Form Ds-5535 - Supplemental Questions For Visa Applicants - U.s. Department Of State
ADVERTISEMENT
1
2
3U.S. Department of State
Approved OMB 1405-XXXX
Expires XX/XX/XXXX
SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS
Estimated Burden 60 Minutes
General Instructions
• If you are unsure of the answer to a question, please provide a response to the best of your knowledge. For example, if you are unsure of an exact address,
provide the city, state, and street name if you can recall them. U.S. Department of State will consider all the information derived from the form in its entirety.
• Failure to answer every question will not necessarily preclude visa issuance, as the application is considered in its entirety.
• If you believe a particular question does not apply to you or your circumstances, please write "not applicable" or "N/A."
• If you need more space to respond to a question, please write the rest of your response on a separate sheet of paper.
Personal Information
Surname(s)
Given Name(s)
Date of Birth (mm-dd-yyyy)
Visa Type/Classification
Passport and Travel History
Have you travelled to any country (other than your country of residence) in the last 15 years?
Yes
No
If yes, provide details for each trip, including locations visited, date visited, source of funds, and length of stay.
Have you ever held a passport other than the passport listed in your visa application?
Yes
No
If yes, provide the following information.
Country of Issuance
Passport Number
Relatives
Siblings (brothers and sisters) - Provide the full name(s) and date of birth of any sibling (full, half, step, adopted), living or deceased.
Surname(s)
Given Name(s)
Date of Birth (mm-dd-yyyy)
Children - Provide the full name(s) and date of birth of any child (minor and adult), living or deceased.
Surname(s)
Given Name(s)
Date of Birth (mm-dd-yyyy)
DS-5535
Page 1 of 3
03-2017
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ds-3072 - Repatriation / Emergency Medical And Dietary Assistance Loan Application - U.s. Department Of State
Legal
Faa Form 8110-26 - Supplemental Type Inspection Report (stir) - U.s. Department Of Transportation
Legal
Form Ds-2029 - Application For Consular Report Of Birth Abroad Of A Citizen Of The United States Of America - U.s. Department Of State
Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State
Legal
Form Ds-174 - Application For Employment As A Locally Employed Staff Or Family Member - U.s. Department Of State
Legal
Related Categories
Parent category: Legal