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  • Personal 1 NEXT PERSONAL
    • Part 1
    • Part 2
    • Part 3
    • Part 4
    • Part 5
  • Personal 2NEXT Travel
  • TravelNEXT Travel COMPANIONS
  • Travel Companions NEXT PREVIOUS U.S.TRAVEL
  • Previous U.S TravelNext Address & Phone
  • Address and PhoneNext Passport
  • Passport Next U.S. Contact
  • U.S. CONTACTNext Family
  • Family: RelativesNext Spouse
  • Family: SpouseNext Security and Background
  • Security and Background: Part 1Next Security and Background 2
  • Part 2Next Security and Background 3
  • Part 3Next Security and Background 4
  • Part 4Next Security and Background 5
  • Part 5Next Photo Uploaded
  • Personal 1
    • Name
    • Name 2
    • Gender and Marital Status
    • Date and Place of Birth
  • Personal 2
    • Personal 2.1
    • Personal 2.2
  • Travel Information
    • Travel 1
    • Travel 2
    • Travel 3
  • Travel Companions
  • Previous U.S Travel
  • contact information
    • Address
    • phone
    • social media
  • Passport
  • U.S. CONTACT
  • Family: Relatives
  • FamilyFamily: Spouse
  • Work/Education/Training
    • Present
    • Previous
    • Additional
  • Security and Background
    • Part 1
    • Part 2
    • Part 3
    • Part 4
    • Part 5
  • Interview preparation

Personal Information

Help: Surnames

Enter all surnames as listed in your passport. If only one name is listed in your passport, enter that Surname.

Surname Required
Help: Given Names

If your passport does not include a given name, please enter 'FNU' in Given Names.

Given Name Required
Full Name Required
Help: Surnames

Enter all surnames as listed in your passport. If only one name is listed in your passport, enter that Surname.

Help: Given Names

If your passport does not include a given name, please enter 'FNU' in Given Names.

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Help: Other Names

Other names used include your maiden name, religious name, professional name, or any other names which you are known by or have been known by in the past.

Help: Other Names

Other names used include your maiden name, religious name, professional name, or any other names which you are known by or have been known by in the past.

Other Surname Required
Other Given Name Required
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Help: Other Names

If you only have other surnames to enter, enter the same given names as above. Conversely, if you only have other given names to enter, enter the same surname as above.

Help: Telecode

Telecodes are 4 digit code numbers that represent characters in some non-Roman alphabet names.

Help: Telecode

Telecodes are 4 digit code numbers that represent characters in some non-Roman alphabet names.

Telecode Surnames Required
Telecode Given Name Required
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Help: Sex

Please select MALE or FEMALE

Marital Status Required
Help: Sex

Please select MALE or FEMALE

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Date and Place of Birth

Help: Date of Birth

If day or month is unknown, enter as shown in passport.

Date of birth Required
Birth City Required
Birth State Required
Birth Country Required
Help: Country/Region

Select the name that is currently in use for the place where you were born.

Birth Country Required
Help: Date of Birth

If day or month is unknown, enter as shown in passport.

Help: Country/Region

Select the name that is currently in use for the place where you were born.

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NEXT: PERSONAL 2

Personal Information 2

Origin Nationality Required
Help: Other Country/Region of Origin (Nationality)

Enter all nationalities you currently hold and all nationalities you have previously held, regardless of whether you have formally and/or legally relinquished the nationality. If the country where you previously held nationality is no longer a political entity or country, select the nationality that corresponds with the name of the country that is currently used for that location.

Origin Country Required
Help: Other Country/Region of Origin (Nationality)

Enter all nationalities you currently hold and all nationalities you have previously held, regardless of whether you have formally and/or legally relinquished the nationality. If the country where you previously held nationality is no longer a political entity or country, select the nationality that corresponds with the name of the country that is currently used for that location.

Other Origin Nationality Required
Passport Required
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Help: Permanent Resident

Permanent resident means any individual who has been legally granted by a country/region permission to live and work without time limitation in that country/region.

Help: Permanent Resident

Permanent resident means any individual who has been legally granted by a country/region permission to live and work without time limitation in that country/region.

Other Permanent Country Required
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Help: Identification Numbers

Your National ID Number is a unique number that your government provides. The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).

National Identification Number Required
Help: Identification Numbers

Your National ID Number is a unique number that your government provides. The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).

U.S. Taxpayer ID Number Required
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NEXT: Travel

Travel Information

Visa Purpose Required
Visa Class Required
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Intended Date of Arrival is Required
Help: Arrival Plans

If you are unsure of your travel plans, please provide an estimate.

Visa Purpose Required
Stay Length Required
Stay Length Type
Help: Arrival Plans

If you are unsure of your travel plans, please provide an estimate.

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NEXT: Travel
Address Line 1 required
Address Line 2 required
City required
State required

(e.g., 12345 or 12345-1234)

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Person Paying required

Address of Company/Organization Paying

Help: Payer Address

Provide the street address, apartment number (if applicable), city, state or province, country, and postal zone (if applicable) of the person or organization that is paying for your travel.

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NEXT: Travel COMPANIONS

Travel Companions Information

Help: Traveling with Others

You should answer Yes to this question if you are traveling with family, as part of an organized tour, or as part of a performing group or athletic team. You do not need to list individuals who are traveling with you for the purposes of employment with the same employer.

Other person traveling with required
Help: Traveling with Others

You should answer Yes to this question if you are traveling with family, as part of an organized tour, or as part of a performing group or athletic team. You do not need to list individuals who are traveling with you for the purposes of employment with the same employer.

Travel as part of a group required.
Group Name required
Surname required
Given Name required
Relationship with Person required
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NEXT:PREVIOUS U.S.TRAVEL

Previous U.S Travel Information

PREVIOUS
Next: Contact Information

Contact Information

Home address line 1 required
Home address line 2 required
Home city required
Home state required
Home Zipcode required
Home country required
Mailing address line 1 required
Mailing city required
Mailing state required
Mailing zipcode required.
Country required
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Help: Phone

You must provide a primary phone number. The primary phone number should be the phone number at which you are most likely to be reached; this could be a land line or a cellular/mobile number. If you have an additional land line or a cellular/mobile number please list that as your secondary phone number.

Primary Phone Number required
Secondary Phone Number required
Work Phone Number required
Help: Phone

You must provide a primary phone number. The primary phone number should be the phone number at which you are most likely to be reached; this could be a land line or a cellular/mobile number. If you have an additional land line or a cellular/mobile number please list that as your secondary phone number.

Additional Phone Number required
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Help: Email Address

ou must provide an email address. The email address you provide will be used for correspondence purposes. Provide an email address that is secure and to which you have reasonable access.

Home Email Address required
Additional Email Address required
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Help: Email Address

ou must provide an email address. The email address you provide will be used for correspondence purposes. Provide an email address that is secure and to which you have reasonable access.

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social Media

Do you have a social media presence?

Select from the list below each social media platform you have used within the last five years. In the space next to the platform’s name, enter the username or handle you have used on that platform. Please do not provide your passwords. If you have used more than one platform or more than one username or handle on a single platform, click the 'Add Another' button to list each one separately. If you have not used any of the listed social media platforms in the last five years, select 'None.'

+ Add Another - Remove
This field is required
This field is required
+ Add Another - Remove
Help: Social Media

Enter information associated with your online presence, including the types of online providers/platforms, applications and websites that you use to collaborate, share information, and interact with others. List the username, handle, screen-name, or other identifiers associated with your social media profile. (You do not need to list accounts designed for use by multiple users within a business or other organization.)

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Next: Passport

Passport Information

Passport/Travel Document type required
required
Help: Passport/Travel Document Number

Enter the information on the travel document you will be using when traveling to the U.S. Your travel document should be a valid, unexpired passport or other valid, unexpired documentation that is sufficient to establish your identity and nationality.

Passport/Travel Document Number required
Help: Passport Book Number

The Passport Book Number is commonly called the inventory control number. You may or may not have a Passport Book Number on your passport. The location of the Passport Book Number on your passport may vary depending on the country that issued your passport. Please contact your passport issuing authority if you are unable to determine whether or not your passport contains a Passport Book Number.

Passport Book Number required
Country/Authority issued passport required

City required
State/Province required
Country/Region required
Help: Passport/Travel Document Number

Enter the information on the travel document you will be using when traveling to the U.S. Your travel document should be a valid, unexpired passport or other valid, unexpired documentation that is sufficient to establish your identity and nationality.

Help: Passport Book Number

The Passport Book Number is commonly called the inventory control number. You may or may not have a Passport Book Number on your passport. The location of the Passport Book Number on your passport may vary depending on the country that issued your passport. Please contact your passport issuing authority if you are unable to determine whether or not your passport contains a Passport Book Number.

Help: Expiration Date

In most cases your passport/Travel Document must have at least six months of validity beyond the date of your visa application and/or your arrival in the United States.

Passport Issuance Date required
Help: Expiration Date

In most cases your passport/Travel Document must have at least six months of validity beyond the date of your visa application and/or your arrival in the United States.

Passport Expiration Date required
Lost Passport/Travel Document Number required
Lost Passport Country required
This field is required
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Next: U.S. Contact

U.S. CONTACT INFORMATION

Help: Contact

Your U.S. Point of Contact can be any individual in the U.S. who knows you and can verify, if necessary, your identity. If you do not personally know anyone in the U.S., you may enter the name of the store, company, or organization you plan to visit during your trip.

Surname required
Given Name required
Organization Name required
Relationship required
Address required
City required
City required
State required
Phone Number required
Email Address required
Help: Contact

Your U.S. Point of Contact can be any individual in the U.S. who knows you and can verify, if necessary, your identity. If you do not personally know anyone in the U.S., you may enter the name of the store, company, or organization you plan to visit during your trip.

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Next: Family

FamilyFamily Information: Relatives

NOTE: Please provide the following information concerning your biological parents. If you are adopted, please provide the following information on your adoptive parents.
Surnames required
Given Names required

Date of Birth

Father date of birth required
Father status required
Surnames required
Given Names required

Date of Birth

Mother date of birth required
required
Help: Immediate Relatives

Means fiancé/fiancée, spouse (husband/wife), child (son/daughter), or sibling (brother/sister).

Help: Immediate Relatives

Means fiancé/fiancée, spouse (husband/wife), child (son/daughter), or sibling (brother/sister).

Surname required
Given Name required
Relationship required
Relative's Status required
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Next: Spouse

Family InformationFamily Information: Spouse

Spouse's Surnames required
Spouse's Given Names required
Spouse's Country required
Spouse's Date of birth required
Spouse's City required
Spouse's Address required
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Education and Training

Present WorkPresent Work/Education/Training Information

Primary Occupation required
Present employer name required

Present employer or school address:

Street address required
Street address-2 required
City required
State/Province required
Postal Zone/ZIP code required
Phone number required
Country/Region required
Job start date required
Monthly Income required
Your duties required
PREVIOUS
Education and Training
Employer Name required
Employer Street Address required
Employer Street Address required
City required
State/Province required
Postal Zone/Zip Code required
Country/Region required
Telephone Number required
Job Title required
Supervisor's Surname required
Supervisor's Given Names required
Employment Date From required
Employment Date To required
Your duties required
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Help: Level of Education

You must answer Yes to this question if you have ever attended, for any length of time, a high school/secondary school (or its equivalent in your country) or college, university, graduate school, a doctoral program, or a vocational program.

Help: Level of Education

You must answer Yes to this question if you have ever attended, for any length of time, a high school/secondary school (or its equivalent in your country) or college, university, graduate school, a doctoral program, or a vocational program.

PREVIOUS
Education and Training

Language name required
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PREVIOUS
Next: Security and Background 1

Security and Background: Part 1

NOTE: Provide the following security and background information. Provide complete and accurate information to all questions that require an explanation. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you? While a YES answer does not automatically signify ineligibility for a visa, if you answer YES you may be required to personally appear before a consular officer.
This field is required
This field is required
This field is required
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Next: Security and Background 2

Security and Background: Part 2

NOTE: Provide the following security and background information. Provide complete and accurate answers to all questions that require an explanation. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you? While a YES answer does not automatically signify ineligibility for a visa, if you answer YES you may be required to personally appear before a consular officer.
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
PREVIOUS

Security and Background: Part 3

NOTE: Provide the following security and background information. Provide complete and accurate information to all questions that require an explanation. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you? While a YES answer does not automatically signify ineligibility for a visa, if you answer YES you may be required to personally appear before a consular officer.
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
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This field is required
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Next: Security and Background 4

Security and Background: Part 4

NOTE: Provide the following security and background information. Provide complete and accurate information to all questions that require an explanation. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you? While a YES answer does not automatically signify ineligibility for a visa, if you answer YES you may be required to personally appear before a consular officer.
This field is required
This field is required
This field is required
This field is required
This field is required
PREVIOUS
Next: Security and Background 5

Security and Background: Part 5

NOTE: Provide the following security and background information. Provide complete and accurate information to all questions that require an explanation. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you? While a YES answer does not automatically signify ineligibility for a visa, if you answer YES you may be required to personally appear before a consular officer.
This field is required
This field is required
This field is required
This field is required
PREVIOUS
Next: Interview Section

Interview Preparation

This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
This field is required
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