DS-160

Your first step to Green Valley

DS-160

First Name

Last Name

Phone Number

Email Address

Address

Address Line

City

State

Zip Code

Country

Marital Status

Do you have a passport for any other country?

If yes, which country?

Have you ever lost an international passport?

Have you been rejected visa?

Have you traveled to any countries/regions within the last five years?

If yes, provide the list of countries

Do you have a relative in US?

What's your relationship with the relative?

Visa status of the relative?

National Identification Number

Father's First Name

Father's Last Name

Father's Date of Birth

Is your father in the US?

Visa status of your father?

Mother's First Name

Mother's Last Name

Mother's Date of Birth

Is your Mother in the US?

Visa status of your mother?

Passport photograph (White Background)

Choose File

Spouse Details

Spouse's First Name

Spouse's Last Name

Spouse's Date of Birth

Spouse's Country/Region of Origin

Spouse's City of Birth

Employer Detail

Are you employed?

Current Employer Details

Employer's Name

Employer 's Phone Number

Employer's Address Details

Address Line

City

State

Zip Code

Country

Monthly Salary

Briefly Describe your Duties

Employment Date From:

Employment Date To:

Previous Employer Detail

Employer's Name

Employer 's Phone Number

Employer's Address Details

Address Line

City

State

Zip Code

Country

Monthly Salary

Briefly Describe your Duties

Employment Date From:

Employment Date To:

Two Additional Point of Contact Information

The person that can verify the information provided, they must not be family members.

Point of Contact 1

First Name

Last Name

Phone Number

Address

Address Line

City

State

Zip Code

Country

Point of Contact 2

First Name

Last Name

Phone Number

Address

Address Line

City

State

Zip Code

Country

New admission starts in August

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