INFORMATION NEEDED FOR B-2 VISA APPLICATION

First Name of Visitor (as shown in passport):

Middle Name of Visitor (as shown in passport):

Last Name of Visitor (as shown in passport):

Any other Last Names used (maiden name, previous married names, aliases, etc.):

Visitor's passport number:

City where Visitor's passport was issued:

State or Province where Visitor's passport was issued:

Country where Visitor's passport was issued:

Date when Visitor's passport was issued:

Expiration date of Visitor's passport:

Visitor's Date of Birth:

Visitor's City of Birth:

Visitor's Country of Birth:

Visitor's State or Province of Birth:

Visitor's Country of Nationality:

Visitor's sex (Male or Female):

Visitor's National Identification Number (from country of nationality):

Visitor's home address (include street, apartment number, city, state/province, country, postal code):

Visitor's home telephone number:

Visitor's home fax number:

Visitor's business telephone number:

Visitor's business fax number:

Visitor's cell phone number:

Visitor's pager number:

Visitor's marital status (married, never married, widowed, divorced, separated):

Visitor's current spouse's full name:

Visitor's current spouse's date of birth:

Name of Visitor's current employer or school:

Address of Visitor's current employer or school:

Visitor's current occupation:

Is visitor currently a student?

Is visitor currently retired?

When does the Visitor intend to arrive in the U.S.?

Visitor's e-mail address:

At what address will Visitor stay in the U.S.?

Name of person in the U.S. with whom Visitor will stay:

Home telephone number of person in the U.S. with whom Visitor will stay:

Business telephone number of person in the U.S. with whom Visitor will stay:

Cell phone number of person in the U.S. with whom Visitor will stay:

How long does Visitor intend to stay in the U.S.?

What is the purpose of the trip to the U.S.?

Who will pay for the trip to the U.S.?

Has Visitor ever been to the U.S. before?

If yes, how many times?

List the dates of entry and exit to and from the U.S. for all previous visits:

Has Visitor ever been issued a U.S. visa before?

If yes, how many times?

List dates visas were issued, location of consulate/embassy where visas were issued and types of visas:

Has Visitor ever been refused a visa to the U.S.?

If yes, how many times was Visitor refused?

List dates, locations of consulate/embassy where application was refused, and type of visa applied for:

Does Visitor intend to work in the U.S.?

If yes, give name and address of U.S. employer:

Does Visitor intend to study in the U.S.?

If yes, give name and address of U.S. school:

Will anyone travel with the Visitor to the U.S.?

If yes, how many persons?

List names and relationships of persons who will travel with Visitor to the U.S.:

Has Visitor ever had a U.S. visa canceled or revoked?

Has anyone ever filed an Immigrant Visa Petition for the Visitor (I-130, I-140, etc.)?

If yes, who filed it?

Is the Visitor's current spouse in the U.S.?

If yes, what is the spouse doing (visiting, studying, working, etc.)?

Is Visitor's current spouse a permanent resident?

Is Visitor's current spouse a U.S. citizen?

Is Visitor's father in the U.S.?

If yes, what is Visitor's father doing (visiting, studying, working, etc.)?

Is Visitor's father a permanent resident?

Is Visitor's father a U.S. citizen?

Is Visitor's mother in the U.S.?

If yes, what is Visitor's mother doing (visiting, studying, working, etc.)?

Is Visitor's mother a permanent resident?

Is Visitor's mother a U.S. citizen?

Is Visitor's fiance in the U.S.?

If yes, what is Visitor's fiance doing (visiting, studying, working, etc.)?

Is Visitor's fiance a permanent resident?

Is Visitor's fiance a U.S. citizen?

Does VIsitor have any son, daughter, brother or sister who lives in the U.S. or has permanent resident status or is a U.S. citizen?

If yes, state what type of relationship, the person's status, and what the person is doing in the U.S.:

Has Visitor ever been arrested?

Has Visitor ever been charged with a crime?

Has Visitor ever been convicted of a crime?

Has Visitor ever unlawfully distributed or sold illegal drugs, been a prostitute, or hired a prostitute?

Has Visitor ever been refused admission to the U.S. or been the subject of a deportation hearing?

Has Visitor ever helped anyone enter the U.S. through fraud or misrepresentation or other unlawful means?

Has Visitor ever attended a U.S. public elementary school or public high school in F status without reimbursing the school?

Is Visitor a member of any terrorist organization or does Visitor intend to engage in terrorist activities?

Has Visitor ever violated the terms of a U.S. visa or been unlawfully present in the U.S. or been deported from the U.S.?

Has Visitor ever withheld custody of any U.S. citizen child outside the U.S. or voted in the U.S. or renounced U.S. citizenship?

Has Visitor ever suffered from a communicable disease (such as AIDS or tuberculosis) or a dangerous physical or mental disorder or drug abuse or drug addiction?

Does Visitor belong to any clan or tribe?

If yes, please list all clans or tribes:

What is Visitor's father's full name?

What is Visitor's mother's full name?

List all countries which Visitor has entered in the last 10 years AND the year Visitor visited each country:

Last all countries which have ever issued Visitor a passport:

Has Visitor ever lost a passport or had a passport stolen?

List the following information for Visitor's LAST TWO employers (NOT INCLUDING CURRENT EMPLOYER):

List all professional, social or charitable organizations to which Visitor has ever belonged, contributed or worked for, and indicate for each one whether Visitor belonged to the organization, contributed to the organization or worked for the organization:

Does Visitor have specialized skills or training in firearms, explosives, nuclear technology, biological or chemical areas? If yes, which one(s)?

Has Visitor ever performed military service?

If yes, state the name of the country, branch of service, rank/position, military specialty and dates of service:

Has Visitor ever been a participant or victim of armed conflict?

If yes, explain:

List all schools which Visitor has ever attended (include Name, Address, Phone, Course of Study, Dates of Attendance):

Has Visitor already made travel arrangements?

If yes, state arrival/departure dates, flight information, specific locations Visitor will visit and contact information for each location:

What types of tourist activities does Visitor intend to engage in while visiting the United States?

Please return completed questionnaire to:

Vickerstaff Law Office, PSC
1930 Bishop Lane Suite 410
Louisville, KY 40218
Telephone: (502) 442-2039 or (888) 832-2944
Fax: (502) 491-0719
Contact Us

Louisville immigration attorney serving immigrant, refugee, asylum, and out-of-status clients in Kentucky, Ohio, and Indiana, including Paducah, Frankfort, Lexington, Owensboro, Bowling Green, and Shelbyville KY, Cincinnati OH, and Indianapolis, Evansville, Anderson, Madison, Bedford, and Bloomington IN.