USA Visa - Oasis Travels

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STATE PREFEREED US CONSULTATE FOR YOUR VISA INTERVIEW INCLUDING CITY & COUNTRY

PRIMARY APPLICANT NAME

RELATIONSHIP TO YOU

FIRST NAME

LAST NAME

OTHER NAMES USED

MARITAL STATUS (SINGLE, DIVORCED ETC)

DATE OF BIRTH (DD/MM/YYYY)

CITY OF BIRTH

COUNTRY OF BIRTH

PROVINCE / STATE OF BIRTH

PRIMARY NATIONALITY

SECOND NATIONALITY

THIRD NATIONALITY

NATIONAL ID NUMBER

US SOCIAL SECURITY NUMBER

US TAX NUMBER

ADDRESS

CITY

EMAIL ADDRESS

STATE

ZIP CODE

COUNTRY

PASSPORT NUMBER

PASSPORT ISSUING AUTHORITY

CITY & COUNTRY OF ISSUE

DATE OF ISSUE (DD/MM/YYYY)

EXPIRATION DATE (DD/MM/YYYY)

BOOK NUMBER IF RELEVANT

PERSON OR ENTITY PAYING FOR YOUR TRIP

INTENDED DATE OF TRAVEL TO THE USA

INTENDED LENGTH OF STAY

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