VISA FORM
STUDENTS PERSONAL DETAILS
 
 Name
Surname First Name Middle Name
 Birth Date
 Telephone
 Email 
 Mailing Address :
 Degree Applying For   UG   MS  MBA  Other
 Terms Applying For   Spring /  Fall  200   Major 
       SAT I  GRE  GMAT       Score / TOEFL :
 FINAL COLLEGE YOU INTEND TO ATTEND :
 TOTAL COST:
 ACCEPTANCES:  1.   2. 3.
 4.   5. 6.
 REJECTS:  1.   2. 3.
 4.   5. 6.
 AWATING:  1.   2.   3.  
 4.   5.   6.
 EDUCATIONAL BACKGROUND:
 Name of Institution Course of Study Date of Attendance Approx %
 
 
 
 
 WORK EXPERIENCE DETAILS :
 (Name of Employer,Designation, Duration of Employment and Job Duties and Responsibilities )
 
 NAME AND RELATIONSHIPS OF PERSONS INTENDING TO TRAVEL WITH YOU?
 

PRIOR VISA/IMMIGRATION DETAILS
 Do you have any family member in the USA?
  Father   Mother   Sister   Brother   Husband   Wife   Fiance
 Please state what is their current Status in U.S.
 Which state in U.S. do they reside?                 
 How long have they been in U.S.?                    
 What is their occupation?                                
 Has anybody applied for Immigration for you or your parents?   Yes  No  
   If Yes please fill details below
 Who applied and when  
 Has Your Immigration come through?
 Have You Ever Applied for a U.S. Visa?   Yes  No        If Yes please fill details below
 When ?  
 Where ?  What type of Visa?
 Have You Ever Been Refused a U.S. Visa?   Yes  No     If Yes please fill details below
 When ?  
 Where ?  What type of Visa?
 Has Your U.S. Visa Ever Been Cancelled or Revoked ?   Yes  No   
   
 Have You traveled abroad ?   Yes  No 
     If Yes please fill details below For Eg - London - May 2002 (for 1 month) - Tourism
   

SPOUSE DETAILS ( IF ANY )
 Current Marital Status:   Married  Unmarried   Widowed  Divorced  Separated 
 Name of Spouse: 
 Address :             
 Date of Birth :         What does your spouse do :

PARENTS AND SIBLINGS DETAILS
 Name (First, Middle, Last)  Address Relationship Tel Number
 
 
 
 

 
 

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