U.s. Embassy, Rangoon - Supplemental Immigrant Visa Application Page 2
ADVERTISEMENT
1
2
3
4WORK EXPERIENCE – PRESENT
Job Title:
Date (mm-dd-yyyy) From:
Date (mm-dd-yyyy) To:
Employer or Company’s Name, Address, and Telephone Number:
Describe Your Duties:
WORK EXPERIENCE – PREVIOUS
Job Title:
Date (mm-dd-yyyy) From:
Date (mm-dd-yyyy) To:
Employer or Company’s Name, Address, and Telephone Number:
Describe Your Duties:
WORK EXPERIENCE – PREVIOUS
Job Title:
Date (mm-dd-yyyy) From:
Date (mm-dd-yyyy) To:
Employer or Company’s Name, Address, and Telephone Number:
Describe Your Duties:
I certify that I have read and understood all the questions set forth in this form and the answer I have furnished on this form
are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result
in the permanent refusal of a visa or denial of entry into the United States.
APPLICANT’S SIGNATURE: ___________________________________
DATE (mm-dd-yyyy): _______________
Page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal