Form: U.S. Transit Visa - Visa Time

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U.S. Transit Visa

Please accurately complete the application form, as below. We will then process your application and assist you as soon as possible!

Name *

Surname *

Have You Ever Used Any Other Names? (maiden, religious, professional, aliases etc) If So, Specify *

Sex *

Marital Status *

Explain

Date of Birth *

Place of Birth. Please include country, city and province *

Country/Region of Origin (Nationality) *

Do You Have Or Hold Any Other Nationality Than The One Listed Above? If So, Specify. *

Are You A Permanent Resident Of A Country/Region Of Origin Other Than The One Listed Above? If So, Specify. *

National Identification Number *

Purpose of Trip to US *

Specify *

Intended Date of Arrival *

Intended Length of Stay *

Person/Entity Paying For Your Trip *

Surname of person paying for your trip *

Given Name of person/organization paying for your trip *

Telephone Number *

Email Address *

Relationship to You *

Address of Company/Organization Paying For Your Trip *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is the address of the party paying for your trip the same as your mailing address? *

Yes
No

Address of Party/Organization Paying for Trip *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Have you ever been to the U.S.? *

Yes
No

*If yes, please provide information on your last 5 US Visits below

Date Arrived *

Length of Stay *

Date Arrived

Length of Stay

Date Arrived

Length of Stay

Date Arrived

Length of Stay

Date Arrived

Length of Stay

Have you ever been issued a U.S. Visa? *

Yes
No

Date Last Visa Was Issued *

Visa Number

Are You Applying For The Same Type Of Visa? *

Yes
No

Are you applying in the same country or location where the visa above was issued, and is this country or location your place of principal residence? *

Yes
No

Have You Been Ten-Printed? *

Yes
No

Has your US Visa ever been lost or stolen? *

Yes
No

Enter Year Visa Was Lost or Stolen

Explain

Has Your US Visa Ever Been Cancelled Or Revoked? *

Yes
No

Explain

Have you ever been refused a U.S. Visa or been refused admission to the U.S. or withdrawn your application for admission at the port of entry? *

Yes
No

Explain

Has anyone ever filed an immigrant petition on your behalf with the United States Citizenship and Immigration Services? *

Yes
No

Explain

Street Address *

City *

Province *

Postal/Zip code *

Phone Number *

Email Address *

Do You Have Social Media Presence? Disclose If You Feel It Necessary.

If you stated other to the previous question, Explain.

Country that issued Passport/Travel document. *

City Where Passport Was Issued *

State/Province. *if shown on passport

Issue Date *

Contact Person/Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

Expiration Date *if applicable

Have You Ever Lost A Passport Or Had One Stolen? *

Yes
No

Contact Person Or Organization In The United States. *

Relationship To You. *

Contact Person/Organzation Phone Number *

Contact Person/Organzation Email Address *

Fathers Full Name and Date of Birth *if known

Mothers Full Name and Date of Birth *if known

Do You Have Any Immediate Relatives Not Including Parents In The US? If Yes, specify(Relationship To You, status(Citizen, nonimmigrant etc)).

Do You Have Any Other Relatives In The US? *

Yes
No

What is Your Primary Occupation? (If you are retired just leave this question blank).

Present Employer or School Name

Employer or School Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Present Employer or School Phone Number

Start Date

Monthly Income in Local Currency

Briefly Describe Your Duties

Were You Previously Employed?

Yes
No

Employer Name

Employer Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Employer Phone Number

Job Title

Supervisor Surname *if applicable

Supervisor Name *if applicable

Employment Date From

Employment Date To

Briefly Describe Your Duties

Have You Attended Any Educational Institutions At a Secondary Level or Above?

Yes
No

Name of Institution

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Course Of Study

Date of Attendence From

Date of Attendance To

Have You Travelled to Any Countries/Regions Within The Last 5 Years?

Yes
No

Specify

Full Disclosure: *

“I hereby confirm that all information has been fully & accurately completed to the best of my knowledge. I accept all T&C's & understand additional fees may apply, if extended services are required over & above the standard application process.”

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