USA Tourist Visa

Personal Details:

Full name as shown in Passport(Required)

First Middle Last

Previous names/surnames (only if applicable)

First Middle Last

Your date of birth(Required)

Your Country of birth(Required)

Your current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ID number(Required)

Contact number (cell)(Required)

Contact number (home)

Contact number (work)

Your current passport number(Required)

Date of issue of current passport(Required)

Where was your Passport issued?(Required)

Date of expiry of current passport(Required)

Do you currently or have you ever held any other nationality? If so, please specify

Has your passport ever been lost or stolen? If so, please provide details like place, date etc

Have you ever been convicted of any crimes? If so please explain what happened.

Have you used any other phone numbers in the last 5 Years?(Required)

Yes

Previous number(Required)

Current Email(Required)

Have you used any other email addresses in the last 5 years(Required)

yes

List them seperated by comma

Social Media

Provide all relevant social media links separated by a comma (Facebook, Insta, Linkedin)

Marital Status(Required)

Single

Married

Divorced

Widowed

Your spouse

Your spouse’s full name (even if not traveling with you)

First Middle Last

Your spouse’s date of birth

Place of birth

Full address (if not the same as your own)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you are divorced please provide the following information

Your ex’s full name

First Middle Last

Their place of birth

Date of birth

Date of Marriage

Date of Divorce

If you are widowed please provide the following information

Partners full name

First Middle Last

Place of birth

Date of birth

Place of death

Date of death

Your Trip to the USA

Date of arrival in the USA (even if not confirmed)

Departure from USA (even if not confirmed)

Flight number

City of arrival

City of departure

Recruitment

Name of company recruiting you

Company address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company contact number

Where will you still stay in the US? (If different from above)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If there is anyone traveling with you to the USA, Please state the following:

Their full name

First Middle Last

Relation to you

If anyone is paying for your trip, other than yourself, please state the following:

Person/company’s name

Person's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact number

If you have ever been to the USA, please state the following:

Date/s of arrival & Length of stay

Please list no more than 5 trips – most recent

If you have ever been issued a visa for the USA, please state the following:

Date of issue of the visa

Visa type

Control number (the number in red on the visa sticker)

Has your US visa ever been stolen, lost or revoked?(Required)

yes

Please provide details

Have you ever been arrested?(Required)

yes

Please provide details

What languages do you speak?

Please list all other countries you have visited in the last 5 years

What languages do you speak?

Your family

Full name of your mother(Required)

First Middle Last

Date of birth of your mother(Required)

Full name of your father(Required)

First Middle Last

Date of birth of your father(Required)

Is either of your parents in the US? If yes, please state if they are citizens, green card holders etc

Do you have any other family or relatives in the US? If yes, please state their names and if they are citizens, green card holders etc

Current Occupation (if applicable)

Employment status (employed, self employed etc)

Name of company

Address of company

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company contact details

Your position in the company

Untitled

Monthly gross income before deductions

Your position in the company

Job description/duties

Start date

End date

For Crew Members

What is your specific role / job on board the vessel?(Required)

What is the name of the company who owns the vessel?(Required)

What is the name of the vessel?

What is the ships ID number

What is the company contact number?

Did you acquire your position using an agency?

Yes

Agency name

Name

First Last

Telephone number

Agency Business address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous employment (if applicable)

Name of previous company

Address of the company

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact number

Your supervisors full name

First Middle Last

Your position in the company

Start date of employment with this company

End date of employment with this company

Military service (including conscription) – only if applicable

Start date of service

End date of service

Country of service

Military Specialty

Tertiary Education – only if applicable

Name of institution

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Number

Course of study

Start date of study

End date of study

Upload Passport photo(Required)

Max. file size: 10 MB.

Your photo must be at least 600 x 600 pixels. JPEG file format at least 54 kilobytes and no more than 10 megabyte

Copy of Passport(Required)

Max. file size: 10 MB.

Copy of National ID(Required)

Max. file size: 10 MB.

The VisaPal agent will provide you with a "Draft Application" for your review and to address any inquiries you may have before submitting it to the U.S. Consulate.

DISCLAIMER: We, as a visa agency, cannot be held liable for any visa application denial or rejection by the respective embassy or consulate. The decision to grant or deny a visa is solely at the discretion of the embassy or consulate, and we cannot guarantee the approval of any visa application. While we strive to provide accurate and up-to-date information and assistance throughout the visa application process, the final decision regarding the visa application rests solely with the embassy or consulate.

USA Tourist Visa

Price:

USA Tourist Visa

USA Tourist Visa

Personal Details:

Your spouse

If you are divorced please provide the following information

If you are widowed please provide the following information

Your Trip to the USA

Recruitment

Where will you still stay in the US? (If different from above)

If there is anyone traveling with you to the USA, Please state the following:

If anyone is paying for your trip, other than yourself, please state the following:

If you have ever been to the USA, please state the following:

If you have ever been issued a visa for the USA, please state the following:

Your family

Current Occupation (if applicable)

For Crew Members

Previous employment (if applicable)

Military service (including conscription) – only if applicable

Tertiary Education – only if applicable

The VisaPal agent will provide you with a "Draft Application" for your review and to address any inquiries you may have before submitting it to the U.S. Consulate.

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Contact Info