Documente Academic
Documente Profesional
Documente Cultură
State/Province MAHARASHTRA
Country. INDIA
Email ID : - NA /ASHI31180@YAHOO.CO.IN
Work-Place Phone NA
Work Email ID NA
Country INDIA
Intended Date of arrival in US (Any tentative date will do) (Tentative D) 5TH NOVEMBER 2019
Departure City from USA. (NA if not ready with plan). (If already decided)FORT LAUDERDALE
( Add of Hotel )
Address where you will stay in US (If you don't have an HILTON FORT LAUDERDALE MARINA
address please enter CIEE's address (your US Sponsor) 1881 SE 17TH ST,
below or any intended hotel address with pincode and FORT LAUDERDALE, FLORIDA 33316
telephone no. PHONE NO. +1 954-463-4000
City (Portland)
State (Maine)
3.
NO
Have you ever been refused a US Visa? Choose YES or
NO as applicable (if yes, enter details as DD/MM/Year, If refused, Dt when attended the last
visa category of rejection and from which place applied) interview and the reason for refusal
214(b),221(g)etc (as on refusal slip)
City (Portland)
State (Maine)
Email Address
Add –
Telephone No-
Co E-mail Id -
Supervisor Name -
Designation held –
Worked from – to (DD/MM/YYYY)
___________ TO ______________
Co Name-
Add –
Telephone No-
Co E-mail Id -
Supervisor Name -
Designation held –
Worked from – to (DD/MM/YYYY)
___________ TO ______________
Name of institution: NA
Course of Study
Security Information
1) Do you seek to engage in espionage, sabotage, export
control violations, or any other illegal activity while in the
United States?
2) Do you seek to engage in terrorist activities while in the
United States or have you ever engaged in terrorist
activities?
3) Have you ever or do you intend to provide financial (No; No; No; No; No; No; No)
assistance or other support to terrorists or terrorist
organizations?
4) Are you a member or representative of a terrorist
organization?
5) Have you ever ordered, incited, committed, assisted, or
otherwise participated in genocide?
6) Have you committed, ordered, incited, assisted, or
otherwise participated in extrajudicial killings, political
killings, or other acts of violence?
7) Have you, while serving as a government official, been
responsible for or directly carried out, at any time,
particularly severe violations of religious freedom?
NOTE : -
7
* When giving us this form, duly filled in, please attach Clear Xerox of OWN
Present/Earlier Passports & of anyone to travel together showing earlier or valid
visa copies, if any.
* While we, as your service provider, wouldstrive hard enough to handle your work
diligently, we cannot, in any manner, influence the Consular decision to grant or
refuse your visa.Decision on GRANTING or REFUSING visa to any applicant is the
ultimate decision of the Consular Officer.At our best, we could transparently assist
and guide you with appropriate presentation of your case, with a view to ruling out
many obvious groundsfor refusals, often overlooked thru ignorance or a hurried
submission.
*In most cases, a spot decision is taken by the end of the brief visa interview but
in some cases, the Consulate requires more time for a decision for a decision to be
taken AFTER administrative processing.
*When case is subjected to processing under Clause 221(g), applicant is required
to await a Consular-questionnaire through email a reply for which will need to be
sent through email based on which
* Visa Re-applications, if required, would mean full payment of fresh visa fee and
service charges, without exception. The Consular decision on such re-applications
too, usually have an equal chance of grant OR refusal, on an unbiased level.