DS160 Visa Application Form

DS-160 Visa Application Form

"*" indicates required fields

Step 1 of 17 - Apply For Nonimmigrant Visa

Form Applicant Contact Details

Before we begin the application form, please enter your contact details below:

Applicant Name*

First Last

Phone*

Email*

Consent*

I agree to the privacy policy.

Select Location For Visa Application*

When you are ready, click on the button labeled “Start Application” below. Please make sure to have your passport, information about other U.S. visas you have had, if any, and any other documents relevant to your intended travel to the United States ready. You will need information in those documents as you fill out the application.

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

Surname*

(e.g., FERNANDEZ GARCIA)

Given Names*

(e.g., JUAN MIGUEL)

Full Name in Native Alphabet

Does Not Apply

Does Not Apply/Technology Not Available

Have you ever used other names (i.e., maiden, religious, professional, alias, etc.)?*

YES

Other Surnames Used (maiden, religious, professional, aliases, etc.)

Other Given Names Used

Do you have a telecode that represents your name?

YES

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

Telecode Surnames

Telecode Given Names

Sex*

Male

Female

Marital Status*

Deceased Spouse*

First Last

Deceased Spouse Date of Birth*

DD slash MM slash YYYY

Explain*

Date and Place of Birth

Date of Birth*

Month

Day

Year

Address*

City State / Province / Region Country

Country/Region of Origin (Nationality)*

Do you hold or have you held any nationality other than the one indicated above on nationality?*

Yes

Other Country/Region of Origin (Nationality)*

Do you hold a passport for the other country/region of origin (nationality) indicated above?*

Yes

Passport Number*

Are you a permanent resident of a country/region other than your country/region of origin (nationality) indicated above?*

Yes

Other Permanent Resident Country/Region*

National Identification Number*

U.S. Social Security Number

If applicable

U.S. Taxpayer Identification Number

If applicable

Travel Information

Purpose of Trip to the U.S.*

Specify*

Have you made specific travel plans?*

YES

Date of Arrival in U.S.

Month

Day

Year

Arrival Flight (If Known)

Arrival City

Date of Departure from U.S.

Month

Day

Year

Departure Flight (If Known)

Departure City

Address Of Stay in U.S.*

Street Address Address Line 2 City State ZIP Code

Person/Entity Paying for your Trip

Surname of Person Paying for Trip

Last

Given Name of Person Paying for Trip

First

Telephone Number

Email Address

Relationship to You

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

Yes

Address of Person Paying

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Travel Companions Information

Are there other persons traveling with you?*

Yes

Are you traveling as part of a group or organization?*

Yes

Surnames of Person Traveling With You

Last

Given Names of Person Traveling With You

First

Relationship with Person*

Previous U.S. Travel Information

Note: Provide the following previous U.S. travel information. Provide complete and accurate information to all questions that require an explanation.

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

Yes

Date Arrived*

Day

Month

Year

Length of Stay*

Please enter a number from 1 to 99.

Select One*

Do you or did you ever hold a U.S. Driver's License?*

Yes

Driver's License Number

N/A

Do Not Know

State of Driver's License*

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

Yes

Date Last Visa Was Issued*

Day

Month

Year

Visa Number

Has your U.S. Visa ever been lost or stolen?*

Yes

Year of Event*

Explain Further

Has your U.S. Visa ever been cancelled or revoked?*

Yes

Explain Further

Address and Phone Information

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your Mailing Address the same as your Home Address?

Yes

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone Number

Secondary Phone Number

Email Address

Do you have a social media presence? (Select All That Apply)

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.

ASK.FM

DOUBAN

FACEBOOK

FLICKR

GOOGLE+

INSTAGRAM

MYSPACE

TUMBLR

TWITTER (X)

YOUTUBE

NONE

Passport Information

Passport/Travel Document Number:*

Passport Book Number:

Country/Authority That Issued Passport/Travel Document:*

Where was the Passport/Travel Document Issued?

City of Passport/Travel Document:*

State/Province *If Shown:

Country/Region:*

Issuance Date:*

Day

Month

Year

Format - DD/MM/YYYY

Expiration Date:

Day

Month

Year

Format - DD/MM/YYYY

Have you ever lost a Passport or had one Stolen?*

Yes

Passport/Travel Document Number:

Country/Authority That Issued Passport/Travel Document:

Explain Further:

Father Full name*

First Last

Date*

DD slash MM slash YYYY

Is your Father in the US?*

Yes

What is your Mother status in the US*

Tourist

Business

Education

Section Break

Mother Full name*

First Last

Date*

DD slash MM slash YYYY

Is your Mother in the US?*

Yes

What is your Mother status in the US*

Tourist

Business

Education

Section Break

Do you have any relatives in the US?*

Yes

fiancé, spouse. child or sibling

First name*

Last name*

Relationship to you*

fiancé

spouse

child

sibling

Do you have more relatives in the US?*

Yes

First name*

Last name*

Relationship to you*

fiancé

spouse

child

sibling

Do you have a Spouse/Fiance?*

Yes

Partner Name*

First Last

Partner Date of birth*

DD slash MM slash YYYY

Partner Country/ region of Nationality*

Country

Partner Place of birth*

City Country

Do you have Former Spouse?*

Yes

Name*

First Last

Date of Birth*

DD slash MM slash YYYY

Date of Marriage*

DD slash MM slash YYYY

Date of Divorce*

DD slash MM slash YYYY

Country the marriage was terminated*

Choose Country

Job Title/ Field of work*

Present employer / school name*

Address*

Street Address City ZIP / Postal Code Country

Start Date*

DD slash MM slash YYYY

Monthly Income in local currency

Briefly describe your duties:*

Were you previously employed?*

Yes

Previous employer / school name*

Job Title*

Address*

Street Address City Country

Supervisor First and Last name*

Starting Date*

DD slash MM slash YYYY

End Date*

DD slash MM slash YYYY

Briefly describe your duties:*

Did you ever attended HIgh school or above?*

Yes

Name of most recent Institute*

Address*

Street Address City Country

Field of Study*

Starting Date*

DD slash MM slash YYYY

if you are not sure, approximately

End Date*

DD slash MM slash YYYY

if you are not sure, approximately

Languages you speak*

Countries you been to in the last five years*

List as many as you remember

Have you belonged to, contribued to, or worked for any professional, social, or charitable organization?*

Yes

Name of organization*

Have you served in the military?*

Yes

Address*

Country

Branch of Service*

Rank*

Military Specialty*

Starting date*

DD slash MM slash YYYY

End date*

DD slash MM slash YYYY

Have you ever been arrested or convictied for any offense or crime?*

Yes

Explain*

Have you even been unlawfully present, overstayed the amount grantted by an immigration offical?*

Yes

Explain*

Have you been ordered remove from the US during the last five years?*

Yes

Explain*

Have you been ordered remove from the US during the last 20 years?*

Yes

Explain*

Complete Form Now:

Enter Payment Details To Complete Form.

Select Visa Type*

USA DS-160 Visa + US Government $185 Fee

VIP DS-160 Visa Service + US Government $185 Fee

VIP DS-160 Visa Service & Express Appointment + US Government $185 Fee

USA DS-160 Visa

Coupon

Total

Credit Card*

Phone

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