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Home
About Us
Tourist / Business Visa(B1/B2)
C1 Transit Visa
Services
F1 Student Visas
DS160 Application for Tourist/Work Visas
N400 Naturalization Forms
K1 Fiancee Visas
CR1 Spousal Visas
Contact Us
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Security and Background Information
Do you have a communicable disease of public health significance? (Communicable diseases of public significance include chancroid, gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma venereum, infectious stage syphilis, active tuberculosis, and others diseases as determined by the Department of Health and Human Services.)*
Yes
No
Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others?*
Yes
No
Are you or have you ever been a drug abuser or addict?*
Yes
No
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action?*
Yes
No
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances?*
Yes
No
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years?*
Yes
No
Have you ever been involved in, or do you seek to engage in, money laundering?*
Yes
No
Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the United States?*
Yes
No
Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human trafficking offense in the United States or outside the United States and have you within the last five years, knowingly benefited from the trafficking activities?*
Yes
No
Have you knowingly aided, abetted, assisted or colluded with an individual who has committed or conspired to commit a severe human trafficking offense in the United States or outside the United States?*
Yes
No
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States?*
Yes
No
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities?*
Yes
No
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations?*
Yes
No
Are you a member or representative of a terrorist organization?*
Yes
No
Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing financial assistance or other support to terrorists or terrorist organizations, in the last five years?*
Yes
No
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide?*
Yes
No
Have you ever committed, ordered, incited, assisted, or otherwise participated in torture?*
Yes
No
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, or other acts of violence?*
Yes
No
Have you ever engaged in the recruitment or the use of the child soldiers?*
Yes
No
Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom?*
Yes
No
Are you a member of or affiliated with the Communist or other totalitarian party?*
Yes
No
Have you ever disclosed or trafficked in confidential U.S. business information obtained in connection with U.S. participation in the Chemical Weapons Convention?*
Yes
No
Have you ever been the subject of a removal or deportation hearing?*
Yes
No
Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United States immigration benefit by fraud or willful misrepresentation or other unlawful means?*
Yes
No
Have you failed to attend a hearing on removability or inadmissibility within the last five years?*
Yes
No
Have you ever been unlawfully present, overstayed the amount of time granted by an immigration official or otherwise violated the terms of a U.S. visa?*
Yes
No
Have you ever been removed or deported from any country? *
Yes
No
Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court?*
Yes
No
Have you voted in the United States in violation of any law or regulation?*
Yes
No
Have you ever renounced United States citizenship for the purpose of avoiding taxation?*
Yes
No
Have you attended a public elementary school on student (F) status or a public secondary school after November 30, 1996 without reimbursing the school?*
Yes
No
Location Information
Current Location where you will be submitting your application*
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