US VISA B1 / B2 QUESTIONNAIRE

Personal Information : 1
LANGUAGE FOR INTERVIEW
LOCATION FOR INTERVIEW
Surname
Given Name
Have you ever used other names
Marital Status
Date of Birth
Place of Birth
Have you ever used other names
Country of Birth

Personal Information : 2
Nationality
Do you hold other Nationality
National Identification Number
US Social security Number
US Taxpayer ID Number

Current Home Address

Home Address
State
Postal / Zip code
Country
Mobile Number
E-mail address

Do you have a social media presence

Social Media Provider/Platform
ASK.FM
DOUBAN
FACEBOOK
FLICKR
GOOGLE+
INSTAGRAM
LINKEDIN
MYSPACE
PINTREST
QZONE (QQ)
REDDIT
SINA WEIBO
TENCENT WEIBO
TUMBLR
TWITTER
TWOO
VINE
VKONTAKTE (VK)
YOUKU
YOUTUBE
NONE

Passport Detail's
Passport Number
Passport Issuance Place
Issue date
Expiry date
Have you ever lost OR your Passport stolen

Travel Detail's
Purpose of trip to USA
Intended date of arrival in USA
Intended length of stay in USA
Address where you will stay is USA
Person/entity paying for your trip

Travel Companions
Are there other persons travelling with you

Previous US Travel

Have you ever been in the USA

Have you ever been in the USA

Do you hold a US Driver's License

Have you ever been issued a US Visa

Have you ever been ten-printed (i.e, whether BioMetric

Finger printing has been taken by US Consulate)

Have you ever been refused a US Visa

US Contact - Details
Surname ( Contact person In USA )
Given Name
Organization Name / Client Name
Relationship to You
Contact Number
Street Address Line 1
Street Address Line 2
City
State
Zip Code
Email Address of the concern person

Family Detail's
Father's SUR NAME
Father's GIVEN NAME
Is your Father in US?
Father's DOB

Mother's SUR NAME

Mother's GIVEN NAME
Is your Mother in US?
Mother's DOB
Spouse SUR NAME
Spouse GIVEN NAME
Spouse Nationality
Spouse DOB
Spouse Place of Birth
Do you have any immediate relatives in USA
(Husband / Wife / Father / Mother / Fiance /
Fiancee / Son / Daughter / Brother / Sister)

Do you have any other relatives in USA

Current Employment - Detail's

Current Designation
Present Employer
Address
Pin Code
Direct Phone Number
Supervisor's Name
Date of Joining
Monthly Income
Describe your JOB DUTIES - Mandatory

Previous Employment History - Details of FIVE

Previous Employer Name - 1
Complete Address
City & State
Pin Code
Contact Number
Job Title (Last Designation Held)
Supervisor's SUR NAME
Supervisor's GIVEN NAME
Date of Joining
Date of Relieving
Describe your JOB DUTIES - Mandatory
Previous Employer Name - 2
Complete Address
City & State
Pin Code
Contact Number
Job Title (Last Designation Held)
Supervisor's SUR NAME
Supervisor's GIVEN NAME
Date of Joining
Date of Relieving
Describe your JOB DUTIES - Mandatory

Academic Qualification's - Except Elementary

Name of Institution - 1
Complete Address
Pin Code
Course of Study
Date of Attendance (Joining)
Date of Completion

Name of Institution - 2
Complete Address
Pin Code
Course of Study
Date of Attendance (Joining)
Date of Completion

Name of Institution - 3
Complete Address
Pin Code
Course of Study
Date of Attendance (Joining)
Date of Completion

Travel - Previous Countries

Languages known
Have you travelledto any countries within the last
five years :
Country Visited (1) :
Country Visited (2) :
Country Visited (3) :
Country Visited (4) :
Country Visited (5) :
 US VISA B1 / B2 QUESTIONNAIRE

Personal Information : 1

Personal Information : 2

Current Home Address

Do you have a social media presence

Passport Detail's

Travel Detail's

Travel Companions

Previous US Travel
US Contact - Details

Family Detail's
 Current Employment - Detail's

Previous Employment History - Details of FIVE YEAR'S

Academic Qualification's - Except Elementary Schools

Travel - Previous Countries