US Visa Assessment USA Visa Assessment Form Full Name: Date of Birth: Nationality: Current Country of Residence: Email Address: Contact Number: Purpose of Visit: Tourism Business Work Study Other Planned Duration of Stay: Proposed Entry Date: Occupation: Employer/Company Name (if applicable): Monthly Income: Planned Accommodation: Hotel Friend/Family Other Address of Stay in the U.S. (if applicable): Have you traveled to the U.S. before? Yes No Do you have any family members currently residing in the U.S.? Yes No Have you ever been refused a visa for the U.S. or any other country? Yes No Do you have any criminal convictions? Yes No Assess Visa Visa Assessment Result Note: This assessment is based on our own criteria and not influenced by government policies.
USA Visa Assessment Form Full Name: Date of Birth: Nationality: Current Country of Residence: Email Address: Contact Number: Purpose of Visit: Tourism Business Work Study Other Planned Duration of Stay: Proposed Entry Date: Occupation: Employer/Company Name (if applicable): Monthly Income: Planned Accommodation: Hotel Friend/Family Other Address of Stay in the U.S. (if applicable): Have you traveled to the U.S. before? Yes No Do you have any family members currently residing in the U.S.? Yes No Have you ever been refused a visa for the U.S. or any other country? Yes No Do you have any criminal convictions? Yes No Assess Visa Visa Assessment Result Note: This assessment is based on our own criteria and not influenced by government policies.
