO 80919

Person/Entity Paying for Your Trip: U.S. PETITIONER

Are there other persons traveling with you? YES

Are you traveling as part of a group or organization?NO

Persons Traveling with You:

Name (1): HUANG, HAIYUAN

Relationship to You: SPOUSE

Have you ever been in the U.S.? YES

Date Arrived (1): 06 MARCH 2010

Length of Stay: 2 WEEK(S)

Date Arrived (2): 16 NOVEMBER 2015

Length of Stay: 1 WEEK(S)

Date Arrived (3): 16 NOVEMBER 2015

Length of Stay: 5 DAY(S)

Date Arrived (4): 13 DECEMBER 2015

Length of Stay: 4 WEEK(S)

Do you or did you hold a U.S. Driver's License? NO

Have you ever been issued a U.S. Visa? YES

Date Last Visa was Issued: 15 SEPTEMBER 2015

Visa Number: K9057043

Are you applying for the same

type of visa? NO

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?YES

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, or been refused

admission to the United States, or withdrawn your application for

admission at the port of entry?

NO

Has anyone ever filed an immigrant petition on your behalf with

the United States Citizenship and Immigration Services?NO

U.S. Contact Information

Contact Person Name in the U.S.: DO NOT KNOW

Organization Name in the U.S.: AGILENT TECHNOLOGIES

INC

Relationship to You: U.S. PETITIONER

Family Information

Father's Surnames: LIN

Father's Given Names: MAOCHUN

Father's Date of Birth: DO NOT KNOW

Is your father in the U.S.? NO

Mother's Surnames: PIAO

Mother's Given Names: QINGAI

Mother's Date of Birth: 11 SEPTEMBER 1933

Is your mother in the U.S.? NO

Do you have any immediate relatives, not including parents in the

U.S.? YES

Relative Name (1): HUANG, ZIYUN

Relationship to you: CHILD

Status: NONIMMIGRANT

Spouse's Full Name: HUANG, HAIYUAN

Spouse's Date of Birth: 02 SEPTEMBER 1974

Spouse's Country/Region of Origin (Nationality): CHINA

Spouse's City of Birth: ZHANGZHOU

Spouse's Country/Region of Birth: CHINA

Spouse’s Address: SAME AS HOME ADDRESS

Work/Education/Training Information

Primary Occupation: NOT EMPLOYED

Explain: BETWEEN JOBS

Were you previously employed? YES

Employer Name (1): GENZYME BEIJING BIO-

TECHNOLOGY CO LTD

Employer Address: NO77 JIANGUO RD

CHAOYANG DIST

City: BEIJING

State/Province: DOES NOT APPLY

Postal Zone/Zip Code: 100025

Country/Region: CHINA

Telephone Number: 861059047036

Job Title: FINANCE MANAGER

Supervisor's Surname: SHAN

Supervisor's Given Name:JIZHONG

Employment Date From: 25 JANUARY 2010

Employment Date To: 31 JULY 2013

Briefly describe your duties:

RESPONSIBLE FOR

FINANCIAL BUDGETTING,

PLANNING AND

IMPLEMENTATION, TAXATION

AND ONGOING

OPERATIONS, IN ADDITION

TO THE FINANCE

COUSELLOR ROLE FOR THE

NEW RND BUILDING

CONSTRUCTION PROJECT.

Employer Name (2): ALGOBLU CO LTD

Employer Address: NO12 JIANGUOMENWAI ST

CHAOYANG DIST

City: BEIJING

State/Province: DOES NOT APPLY

Postal Zone/Zip Code: 100022

Country/Region: CHINA

Telephone Number: 861065694176

Job Title: FINANCE MANAGER

Supervisor's Surname: LI

Supervisor's Given Name:MING

Employment Date From: 05 AUGUST 2013

Employment Date To: 30 SEPTEMBER 2015

Briefly describe your duties:

RESPONSIBLE FOR

FINANCIAL PLANNING,

FINANCIAL POLICIES SETUP

AND IMPLEMENTATION,

TAXATION MANAGEMENT

AND DAILY ACCOUNTING

OPERATIONS.

Have you attended any educational institutions at a secondary

level or above? YES

Name of Institution (1): NANKAI UNIVERSITY

Address of Institution: NO 94 WEI JIN LU

City: TIANJIN

State/Province: DOES NOT APPLY

Postal Zone/ZIP Code: 300071

Country/Region: CHINA

Course of Study: FINANCE

Date of Attendance From:01 SEPTEMBER 1991

Date of Attendance To: 30 JUNE 1995

Name of Institution (2): THE NO6 HIGH SCHOOL OF

HUINAN

Address of Institution: THE NO6 HIGH SCHOOL OF

HUINAN

City: HUINAN

State/Province: JILIN

Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: CHINA

Course of Study: ACADEMIC

Date of Attendance From:01 SEPTEMBER 1988

Date of Attendance To: 30 JUNE 1991

Do you belong to a clan or tribe? NO

Provide a List of Languages You Speak:

Language Name: (1): CHINESE

Language Name: (2): ENGLISH

Have you traveled to any countries within the last five years?YES

Country/Region Visited (1): UNITED STATES OF AMERICA

Country/Region Visited (2): CANADA

Country/Region Visited (3): SWITZERLAND

Country/Region Visited (4): SINGAPORE

Country/Region Visited (5): HONG KONG

Country/Region Visited (6): KOREA, REPUBLIC OF

(SOUTH)

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? (Communicable diseases of public significance

include chancroid, gonorrhea, granuloma inguinale, infectious

leprosy, lymphogranuloma venereum, infectious stage syphilis,

active tuberculosis, and others diseases as determined by the

Department of Health and Human Services.)

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

Have you ever committed or conspired to commit a human

trafficking offense in the United States or outside the United

States?

NO

Are you the spouse, son, or daughter of an individual who has

committed or conspired to commit a human trafficking offense in

the United States or outside the United States and have you

within the last five years, knowingly benefited from the trafficking

activities?

NO

Have you knowingly aided, abetted, assisted or colluded with an

individual who has committed or conspired to commit a severe

human trafficking offense in the United States or outside the

United States?

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 ever engaged in the recruitment or the use of the child

soldiers? 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 been directly involved in the establishment or

enforcement of the population controls forcing a woman to

undergo an abortion against her free choice or a man or a woman

to undergo sterilization against his or her free will?

NO

Have you ever been directly involved in the coercive

transplantation of human organs or bodily tissue? NO

Have you ever been the subject of a removal or deportation

hearing? 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 failed to attend a hearing on removability or

inadmissibility within the last five years? NO

Have you ever been unlawfully present, overstayed the amount of

time granted by an immigration official or otherwise violated the

terms of a U.S. visa?

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

Are you a former exchange visitor (J) who has not yet fulfilled the

two-year foreign residence requirement? NO

Have you attended a public elementary school on student (F)

status or a public secondary school after November 30, 1996

without reimbursing the school?

NO

Location Information

Location where you will be submitting your application

Current Location: BEIJING, CHINA

Preparer of Application

Did anyone assist you in filling out this application?NO