DS-160 QUESTIONARE

№ Questions Answer
Have you ever No, I have not
1 used any other
names?
If yes, what
2
was the name?
3 Birth place/city Ulaanbaatar city
Do you hold or No, I haven’t
have you held
4 any nationality
other than
Mongolia?
Address where 200 W Hiawatha Dr, International ResidenceHall, Wisconsin Dells, WI 53965
5 you will be
staying in USA
Person who is Dashkhishig Bat-Ochir
paying for your
6
trip / first and
last name /
Relationship to My mother
7
you
Is the address Yes, same
of the person
paying for your
8
trip the same as
your home
address?
Have you ever Yes, I have participated WAT program in summer of 2022
9 been in the
U.S.?
Have you ever Yes, last summer
1
been issued a
0
U.S. Visa?
1 Have you ever No, I haven’t been refused before
1 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withdrawn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?
Has anyone No
ever filed an
immigrant
petition on
1 your behalf
2 with the United
States
Citizenship and
Immigration
Services?
Home address, 113, 70th apartment, Jalkhants hutagt damdinbazar street, 4th khoroolol, 19th
1 buten hayaga khoroo, bayangol, Ulaanbaatar, Mongolia, 16067
3 bichne uu.
Zipcode pls.
1 Phone number (976)86806602
4
Have you used Yes
any other
1
phone numbers
5
in the last five
years?
If yes, what (976)95273365
1
was the phone
6
number?
1 Email address narandulam1234@gmail.com
7
Have you used No
any other email
1
addresses in
8
the last five
years?
If yes, what
1
was the email
9
address?
Facebook Nanuka Narandulam
2
address, link https://www.facebook.com/profile.php?id=100010473000773&mibextid=LQQJ4d
0
pls
Have you ever No, I have not
lost a passport
2
or had one
1
stolen?
2 Employer Mt. OlympusEnterprisesInc.- Mt. OlympusResorts
2 name /
company name
 /
Manager’s Aaron Matteson
2
name / first and
3
last name/
2 Employer 1701Wisconsin DellsPkwy, Wisconsin Dells, WI, 53965
4 address
2 Employer 1-608-253-8446
5 phone number
Employer aaron@mtolympuspark.com
2
email address
6
Do you have No
2
family member
7
in USA?
If yes, first and
2
last name of
8
the person
Where does
2
this person
9
live?
3 What does this
0 person do?
Do you have a No
3 friend or
1 relative in
USA?
3 If yes, where?
2
3 Father’s first Batzorig Narkhuu
3 and last name
Father date of 09/03/1980
3
birth,
4
month/day/year
Father’s ChM80090371
3
registration
5
number
3 Father’s phone 88741099
6 number
3 Mother’s first Dashkhishig Bat-Ochir
7 and last name
Mother’s date 04/19/1981
3
of birth, registration number: GP81041907
8
month/day/year
3 Have you No
9 traveled to any
other countries
 in past 5 years.
If yes name the
country.
4 Mother’s 99462033
0 phone number
4 University National university of Mongolia
1 name
4 Major Public finance
2
4 University start 2020
3 year
4 Did you serve No
4 in Military?
4 If yes, where?
5
The date range
4 you served in
6 Military / from
– to /
Specialized in
4 Military skill?
7 If yes, what
skill?
What First 2 doses were Sinopharm, 3rd was Pfizer
4
vaccination did
8
you get?
How many 3
4
dozes did you
9
get?
A friend’s first Nandin-Erdene Otgon
and last name,
who is able to
5 identify you .
0 zaaval naiz
shu, hamt yvj
bga naiz
bolohgui
5 Relationship to A friend
1 you
5 Home address 43, 47bth apartment, 4th khoroolol, 2th khoroo, bayangol, Ulaanbaatar, Mongolia,
2 16066
5 Phone number, 89111360, nandinotgon0115@gmail.com
3 email
5 A friend’s first Lkhamjav, Baatarkhuu
4 and last name,
who is able to
 identify you ,
zaaval naiz.
5 Relationship to A friend
5 you
5 Home address 44, 52th apartment, 4th khoroolol, 19th khoroo, bayangol, Ulaanbaatar, Mongolia,
6 16067
5 Phone number, 94932113, b.lkhamjav@yahoo.com
7 email