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Quick Start Form-USA Form

1. Name of the Applicant as per the Passport


Given Name : Kevin
Surname: Rao
2. Date of birth : 17-03-2008
3. Place of Birth ( including the Country of birth)
4. Marital Status: (Single / Married/ Divorced / single
Widow / Widower) If married/Divorced/Widow
give spouse details
a. Name of the Spouse Given Name:
b. Spouse Surname
c. Date of Birth:
d. Place of birth:
5. Is this your first passport: no
6. Have you ever lost a passport: no
7. Home Full Address : 38 ashoka road, saint thomas town, bangalore, india
City and State: Bangalore, Karnataka
Postal Code: 560084
8. Current Phone number : 7022496206
9. Have you used additional phone numbers no
in the last five years?
10. Current Email Address : kekejames007@gmail.com
11. Have you used additional email addresses no
in the last five years?
12. a. Social Media Provider/Platform (1)(eg no
Facebook, Twitter, Instagram and etc:
b. Social Media Identifier:
13. Have you made any specific travel plans: no
(If yes provide flight tickets)
a. Intended date of travel: July 2024
b. Intended length of stay in the U.S 2 weeks
c. Address where you will stay in the U.S: Vasudev Rao
6098 Plaza Del Sol St
Las Vegas NV 89148
14. Person paying for your trip: Parent
A. If other person give the details:
1. Name of the person Sponsoring: Vasudev Rao
2. Telephone number: +1 (702) 960-5177
3. Email address: meetdev@hotmail.com
4. Relationship to you: parent
B. If Company sponsor give the details:
1. .Name of the Company:
2. Company Address with postal code:
3. Telephone number:
4. Relationship to you:
Quick Start Form-USA Form
15. Number of people travelling with you (give none
full name and relation):
16. Have you ever been issued a U.S. visa if yes no
give answers for Q 15.
17. Date of Arrived in USA and Length of no
stay(last five visit) to USA :
18. Have you ever been refused a U.S. Visa: no
19. Has anyone ever filed an immigrant no
petition on your behalf with the United States
Citizenship:
20. U.S. Point of Contact Information
a. Contact Person Name in the U.S Vasudev rao
b. Organization Name in the U.S.:
c. Relationship to You: Parent
d. U.S. Contact Address with zip code 6098 Plaza Del Sol St
Las Vegas NV 89148
e. Phone Number: +1 (702) 960-5177
f. Email Address: meetdev@hotmail.com
21. Parents information:
a. Father’s Surname: Rao
b. Father’s Given Name: Vasudev
c. Father’s Date of Birth:
d. Is your father in the U.S.A? yes
e. b. Mother’s Surname: Bird
f. Mother’s Given Name: Sherri
g. Mother’s Date of Birth: 10-10-1983
h. Is your mother in the U.S.A? no
22. Do you have any immediate relatives, not
including parents in the U.S.?( Sibling -
Brother or Sister), Child, Spouse,) if yes
a. Full name: Kacie Sarah Rao
b. Relation: Sister
c. Visa Status in USA none
23. Do you have any other relatives in the Mother’s Sister, niece, Grandmother
United States?
24. Present Work Information(Job/Business):- no
a. Employer Name:
b. Employer Address:
City and State with postal code:
c. Designation:
d. Employer phone number:
e. Start date of Employment:
f. Monthly income:
g. Briefly describe your duties(give the
duties and responsibilities minimum
Quick Start Form-USA Form
10 to 12 points bullet points you are
responsibility):

25. Previous employment :-


(A) Previous Work Information:-
a. Employer Name:
b. Employer Address:
City and State with postal code:
Employer phone number:
c. Designation:
d. Reporting Manger Full name:
e. Employment Start date(DD/MM/YY)
f. Employment End date(DD/MM/YY)
g. Briefly describe your duties(give the
duties and responsibilities minimum
10 to 12 points bullet points:
(B) Previous Work Information:-
a. Employer Name:
b. Employer Address:
City and State with postal code:
Employer phone number:
c. Designation:
d. Reporting Manger Full name:
e. Employment Start date(DD/MM/YY)
f. Employment End date(DD/MM/YY)
g. Briefly describe your duties(give the
duties and responsibilities minimum 10 to
12 points bullet points:
26. Educational Qualifications: (After Secondary
School) (Start from the highest Qualification)
a. Name of the Institution: (Master’s) Clarence High School
b. Address of the Institution with the zip #8, Pottery Rd, Richards Town, Bengaluru, Karnataka
code: 560005
c. Course of Study: NIOS
d. Date of attendance from(DD/MM/YYYY):: 06-06-2013
e. Date of attendance to(DD/MM/YYYY):: 06-06-2024

a. Name of the Institution: (Bachelor’s)


b. Address of the Institution with the zip
code:
c. Course of Study:
d. Date of attendance from(DD/MM/YYYY):
e. Date of attendance to(DD/MM/YYYY):
Quick Start Form-USA Form
27. Provide a List of Languages You Speak: english, Hindi, Kannada, Tamil, Latin
28. Have you traveled to any countries within No
the last five years? If yes list the countries
visited.

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