Online Nonimmigrant Visa Application (DS-160) Preparation Form

A. Personal information

This is individual application for B1/B2 visa for one applicant only.
For each additional family member separate application must be filled out and submitted.

Type of Visa you may apply for using this form is: B1/B2 You may use this type of visa if the purpose of visit is Tourist / Visit / Medical / Business

Have you received US visa in the past?

Yes No

The country where you have obtained your latest US visa

Visa issue date

Visa expiration date

Upload the image of your latest US visa

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BMP, JPG, JPEG, PNG, PDF, TIFF, size <= 3Mb.

Are you traveling from another country to apply for US visa in Canada?

Yes No

Surname as per passport

Given name as per passport

List all used names

Sex

Male Female

Marial status

Date of birth

Country of birth

City of birth

Status in Canada

Be very careful with your selection. Any misrepresentation of your status will lead to immediate file cancellation without any refund possible. All applicants, who are visitors to Canada may experience much longer wait for US visa interview.

Preferred interview location

Note: subject of availability. May not be guaranteed.

Preferred time for interview

Note: subject of availability. May not be guaranteed.

Preferred day for the interview

Note: subject of availability. May not be guaranteed.

After the interview your passport will be couriered back to you!

INDICATE THE ADDRESS WHERE YOUR PASSPORT MUST BE SENT AFTER VISA PROCESSING:

Country: Canada

Name of the recepient of your passport

Address Line 1

Address Line 2

Postal Code

City / Town

Province