While a YES answer does not automatically signify ineligibility for a visa, if you answered YES you may be required to personally appear before a consular officer.ģ9. Have you ever been afflicted with a communicable disease of public health significance or a dangerous physical or mentalĭisorder, or ever been a drug abuser or addict? court, voted in the United States in violation of any law or regulation, or renounced U.S. citizen child outside the United States from a person granted legal custody byĪ U.S. visa, or been unlawfully present in, or deported from, the United States? Have you ever violated the terms of a U.S. Secretary of State? Have you ever participated in persecutions directed by the Nazi government of Germany or Other unlawful purpose? Are you a member or representative of a terrorist organization as currently designated by the public elementary school on student (F) status orĪ public secondary school after Novemwithout reimbursing the school?ĭo you seek to enter the United States to engage in export control violations, subversive or terrorist activities, or any Misrepresentation or other unlawful means? Have you attended a U.S. Have you ever been refused admission to the U.S., or been the subject of a deportation hearing, or sought to obtain orĪssist others to obtain a visa, entry into the U.S., or any other U.S. Similar legal action? Have you ever unlawfully distributed or sold a controlled substance (drug), or been a prostitute or Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty or other Is any of the following applicable to you? IMPORTANT: ALL APPLICANTS MUST READ AND CHECK THE APPROPRIATE BOX FOR EACH ITEM.Ī visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). citizen, visiting, studying, working, etc.).ģ8. Mark YES or NO and indicate that person's status in the U.S. Are Any of The Following Persons in The U.S., or Do They Have U.S. Home Address (Include apartment number, street, city, state or province, postal zone and country) Other Surnames Used (Maiden, Religious, Professional, Aliases)ġ5. First and Middle Names (As in Passport)Ĩ. PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEMħ. Landlord (Tenant) Recommendation Letter.
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