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Items 1, 3-5 must contain the applicant’s passport number, issuing country, and issuance and expiration dates, as shown exactly in the applicant’s passport. (For applicants whose passports were issued in Manila, please leave “Country” and “State/Province” fields blank in Item 2.) |
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Item 6 must contain the surname(s) of the applicant as written on the applicant’s passport. |
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Item 7 must contain the first name(s) AND middle name of the applicant as written on the applicant’s passport. |
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Items 8-9 are only for other names or aliases of the applicant. |
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Item 15 should include the address of the applicant’s permanent local address. |
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Female applicants with legally terminated or annulled marriage must tick Single (Never Married) on Item 17. However, they must explain to the interviewing officer the history of their previous marriage. |
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Item 20 should include the name of the applicant’s current company/institution, and not the name of the applicant’s supervisor, unless the applicant is self-employed or works as a personal employee. For business owners, please specify registered business name. |
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Items 24-25 require the complete information where the applicant will stay in the United States. |
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Items 30-31 must contain information about each U.S. visa issued and each visa refused, including tourist and other types of visas. |
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Item 37 must contain the status of the applicant’s relative(s) in the United States, i.e. legal permanent resident or American citizen. |
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Item 38 must be completed personally by the applicant. |
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Anyone who helps an applicant to complete a visa application must also sign the application and include his/her name, address and relationship to the applicant in Item 40. |
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Item 41 must bear the applicant’s signature and the date the applicant signed the form. |
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