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Usa Checklist India

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zehra
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0% found this document useful (0 votes)
25 views4 pages

Usa Checklist India

Uploaded by

zehra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Please Fill in Block Letters

U. S Visa Common Questions

Edit Personal Information

Surname:
Given Name:
Marital Status:
Other Nationalities:
Home Address:
City:
Country :
Home Address:
City:
Country:
ADHAR CARD NO :
Is Your Mailing Address the Same as Your Home Address:
Primary Phone Number:
Secondary Phone Number:
Email Address:
Languages Known:

Passport Details

Is this your First Passport:


If yes, where was the Passport Issued:
If No: Previous Passport details
Nationality:
Document Number:
Issuing Authority:
Date of Issue:
Date of Expiry:
Is this travel document lost, stolen or in your possession:

Edit Travel Information

Purpose of Trip to U.S


Specify:
Intended Date of Arrival:
locations you plan to visit in the U.S:
Address where you will stay in the U.S
Name of Person Paying for Your Trip:
Relationship to You:
Is the address of the party paying for your trip the same as your Home or
Mailing Address:
Other Persons Traveling with You (if yes mention):

Edit Previous U.S. Travel Information


Have you ever been in the U.S:
If yes Date if Arrived and length of Stay:
Have you ever been issued a U.S.Visa:
Have you ever been refused a U.S. Visa, been refused admission to the
United States, or withdrawn your application for admission at the port of
entry, If Yes Explain:

Has anyone ever filed an immigrant petition on your behalf with the United
States Citizenship and Immigration Services:

U.S Contact Information


Contact Person Name in the U.S:
Organization Name in the U.S:
Relationship to You:
U.S Contact Address:
Phone Number:

Edit Family Information Relatives


Father’s Surname:
Father’s Given Name:
Date of Birth:
Father’s Nationality:
Is your Father in the U.S:
Mother’s Surname:
Mother’s Given Name:
Date of Birth:
Mother’s Nationality:
Is your Mother in the U.S:
Do you have any immediate relatives, not including parents, in the United
States:
Do you have any other relatives in the United States:

Edit Family Information Spouse


Spouse’s Surname:
Spouse’s Given Name:
Spouse’s Date of Birth:
Spouse’s Nationality:
Spouse’s City and Country of Birth :

Edit Work Information


Fill this part ONLY if you are working
Present Work Place:
Address:
City and Country:
Phone Number:
Monthly Salary:
Describe your duties:
Start Date:

Edit Previous Work Information


Work Place:
Address:
City and Country:
Phone Number:
Job Title:
Employment Date From -To:
Describe your duties:

Edit Educational Information


Name of secondary level and above institutions:
Address:
City:
Country:
Course of Study:
Starting DD/MM/YYY:
Finishing DD/MM/YYY:
Have you traveled to any countries within the last five years (If Yes
Mention):

Once Completed Please Review It and Sign Here


AKIRA INTERNATIONAL !!

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