Professional Documents
Culture Documents
USA Draft Form
USA Draft Form
TRAVEL INFORMATION
5. Person/company paying for your Trip with Address /Tel no. /email and Relation:-
self
If yes please provide Full Name /Relation or provide scan copy of passport
1. Pushpa chitrakar 2.
3. 4.
7. Have you been issued US visa before?.......no........ If yes please provide scan copy of visa
8. Date of Previous last 5 USA visit’s and length of stay:
i) ii)
iii) iv)
v)
9. Have you been refused visa for any countries including USA before:-…….. IF yes Date of
refusal and reason
10.Has anyone file an immigration petition on your behalf with united states citizenship and
immigration services:-
FAMILY INFORMATION
11. Do you have any immediate relative (CHILDREN/PARENTS/SIBLINGS) in USA, if yes please
provide Full name and visa status in USA:-
1.suyash chitrakar
2.
Job title:-
Name of institution:-
Course of study:-
Date of Join(DD/MM/YYYY):-
1. 2. 3. 4 5
1. 2. 3.
4. 5. 6.