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.