Secondpart – Visa Esquire

Step 1 of 9 – Petitioner’s Name

Beneficiary's Birth Information

Country of Birth

Select the country where your beneficiary was born. If you cannot find the country, select “Other.”

City of Birth

Enter the town, city or village where your beneficiary was born.

Date of Birth

Gender

Male

Female

Is the beneficiary related to you?

Yes

Specify the degree of relationship

(such as third cousin or maternal uncle)

Beneficiary's Immigration Information

Country of Citizenship

Select the country where the beneficiary is a citizen. If the beneficiary is a citizen of multiple countries, select the country that issued the most recent passport

Has the beneficiary ever been in the United States?

Yes

He or she last entered as a (for example, visitor, student, exchange alien, crewman, stowaway, temporary worker, or without inspection)

I-94 Arrival-Departure Record Number

Date of Arrival

Date of Departure

I-94 Expiration Date

Passport Number

Travel Document Number (if any)

Country of Issuance for Passport or Travel Document

Passport Expiration Date

Is the beneficiary currently in the United States?

Yes

Beneficiary’s Current Physical Address

Physical address is the address where your beneficiary lives

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Prior Physical Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Another Address

Provide all physical addresses for the last five years

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Date the beneficiary began living at the address

Hidden

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Is the beneficiary’s mailing address the same as the current physical address?

Mailing address is the address where the beneficiary receives mail

Yes

Mailing Address

You may list a residential address, APO, or a Post Office address (P.O. Box).

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

In Care of Name

(if mail is received by another person on behalf of the beneficiary, please list the name of the person)

Future Address

Where does the beneficiary intend to live in the United States?

The beneficiary will live at my current address

The beneficiary will live at another address

Unsure

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

State

Postal Code

Does the beneficiary’s native alphabet uses non-Latin (non-English) characters?

Yes

Beneficiary’s Name and Address in Native Alphabet

First Name (Given Name)

Middle Name(s)

Last Name (Family Name)

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Beneficiary’s Employment

Provide the beneficiary’s employment history for the last five years

Current Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Another Employment

Previous Employment

Name of Employer

Street Number and Name

An apartment, suite or floor number?

Enter the number here

City

Country

Province

Postal Code

Occupation

Date From

End Date(Required)

Other Information About Your Beneficiary

Current Phone Number (foreign number)

Future Phone Number (US number)

You may enter your own number or leave this field empty

Alien Registration Number

The number is issued to immigrants; it is not issued to visitors. You can leave this field empty if
the beneficiary has never been issued an Alien Registration Number

Social Security Number

You can leave this field empty if the beneficiary has never been issued a Social Security Number

Beneficiary's Native Language

Full Name of the Petitioner(Required)

Consular Processing
Enter the location of the U.S. embassy or consulate where the beneficiary will apply for a visa. Show me a list

City

Country

VisaEsquire.com

USE OF THE WEBSITE DOES NOT CREATE AN ATTORNEY/CLIENT RELATIONSHIP OR CONSTITUTE LEGAL ADVICE.

CONTACT INFO

Visa Esquire LLC
2208 Chapel Dr, Suite G
Fairborn, OH 45324

(937) 446 8311

Beneficiary's Current Legal Name

Beneficiary's Birth Information

Beneficiary's Immigration Information

Beneficiary's Parents

Beneficiary's Children

Beneficiary's Marital Information

Beneficiary’s Current Physical Address

Prior Physical Address

Another Address

Another Address

Another Address

Another Address

Another Address

Another Address

Another Address

Another Address

Another Address

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Mailing Address

Future Address

Beneficiary’s Employment

Another Employment

Another Employment

Another Employment

Another Employment

Another Employment

Another Employment

Another Employment

Another Employment

Another Employment

Other Information About Your Beneficiary

VisaEsquire.com

CONTACT INFO

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