1. 1. Submit Application Online
  2. 2. Review and Confirm Payment
  3. 3. Receive Approved Visa

Online Application for Citizens from

VISA USA Application

Please provide all responses in English.

Personal Details

  • Enter your family name as the family name appears on your passport under the Family Name or Surname field.
This field is required!
Enter your Family name exactly as shown in your passport.
  • Please provide your first name(s) (also known as "given name") and middle name exactly as shown on your passport or identity document. The first name is required to complete the application. If you have no first name, then enter the letters FNU which stands for First Name Unknown.
This field is required!
Enter your First and Middle Name(s) as shown on your passport.
This field is required!
  • Choose your gender, either male or female. The gender is required to complete the application.
  • Select your date of birth, as it appears on your passport.
  • If you do not know your exact date of birth, give as much information as possible.
This field is required!
  • Enter the city, town, village, or hamlet in which you were born. If you do not know the city in which you were born, enter UNKNOWN.
This field is required!
  • Please select the country of birth as shown on your passport or identity document.
This field is required!
This field is required!
  • Enter the number on your identity document, other than a passport, issued by your country. If you do not have a National Identification Number, enter UNKNOWN.
  • You will receive an e-mail that confirms the receipt of your Application at the e-mail address you provide. You will also receive updates on the status of your Application.
This field is required!
  • Please indicate a mobile/cell telephone. It is important to indicate a correct phone number, since you may receive updates on the status of your Application. If you do not have a telephone number, you may provide an alternative third-party telephone number belonging to a point of contact.

Parent's information

  • Enter the names of your parents. These are required to complete the application. If you do not know the name of one or both of your parents, enter UNKNOWN, for each parent. This field can include the names of your biological, adoptive, step-parent or guardian.
    In the Last Name fields, enter your parent's family name. The family name is required to complete the application. If you do not know one or both of your parents, enter UNKNOWN.
    In the First (Given) Name fields, enter your parent's first (given) name. Do not include the middle name in this field. The first name is required to complete the application. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN.
This field is required!
This field is required!
This field is required!
This field is required!

Passport Details

  • Please indicate the country of your citizenship, the country of the passport you will use to travel. If you do not find your country on this list, it means that your country is not eligible to apply for an online visa.
This field is required!

The passport number is normally listed in the top right corner of the photo page in the passport. You can verify your passport number by looking in the left lower corner on the same page. The numbers will match.

Note:

  • 1 The country code in your passport is NOT a part of your passport number.
  • 2 Some passport numbers only include numbers while others include a combination.
  • 3 Your passport number is normally between 7 and 11 characters long.
This field is required!
The passport number may contain numbers and/or characters. Please closely distinguish between the two, such as the numbers zero and one, and the letters O and I.
  • Issue date can be found on your passport or travel document.
This field is required!
  • Expiry date can be found on your passport or travel document.
This field is required!

Other Citizenship, Nationality, Passport

This field is required!
  • Indicate whether you are a national or citizen of more than one country.
  • Choose the country of your other citizenship(s). If you answered yes above, the country is required to complete your application.
This field is required!
  • How did you acquire citizenship / nationality from this country?
This field is required!
  • You indicated "Other" as your response, please provide additional information in the text field provided.
This field is required!
This field is required!
  • "In the past" means that you have been citizen but are not anymore citizen or national of that country.
  • Select the country of your other citizenship(s). If you answered yes above, the country is required to complete your application.
This field is required!
This field is required!
  • If you have never been issued any one of these documents by any other country answer \"No\" to this question. If you have been issued one of these documents from another country, but you do not remember the passport number or national identification card number and the year of expiration answer \"UNKNOWN\" in the passport number field and four zeros \"0000\" in the year of expiration field.
  • Choose the country of citizenship, as it appears on your document. The document issuing country is required to complete the application.
This field is required!
  • Please select the travel document type issued by another country.
This field is required!
  • Enter your document number as it appears on your travel document. The travel document may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O.
  • Please indicate Expiration Year of your travel document issued by another country, even if it is expired.

Home Address of Residence

  • Enter the number and street of the location of your home address. Do not include the city and state in this field.
This field is required!
  • Enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application.
This field is required!
  • Enter the state, province, or region. The state/province/region is required to complete the application.
This field is required!
  • Choose the country. The country is required to complete the application.
This field is required!

Itinerary

This field is required!
  • Indicate whether your travel to the US is occurring in transit to another country by selecting yes or no. Answering this question is required to complete your application.
This field is required!
  • Indicate whether you have a current or previous employer by selecting yes or no. Answering this question is required to complete your application.
  • Enter the name of the company where you work or your previous employer.
This field is required!
  • Enter the address of your current or previous employer.
This field is required!
  • Enter the city of your current or previous employer.
This field is required!
  • Enter the state/province/region of your current or previous employer.
This field is required!
  • Enter the country of your current or previous employer.
This field is required!
  • Enter the telephone of your current or previous employer.
  • Enter the job title of your current or previous employment.

Emergency contact (optional)

  • Enter your emergency point of contact's Family Name (also known as Surname or Last Name) who may be a person in or outside of the United States, e.g., a family member, friend, or business associate.
  • Enter your emergency point of contact's First Name who may be a person in or outside of the United States, e.g., a family member, friend, or business associate.
  • Enter your emergency point of contact's Telephone Number who may be a person in or outside of the United States, e.g., a family member, friend, or business associate.
  • Enter your emergency point of contact's Email Address who may be a person in or outside of the United States, e.g., a family member, friend, or business associate.

Please confirm the responses to the following mandatory questions:

Under United States law communicable diseases of public health significance include:

  • Chancroid
  • Gonorrhea
  • Granuloma inguinale
  • Leprosy, infectious
  • Lymphogranuloma venereum
  • Syphilis, infectious stage
  • Tuberculosis, active
  • And others as determined by the Department of Health and Human Services.

Physical or Mental Disorders:

With regard to physical or mental disorders, answer ”Yes” to this question if:

(a) You currently have a physical or mental disorder and a history of behavior associated with the disorder that may pose or has posed a threat to your property, safety or welfare or that of others; or

(b) You had a physical or mental disorder and a history of behavior associated with the disorder that has posed a threat to your property, safety or welfare or that of others and the behavior is likely to recur or lead to other harmful behavior.

Answer \"No\" if:

(a) You currently have no physical or mental disorders; or

(b) You have or had a physical or mental disorder without associated behavior that may pose or has posed a threat to your property, safety or welfare of that of others; or

(c) You currently have a physical or mental disorder with associated behavior, but that behavior has not posed, does not currently pose nor will pose a threat to your property, safety or welfare or that of others; or

(d) You had a physical or mental disorder with associated behavior that posed a threat to your property, safety or welfare or that of others, but that behavior is unlikely to recur.

Drug Abusers and Drug Addicts

Under United States law persons may not be admissible if they have been determined to be a drug abuser or drug addict.

For further information refer to § 212(a)(1)(A) of the Immigration and Nationality Act, 8 U.S.C. § 1182(a)(1)(A), and corresponding regulations in the Code of Federal Regulations.

A
This field is required!
B
This field is required!
C
This field is required!
D
This field is required!
E
This field is required!
F
This field is required!
G
This field is required!
H
This field is required!
I
This field is required!

Declaration of Applicant

By using our website you accept our Cookies Policy. Click here to know more. I agree