Form 2
Form 2
Form 2
Please include copies of the following documents; National ID Card, Passport & Visa (if applicable)
PHOTO (5cm x 5cm) WITH NO GLASSES (WHITE OR OFF-WHITE BACKGROUND)
Home Address
Social Media
Example; Facebook, Instagram, Twitter, Youtube, Douban, Flickr, Google+, LinkedIn, Myspace, Pinterest, Qzone,
Reddit, Sina Weibo, Tumblr, Twoo, Vine, Vkontakte (VK), Youku
If you are registered to any social media platform not listed, please include above
Work Information
Employer's Name
Supervisor's Name
Education
List all institutions secondary level or higher in order attended
Name of Institution
Course of Study
(e.g O-Level, A-Level, Degree
Name)
Do you have any specialized skills or training, including firearms, explosives, nuclear, biological,
Yes No
Have you belonged to, contributed to, or worked for any professional, social, or charitable organization?
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
Have you ever engaged in the recruitment or the use of child soldiers?
Yes No
Family Information
Mother's DOB
Father's DOB
Do you have any other relatives in the US? (e.g Aunt, Uncle, Cousin, Neice/Nephew)
Yes No
Address
Relationship
U.S address of where you will stay during your trip; Include Street, City, State & Postal Code
Have you ever has a US Driver's Permit? Yes No Do you have a US Social Security Number?
Have you ever been issued a U.S Visa? Yes No Visa Number (red number on Visa)
Have you ever been to the U.S? If yes, please list last 5 visits and length of stay in the US
Have you ever been refused a U.S Visa or been refused admission to the U.S, or withdrawn your application for admission at the
port of entry? If 'yes', please provide details
Has anyone ever filed an immigrant petition on your behalf with the U.S Citizen & Immigration Services