Your Information

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Passport Information

20% Complete

 



Enter the name of your parents as it appears on their passport. The name can be the names of your biological, adoptive, step-parent or guardian. If you do not know the name of one or both of your parents, enter UNKNOWN.

Travel Information

40% Complete

A point of contact may be a friend, relative, business associate or a place where you will be staying (eg. a hotel).


Emergency Contact Information


Employment Information

Eligibility Questions

60% Complete

  • Cholera
  • Diphtheria
  • Tuberculosis, infectious
  • Plague
  • Smallpox
  • Yellow Fever
  • Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo
  • Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality.

Communicable Diseases

Under United States law communicable diseases of public health significance include:

  • Chancroid
  • Gonorrhea
  • Granuloma inguinale
  • Leprosy, infectious
  • Lymphogranuloma venereum
  • Syphilis, infectious stage
  • Tuberculosis, active
  • And others as determined by the Department of Health and Human Services.

Physical or Mental Disorders

With regard to physical or mental disorders, answer ”Yes” to this question if:

(a) You currently have a physical or mental disorder and a history of behavior associated with the disorder that may pose or has posed a threat to your property, safety or welfare or that of others; or

(b) You had a physical or mental disorder and a history of behavior associated with the disorder that has posed a threat to your property, safety or welfare or that of others and the behavior is likely to recur or lead to other harmful behavior.

Answer ”No” if:

(a) You currently have no physical or mental disorders; or

(b) You have or had a physical or mental disorder without associated behavior that may pose or has posed a threat to your property, safety or welfare of that of others; or

(c) You currently have a physical or mental disorder with associated behavior, but that behavior has not posed, does not currently pose nor will pose a threat to your property, safety or welfare or that of others; or

(d) You had a physical or mental disorder with associated behavior that posed a threat to your property, safety or welfare or that of others, but that behavior is unlikely to recur.

Drug Abusers and Drug Addicts

Under United States law persons may not be admissible if they have been determined to be a drug abuser or drug addict.

For further information refer to § 212(a)(1)(A) of the Immigration and Nationality Act, 8 U.S.C. § 1182(a)(1)(A), and corresponding regulations in the Code of Federal Regulations.

Confirmation

80% Complete

Payment

100% Complete

Total $114.00

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All visa applicants are responsible for the accuracy of their visa application forms and must carefully consider the requirements set out in the visa application forms and complete all application forms fully and truthfully and provide correct and accurate information and documentation in support of their visa or visa waiver. When submitting an application for a visa or visa waiver for the United States please ensure you take your time to complete without any distractions as If the wrong information is given it can result in refusal of entry to the country. Visa-Applications.org works with an SRA registered solicitor and is not affiliated with any government body. Any redistribution or reproduction of part or all of the contents in any form is prohibited.
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