Form – Airvista

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USA B1/B2 Applicant Check List

Applicant Name

Marital Status

Place of Birth

Date of Birth

Birth Certificate/NID Number

You Will Stay in the U.S.

Person/Entity Paying for Your Trip

Refused (1)

Refused (2)

Refused (3)

Permanent Address

Present Address

Phone Numbers in the last five years (1)

(2)

(3)

(4)

E-mail ID in the last five years (1)

(2)

(3)

(4)

Name of social media link

Do you wish to provide any video link

Current Passport Details

Passport No

Issue Date

Expiry Date

Passport Total

If your any lost Passport

Passport No

GD Number

Date

Police Station

Contract Person of Organizationin the U.S Relationship to you USA Relative/Friends/Hotel Details

Name

Address

Phone Number

Family Details

Father's Name

Birthday

Mother's Name

Birthday

Spouse Name

Birthday

Spouse's Place of Birth

Occupation Details

Business/Service Name

Business / Service Address

Business/Service Phone

Monthly Income

Business/Service Start Date

Duties of (Business/Service)

Previous Service Details

Service Name

Service Address

Service Phone

Monthly Income

Service Start Date

Duties of Service

Supervisor Name

Select interview language

Education

Institutional Name

Institutional Address

Course of study

Starting Date

Ending Date

_____

Institutional Name

Institutional Address

Course of study

Starting Date

Ending Date

_____

Institutional Name

Institutional Address

Course of study

Starting Date

Ending Date

_____

Institutional Name

Institutional Address

Course of study

Starting Date

Ending Date

USA B1/B2 Applicant Check List

Current Passport Details

If your any lost Passport

Contract Person of Organizationin the U.S Relationship to you USA Relative/Friends/Hotel Details

Family Details

Occupation Details

Previous Service Details

Select interview language

Education

_____

_____

_____

Any Countries Visit Last Five Years

Name of Social Organization

Extra Curriculum

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