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DS-260_Complete_English

The document is the Form DS-260, an Immigrant Visa and Alien Registration Application, which collects personal, family, travel, work, education, and security information from applicants. It includes sections for personal identification, family details, travel intentions, previous U.S. travel, work history, and security background checks. The form also requires social media usage information and a certification of truthfulness from the applicant.

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4 views3 pages

DS-260_Complete_English

The document is the Form DS-260, an Immigrant Visa and Alien Registration Application, which collects personal, family, travel, work, education, and security information from applicants. It includes sections for personal identification, family details, travel intentions, previous U.S. travel, work history, and security background checks. The form also requires social media usage information and a certification of truthfulness from the applicant.

Uploaded by

sisisisiamr
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
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Form DS-260 - Immigrant Visa and Alien

Registration Application (English


Version)
Personal Information 1
1. 1. Full Name (as in Passport):
2. 2. Have you ever used other names (e.g., maiden, religious, professional, alias)?
3. 3. Sex:
4. 4. Marital Status:
5. 5. Date of Birth:
6. 6. City or Town of Birth:
7. 7. Country of Birth:

Personal Information 2
8. 1. Country/Region of Origin (Nationality):
9. 2. Do you hold or have you held any nationality other than the one indicated above?
10. 3. National Identification Number (if applicable):
11. 4. U.S. Social Security Number (if any):

Address and Phone Information


12. 1. Home Address:
13. 2. Mailing Address (if different):
14. 3. Phone Numbers:
15. 4. Email Address:

Family Information: Parents


16. 1. Father's Full Name:
17. 2. Father's Date of Birth:
18. 3. Is your father still living?
19. 4. Mother's Full Name:
20. 5. Mother's Date of Birth:
21. 6. Is your mother still living?

Family Information: Spouse


22. 1. Spouse's Full Name:
23. 2. Date of Marriage:
24. 3. Spouse's Date of Birth:
25. 4. Spouse's Place of Birth:
26. 5. Spouse's Address:

Family Information: Children


27. 1. Do you have any children?
28. 2. Provide the full names, dates and places of birth for all children.

Travel Information
29. 1. Purpose of trip to the U.S.:
30. 2. Intended date of arrival:
31. 3. Intended length of stay:
32. 4. Address where you will stay in the U.S.:

Previous U.S. Travel Information


33. 1. Have you ever been in the U.S.?
34. 2. Have you ever been issued a U.S. visa?
35. 3. Have you ever been refused a U.S. visa?
36. 4. Has your U.S. visa ever been cancelled or revoked?

Work/Education/Training Information
37. 1. Primary Occupation:
38. 2. Present Employer or School Name:
39. 3. Address and Phone Number:
40. 4. Monthly Income (if employed):
41. 5. Describe your duties:

Petitioner Information
42. 1. Petitioner’s Full Name:
43. 2. Petitioner’s Address:
44. 3. Relationship to You:

Security and Background: Part 1 - Medical and Health


45. 1. Do you have a communicable disease of public health significance?
46. 2. Do you have documentation to establish that you have received vaccinations?
47. 3. Do you have a mental or physical disorder that poses a threat?
48. 4. Are you or have you ever been a drug abuser or addict?
Security and Background: Part 2 - Criminal
49. 1. Have you ever been arrested or convicted for any offense or crime?
50. 2. Have you ever violated, or engaged in a conspiracy to violate, any law relating to
controlled substances?
51. 3. Have you ever been involved in money laundering?

Security and Background: Part 3 - Security


52. 1. Do you seek to engage in espionage or sabotage?
53. 2. Do you seek to engage in terrorist activities?
54. 3. Have you ever engaged in genocide?

Security and Background: Part 4 - Immigration Law Violations


55. 1. Have you ever been unlawfully present, overstayed the amount of time granted by a
U.S. immigration official or otherwise violated the terms of a U.S. visa?

Security and Background: Part 5 - Miscellaneous


56. 1. Have you ever been the subject of a removal or deportation hearing?
57. 2. Have you ever been denied a visa to the U.S.?

Social Media
58. 1. Have you used any social media platforms in the last 5 years?
59. 2. Provide usernames or handles for each platform used.

Signature and Confirmation


60. 1. Certification of truthfulness of information provided:
61. 2. Electronic signature (Full Name):
62. 3. Date:

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