سفر به امارات برای مصاحبه: تور، هتل، بلیط و ...

[rasoul3711]

Embassy of the United States of America
Consular Section
P. O. Box 4009
Abu Dhabi, U.A.E.
TEL: 971-2-4436691
FAX: 971-2-4435785
PLEASE COMPLETE AND RETURN WITH FORM OF-230(I)
TO BE COMPLETED BY EACH IMMIGRANT VISA APPLICANT
BETWEEN THE AGE OF 18 AND 60

FULL NAME : ___________________________________________________________
(AS PER PASSPORT) (LAST) (FIRST) (MIDDLE)
_________________________ __________________________
DATE OF BIRTH PLACE OF BIRTH
__________________ ________________ ___________________
PASSPORT NUMBER DATE OF ISSUE DATE OF EXPIRY
CURRENT EMPLOYER’S NAME AND ADDRESS:
___________________________________
___________________________________
___________________________________
___________________________________
IS YOUR EMPLOYMENT AFFLIATED
TO THE GOVERNMENT OF IRAN : YES / NO
JOB TITLE : _______________________
PREVIOUS TRAVEL DATES TO THE U.S.
FROM TO PLACE VISITED VISA TYPE
______________ ______________ _______________ ________
______________ ______________ _______________ ________
______________ ______________ _______________ ________
______________ ______________ _______________ ________
NAME AND ADDRESS OF PERSON WITH
WHOM YOU WILL RESIDE IN THE U.S.
___________________________________
___________________________________

___________________________________
___________________________________
PORT OF ENTRY IN THE U.S.:___________________________
EXPECTED ARRIVAL DATE : __________________________

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