Fullname (As on Passport)
Date of Birth
Place of Birth
Nationality
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Select Your Nationality
Passport Number
Passport Issuance Date
Passport Expiry Date
Marital Status
Single
Married
Divorced
Widowed
Current Address
Phone Number
Email Address
Purpose of Visit
Tourism
Business
Family Visit
Transit
Medical
Study
Preferred Travel date (From)
Preferred Travel date (To)
Length of Stay
1 day
2 days
3 days
4 days
5 days
6 days
7 days
8 days
9 days
Port of Entry
Passport Type
Ordinary
Diplomatic
Official
Issuing Aurthority
Visa Type
B-2 Tourist Visa
B-1 Business Visa
F-1 Student Visa
J-1 Exchange Visitor Visa
H-1B Work Visa
L-1 Intra-company Transfer Visa
Name of Sponsor/Company in United States (If aplicable)
Sponsor's Phone Number
Sponsor's Email Address
Sponsor's Address
Occupation
Employer's Name and Address (If Employed)
Monthly Income
Less Than 100K
100K - 500K
500K - 1M
1M - 3M
Greater than 3M
Passport Copy (Clear, copy of passport's bio page)
Passport-sized Photographs (Recent Photographs)
Proof of Travel Insurance
Flight Itinerary (Booking Confirmation or Reservatiion)
Hotel Booking (Booking Confirmation or Reservatiion)
Proof of Financial Means (Bank Statements, pay slips, etc.)
Invitation Letter (If Visiting Family/Friends or for business purposes)
Visa Fee Payment Receipt (Proof of visa payment, if applicable)
Cover Letter (Explaining the purpose of visit and Itinerary)
Proof of Employment or Study (Employment letter, student enrollment proof, etc)
Additional Documents (Depending on visa type, such as Form I-20 for F-1 Student Visa, Form DS-2019 for J-1 Visa, etc.)
Applicant's Signature
Date
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