Paso 1

Paso 2

Paso 3

RegistroFormularioPago

Nombre

Información de contacto

Acerca de ti

Centro de Atención a Solicitantes

MasculinoFemenino
(Sex)

SolteroCasado
(Marital Status)

Datos del Cónyuge

SiNo

(Nationality)

(National Identification Number)

(Home Address)

(City)

(State)

(Zip Code)

(Country)

(Contact phone number)

(Passport Number)

(Issuance place)

(Issuance Date)

(Expiration Date)

SiNo
(Have you ever lost your passport)

SiNo
(Have you ever been in the USA?)

(Previous visits in the last 5 years)

(Purpose of your trip)

(Specific Travel Plan)

(Intended day of arrival)

(Intended lenght of stay in the USA)

(Place where you will be staying in USA)

SiNo
(Are you traveling as part of a group or organization?)

(who will pay for your travel expenses)

SiNo
(Are there other persons traveling with you)

(Relationship)

(Name)

SiNo
(Do you or did you hold a USA driver’s license)

SiNo
(Previously have you had a USA visa)

SiNo

SiNO

SiNo

SiNo
(Have you ever been ten-printed in the USA?)

SiNo
(Have you ever been denied a USA visa before?)

SiNo
(Has your admission to the USA been revoked or denied?)

SiNo
(Have you ever been deported from the USA?)

(Father’s given name)

(Date and place of birth)

SiNo
(Is your father in the USA?)

(Mother’s given name)

(Date and place of birth)

SiNo
(Is your mother in the USA?)

SiNo
(Do you have any close relatives in the USA, brothers, cousins, uncles?


SiNo
(Are you currently studying?)

(Which is your primarly occupation?)

SiNO
(Do you have less than 5 years in your present occupation or employment?)


SiNo
(Do you have a secondary occupation?)

(Highest grade achieved)

(Name and address of the last school you attended to)

(What did you study in your former school)

(Date you started your former studies)

(Date you concluded your former studies)


(Any additional commentaries to this application)

SiNo

si
Recibir información en correo alterno.

(Tamaño Maximo 10Mb)

(Tamaño Maximo 10Mb)

(Tamaño Maximo 10Mb)

SiNo

(Tamaño Maximo 10Mb)

Al registrarte te enviaremos un correo proporcionandote tú numero AFIN
(ASSIGNED FILING NUMBER) con el cual podrás iniciar sesión
Si el correo no llega a la bandeja de recibidos por favor verifica tu bandeja de correos no deseados