Ds Form 156 - Nonimmigrant Visa Application
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4PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM
1. SURNAMES OR FAMILY NAMES (Exactly as in Passport)
DO NOT WRITE IN THIS SPACE
B-1/B-2 MAX
B-1 MAX
B-2 MAX
2. FIRST NAME AND MIDDLE NAME (Exactly as in Passport)
OTHER
MAX
Visa Classification
3. OTHER NAMES (Maiden, Religious, Professional, Aliases)
MULT OR
Number Applications
4. DATE OF BIRTH (Day, Month, Year)
8. PASSPORT NUMBER
MONTHS
Validity
5. PLACE OF BIRTH
DATE PASSPORT ISSUED
L.O. CHECKED
(City, Province)
(Country)
(Day, Month, Year)
ON
BY
6. NATIONALITY
7. SEX
DATE PASSPORT EXPIRES
ISSUED/REFUSED
(Day, Month, Year)
MALE
ON
BY
FEMALE
9. HOME ADDRESS (include apartment no., street, city, province, and postal zone)
UNDER SEC.
214(b)
221(g)
OTHER
INA
10. NAME AND STREET ADDRESS OF PRESENT EMPLOYER OR SCHOOL
(Postal box number unacceptable)
REFUSAL REVIEWED BY
11. HOME TELEPHONE NO.
12. BUSINESS TELEPHONE NO.
13. MARITAL STATUS
Married
Single
Widowed
Divorced
Separated
If married, give name and nationality of spouse
14. NAMES AND RELATIONSHIPS OF PERSONS TRAVELING WITH YOU
(NOTE: A separate application must be made for a visa for each traveller,
regardless of age.)
19. PRESENT OCCUPATION
(If retired, state past occupation)
15. HAVE YOU EVER APPLIED FOR A U.S. NONIMMIGRANT VISA?
20. WHO WILL FURNISH FINANCIAL
SUPPORT, INCLUDING TICKETS?
NO
YES
HAVE YOU EVER APPLIED FOR A U.S. IMMIGRANT VISA?
NO
YES
21. AT WHAT ADDRESS WILL YOU STAY
IN THE U.S.A.?
WHERE?
WHEN?
VISA WAS ISSUED
VISA WAS REFUSED
16. HAS YOUR U.S. VISA EVER BEEN CANCELLED?
22. WHAT IS THE PURPOSE OF YOUR
TRIP?
NO
YES
WHERE?
23. WHEN DO YOU INTEND TO ARRIVE
WHEN?
IN THE U.S.A.?
BY WHOM?
17. Bearers of visitors visas generally may not work or study in the U.S.
24. HOW LONG DO YOU PLAN TO STAY
DO YOU INTEND TO WORK IN THE U.S.
IN THE U.S.A.?
NO
YES
If YES, explain.
25. HAVE YOU EVER BEEN IN THE
U.S.A.?
18. DO YOU INTEND TO STUDY IN THE U.S.
NO
YES
NO
YES
If YES, explain.
WHEN?
FOR HOW LONG?
COMPLETE ALL QUESTIONS ON
NONIMMIGRANT VISA APPLICATION
BOTH PAGES OF THIS FORM
OPTIONAL FORM 156 (Rev. 1-98) PAGE 1
50156-108
NSN 7540-00-139--0053
Department of State
PREVIOUS EDITIONS OBSOLETE
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