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    Usa Checklist India

    Uploaded by

    zehra

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Usa Checklist India

    Uploaded by

    zehra
    6 views4 pages

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    6 views4 pages

    Usa Checklist India

    Uploaded by

    zehra

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 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    United States, or withdrawn your application for admission at the port of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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