Document Cover Sheet - Principal Applicant Form (Australian Citizens)

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Office Use only:
Applicant
Original
Copy
Document Cover Sheet – Principal Applicant
Office use only
Original only
Passport
 A#
Attach to Birth Certificate
Original only
Photograph
(print your full name on the back the photo)
Original only
Fee
(Payable at the U.S. Consulate)
Copy only
DS-260 Confirmation Page
Education Certificate / Translation
|
|
Copy only
Employment Records / O*Net Qualification
|
Australian Citizenship Certificate / Name Change Certificate
|
|
Birth Certificate / Unobtainable Birth Certificate /Translation
|
|
FS-0552
Divorce /Death Certificate of prior marriage(s)/Translation(s)
|
|
Marriage Certificate / Translation
 scan
Australian Federal Police certificate
EXP:
(front page)
List below all countries you have resided in for 6 months or more since
Other Country police certificate(s) / Translation(s)
reaching the age of 16 (excluding Australia)
Country
From (mmm-yyyy)
To (mmm-yyyy)
1.
|
|
2.
|
|
Court documents / Translation
|
|
Military records / Translation
|
|
 scan DS-2054
Original only
EXP:
Medical Exam report
(pg 1 only)
Original only
Express Post envelope
Annotations
Forms to sign
 212
 Class A/B
 Valid only
 Charge to
 DS-1810 (males aged 18-26)

Provide the U.S. address (if different from the address listed in your DS-260) of where you wish for your green card to be mailed to. Your visa cannot be issued
without this information.
Name of occupant: _____________________________________________________ Telephone #: ______________________________________________________
Address (including Zip Code): _______________________________________________________________________________________________________________

I understand that my visa will be limited to my Medical Exam Report or Australian Federal police certificate; whichever is sooner.

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