You are on page 1of 2

4/4/23, 11:37 AM Nonimmigrant Visa - Review Work / Education Information

Online Nonimmigrant Visa Application (DS-160) Application ID AA00BWBYIP

Work / Education / Training Information

DO NOT BRING THIS TO YOUR INTERVIEW


Edit Present Work Information

Primary Occupation: RELIGIOUS VOCATION

Present Employer or School Name: GEREJA PANTEKOSTA

Present Employer or School Address: JAKARTA

City: JAKARTA

State/Province: DKI JAKARTA

Postal Zone/Zip Code: DOES NOT APPLY

Country/Region: INDONESIA

Start Date: 2018

Work Phone Number: 081213711149

Monthly Salary in Local Currency (if employed): 9000000

Briefly Describe your Duties: WAKIL PENDETA

Edit Previous Work Information

Were you previously employed? NO

Have you attended any educational institutions at a secondary level YES


or above?

Name of Institution (1): SMPN 95

Address of Institution: JL.GANGGGENG III


NO.3

City: JAKARTA

State/Province: DKI JAKARTA

Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: INDONESIA

Course of Study: ACADEMIC

Date of Attendance From: JUNE 1989

Date of Attendance To: JUNE 1991

Name of Institution (2): SMK PGRI 21

Address of Institution: JL. BALAI PUSTAKA 1

City: JAKARTA

State/Province: DKI JAKARTA

Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: INDONESIA

Course of Study: OTOMOTIF

Date of Attendance From: JULY 1991

Date of Attendance To: JULY 1994

Edit Additional Information

Do you belong to a clan or tribe? NO

DO NOT BRING THIS TO YOUR INTERVIEW


https://ceac.state.gov/GenNIV/General/review/review_reviewWorkEducation.aspx?node=ReviewWorkEducation 1/2
4/4/23, 11:37 AM Nonimmigrant Visa - Review Work / Education Information

DO NOT BRING THIS TO YOUR INTERVIEW


Provide a List of Languages You Speak:

Language Name (1): INDONESIA

Have you traveled to any countries/regions within the last five years? NO

Have you belonged to, contributed to, or worked for any professional, NO
social, or charitable organization?

Do you have any specialized skills or training, such as firearms, NO


explosives, nuclear, biological, or chemical experience?

Have you ever served in the military? NO

Have you ever served in, been a member of, or been involved with a NO
paramilitary unit, vigilante unit, rebel group, guerrilla group, or
insurgent organization?

DO NOT BRING THIS TO YOUR INTERVIEW

https://ceac.state.gov/GenNIV/General/review/review_reviewWorkEducation.aspx?node=ReviewWorkEducation 2/2

You might also like