NAME OF APPLICANT: COUNTRY:

AFGHANISTAN SUPPLEMENTAL FORM

1. Do you have any relatives who live in the United States? Yes ■ No
If Yes, please provide the name, type of relationship, and city of residence for each person.

2. Have you ever applied for the U.S. Diversity Visa Program (“Lottery Visa”)? Yes ■ No
If Yes, please list the year(s) you applied. If someone else has applied on your behalf, or if your spouse or child has
applied, please also include that information.

3. Has anyone ever filed an immigrant visa petition on your behalf or on behalf of your spouse or
child? Yes ■ No
If Yes, list their name, relationship to you, and when they filed the petition.

4. Have you, your spouse, or child ever applied for a Special Immigrant Visa? Yes ■ No
If Yes, please specify who, when, and the current status of the application.

5. Are you aware of any factor(s) that might make you ineligible to receive a U.S. visa? Yes ■ No
If Yes, please explain.
NAME OF APPLICANT: COUNTRY:

AFGHANISTAN SUPPLEMENTAL FORM

6. Please provide the following information about each of your family members (spouse, fiancé, children, father,
mother, sisters, brothers, uncles, aunts, first cousins, step-parents, half-siblings): full name, age, occupation,
employer, and place of residence.

7. How many dependents do you financially support in Afghanistan? 2

8. How can we improve our Fulbright candidate recruitment efforts in Afghanistan?