B1 and B2 Visa Application

Step 1 of 10

Personal Information – Part II
NOTE: Data on this page must match the information as it is written in your passport.
Country/Region of Origin (Nationality)*
Which country do you hold nationality?
Do you hold or have you held any nationality other than the one indicated above on nationality?*
- Yes
- No
Other Country/Region of Origin (Nationality)*
Enter all nationalities you currently hold and all nationalities you have previously held, regardless of whether you have formally and/or legally relinquished the nationality. If the country where you previously held nationality is no longer a political entity or country, select the nationality that corresponds with the name of the country that is currently used for that location.
Do you hold a passport for the other country/region of origin (nationality) above?*
- Yes
- No
Do you have any other nationaltiies, passports or passport numbers?*
- Yes
- No
Please provide information on any additional nationalities, passports, and passport numbers you hold
National Identification Number

Your National ID Number is a unique number that your government provides. The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).
- National Identification Number does not apply
U.S. Social Security Number

Your National ID Number is a unique number that your government provides. The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).
- Social Security Number does not apply
U.S. Taxpayer ID Number

The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).
- U.S. Taxpayer ID Number does not apply

Contact Details
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If any of the fields do not apply, simply write (does not apply).
Is your Mailing Address the same as your Home Address?*
- Yes
- No
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If any of the fields do not apply, simply write “does not apply”
Email Address*
Primary Phone Number*
You must provide a primary phone number. The primary phone number should be the phone number at which you are most likely to be reached; this could be a land line or a cellular/mobile number. If you have an additional land line or a cellular/mobile number please list that as your secondary phone number.
Secondary Phone Number
Work Phone Number

Passport Details
Passport/Travel Document Type*
Enter the information on the travel document you will be using when traveling to the U.S. Your travel document should be a valid, unexpired passport or other valid, unexpired documentation that is sufficient to establish your identity and nationality.
Passport/Travel Document Number*
Passport Book Number*

The Passport Book Number is commonly called the inventory control number. You may or may not have a Passport Book Number on your passport. The location of the Passport Book Number on your passport may vary depending on the country that issued your passport. Please contact your passport issuing authority if you are unable to determine whether or not your passport contains a Passport Book Number.
- Passport Book Number does not apply
Country/Authority that Issued Passport/Travel Document*
Passport Issuing City*
Passport Issuing State/Province (If shown on passport)*
Passport Issuing Country/Region*
Passport Issuance Date (Format: DD-MM-YYYY)*
DD slash MM slash YYYY

(Format: DD-MMM-YYYY)
Passport Expiry Date (Format: DD-MM-YYYY)*
DD slash MM slash YYYY

In most cases your passport/Travel Document must have at least six months of validity beyond the date of your visa application and/or your arrival in the United States.
- Passport Expiry Date does not apply
Have you ever lost a passport or had one stolen?*
- Yes
- No
Passport/Travel Document Number*
Country/Authority that Issued Passport/Travel Document*
Explain*
Have you ever lost another passport or travel document?*
- Yes
- No
Please provide details of the Passport Numbers, Issuing Countries and Explanations*

Present Work/Education/Training Information
NOTE: Provide the following information concerning your current employment or education.
Primary Occupation*
Address of Current Place of Work, Education or Training*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please explain:*
Current Monthly Income in Local Currency*

If you are not currenty employed or working for a business that you own, please but “does not apply”.
Have you attended any educational institutions at a secondary level or above?*
- Yes
- No
You must answer Yes to this question if you have ever attended, for any length of time, a high school/secondary school (or its equivalent in your country) or college, university, graduate school, a doctoral program, or a vocational program.
For each of the previous educational institutions you have attended, please provide the I) Name of the Institution, II) Institution Address, III) Course of Study, IV) Date Started, V) Date of Finished*
Were you previously employed?*
- Yes
- No
You must answer Yes to this question if you have held previous employment.
Recent Employer Name*

Please provide the name of your most recent Employer.
Recent Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number*

Please provide a telephone number for the Employer.
Recent Job Title*

Please provide the name of your most recent Employer.
Employment Date From:*
DD slash MM slash YYYY
Employment Date To:*
DD slash MM slash YYYY
Supervisor’s Given and Surname*

Please provide the first (given) and last (family) names of your supervisor.
Briefly describe your duties:*
Do you have any other employment experience?*
- Yes
- No
For each of your previous work experiences, please provide the I) Employer Name, II) Employer Address, III) Your Job Title, IV) Supervisor's Name, V) Employment Dates, VI) Your Duties, VII) Employer Contact Information*

Complete Payment
Visa Application Service
Assisted Application Service for B-1 Business Visitor and B-2 Visitor Visa for the United States.
Total
$0.00
Please allow approximately four to six weeks for the visa application to process after submission to the US Embassy. Service Fee Includes VAT yet is not inclusive of the $160 visa application fee. All and any fees paid are non-refundable.
Billing First and Last Name*
First Last
Email*

Email address where you will receive confirmation of payment
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing address of the cardholder
Card Details*

American Express
Discover
MasterCard
Visa
JCB
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
Card Number Expiration Date Security Code Cardholder Name
Terms of service*
- I accept and have read the Terms of Visa Services of ESTA America.
Comments
This field is for validation purposes and should be left unchanged.

Dimensions	The image dimensions must be in a square aspect ratio (the height must be equal to the width). Minimum acceptable dimensions are 600 x 600 pixels. Maximum acceptable dimensions are 1200 x 1200 pixels. Please review photo requirements for specific dimensions.
Color	The image must be in color (24 bits per pixel) in sRGB color space which is the common output for most digital cameras.
File Format	The image must be in JPEG file format
File Size	The image must be less than or equal to 240 kB (kilobytes).
Compression	The image may need to be compressed in order for it to be under the maximum file size. The compression ratio should be less than or equal to 20:1.

B1 and B2 Visa Application

Step 1 of 10

Applying with us is the easy way to get your US Visa!

Personal Information – Part I

Personal Information – Part II

Contact Details

Passport Details

US Travel

Travel Companions

Previous US Travel

US Contact Details

Family Information: Relatives

Present Work/Education/Training Information

Security and Background: Part 1

Security and Background: Part 2

Security and Background: Part 3

Security and Background: Part 4

Security and Background: Part 5

Upload Passport Photo

Your digital photo is a vital part of your application

Examples of Acceptable Digital Photos

The digital image must adhere to the following specifications:

Want to scan an existing photo?

Complete Payment