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Supplemental Nonimmigrant Visa Application DS-157 - Official Federal Forms
| Supplemental Nonimmigrant Visa Application Form. This is a national form and can be used in Visa US Department Of State . |
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U.S. Department of State SUPPLEMENTAL NONIMMIGRANT VISA APPLICATION Approved OMB 1405-0134 Expires 02/28/2015 Estimated Burden 1 Hour* PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM PLEASE ATTACH AN ADDITIONAL SHEET IF YOU NEED MORE SPACE TO CONTINUE YOUR ANSWERS 1. Last Name(s) (List all spellings) 2. First Name(s) (List all spellings) 3. Full Name (In native alphabet) 4. Clan or Tribe Name (If applicable) 5. Spouse's Full Name (If married) 6. Father's Full Name 7. Mother's Full Name 8. Full Name and Address of Contact Person or Organization in the United States (Include telephone number) 9. List all countries you have entered in the last ten years. (Give the year of each visit) 10. List all countries that have ever issued you a passport. 11. Have you ever lost a passport or had one stolen? Yes No 12. Not including current employer, list your last two employers. Name Address Telephone Number Job Title Supervisor's Name Dates of Employment (mm-dd-yyyy) or "Present" From To 13. List all professional, social and charitable organizations to which you belong (belonged) or contribute (contributed) or with which you work (have worked). 14. Do you have any specialized skills or training, including firearms, explosives, nuclear, biological, or chemical experience? Yes No If YES, please explain. 15. Have you ever performed military service? Name of Country Yes No If yes, complete below. Rank/Position Military Specialty Dates of Service (mm-dd-yyyy) or "Present" From To Branch of Service 16. Have you ever been in an armed conflict, either as a participant or victim? Yes No If YES, please explain. 17. List all educational institutions you attend or have attended. Include vocational institutions but not elementary schools. Name of Institution Address Telephone Number Course of Study Dates of Attendance (mm-dd-yyyy) or "Present" From To 18. Have you made specific travel arrangements? No Yes If YES, please provide a complete itinerary for your travel, including arrival/departure dates, flight information, specific location you will visit, and a point of contact at each location. CONFIDENTIALITY AND PAPERWORK REDUCTION ACT STATEMENTS Confidentiality Statement - INA Section 222(f) provides that visa issuance and refusal records shall be considered confidential and shall be used only for the formulation, amendment, administration, or enforcement of the immigration, nationality, and other laws of the United States. Certified copies of visa records may be made available to a court which certifies that the information contained in such records is needed in a case pending before the court. Paperwork Reduction Act Statement - Public reporting burden for this collection of information is estimated to average 1 hour per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: A/GIS/DIR, Room 2400 SA-22, U.S. Department of State, Washington, DC 20522-2202 DS-157 02-2012 American LegalNet, Inc. www.FormsWorkFlow.com
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