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Lordsway travel & Tours

U.S Visa Application Details
*Name :Jijoy Mathew
*Home :- +914763297928
*Mob :-

+919747529956

*Home Address :India

*Work :- +914735230448
*Email :-

jijoymatt@gmail.com

Praise Villa, Kadappa, Mynagappally P.O, Kollam, Kerala,

*Pin code :690519

*Marital Status (Please Tick ():- Single / Married /Widowed / Divorced / Separated
*U.S Social Security No (If Any):- No
*U.S Tax Payer ID No (If
Any):No
*Have you ever lost a passport or had one stolen :- (Y/N)
No
-----------------------------------------------------------------------------------------------------------------------------------------------------*Purpose of your Trip to the U.S :Professional Training Course
th
*Intended Date of Arrival (DD MM YYYY) :- 5 July 2013
*Length of
Stay in U.S :- 80 days
-------------------------------------------------------------U.S
(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

Address----------------------------------------------------------------------*Address where you will stay in the U.S :*Pin code :-----------------------------------------------------------------------------------------------------------------------------------------------------*Person / Company paying for your trip :*Relation with the paying person / company (If Any) :*Phone Number of Paying person / company (If Any) :-----------------------------------------------------------------------------------------------------------------------------------------------------*Name of Persons & Relation travelling with you (If Any) :Column (1) Name ,

Column (2) Relation

Applicants Details

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*Have you ever applied for a U.S visa before :- ( Yes / No )

*Have you ever been refused a U.S visa before :- ( Yes / No )
Why -

If Yes, When &

*Have you ever been refused admission to the U.S or withdrawn your application
at port of entry :- ( Yes / No )
*Has anyone ever filed an immigrant petition on your behalf USCIS :- ( Yes / No )
If Yes, Explain

*Have you ever been in the U.S before :- ( Yes / No )

Date of Arrival
In U.S
Length of Stay
in U.S

If Yes, please fill the

(1)

(2)

(3)

(4)

(5)

(1)

(2)

(3)

(4)

(5)

below table *Date of the previous U.S visa issued :Category :*Previous U.S Visa Number :previous visa was issued :-----------------------------------------------U.S Contact Person
Details-----------------------------------------------------------*U.S Contact Person Name :*Relationship to you:*Phone Number:*Organization Name :-

*Previous U.S Visa

*Place where the

*Address :*Pin code/Zip code :*Email ID (If Any):-

-----------------------------------------------------------------------------------------------------------------------------------------------------*Fathers DOB :*Mothers DOB :*Do u have your father

or mother in US :- ( Yes / No )
*Do you have any close relatives in the U.S :- ( Yes / No )
If Yes, Name &
Relation with the Person.
Applicants Details

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Name

(1)

(2)

(3)

Relation

(1)

(2)

(3)

Visa Type

(1)

(2)

(3)

-----------------------Spouse / Former Spouse / Deceased Spouse / Partner

Details-------------------------*Full Name :*Date Of Birth :*Nationality :*Place of Birth :*Country of Birth
-----------------------------------------------------Current
Occupation-----------------------------------------------------------------*Primary Occupation :*Job Title :*Employer/Business Name :*Phone No*Address :*Monthly Salary :*Pincode :-

*Duties:-

*Work Phone No :----------------------------------------------------Previous

Employment---------------------------------------------------------------*Job Title :*Supervisors Name :*Previous Employer Name :*Address :*Employment Date From (DD MM YYYY) :*Employment Date To (DD MM YYYY) :-

*Pincode :*Phone No :-

*Briefly Describe your Duties :------------------------------------------------------Education

Detail---------------------------------------------------------------------*Name of Institution :*Date of Attendance From (DD MM YYYY):Applicants Details

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*Course of Study :-

*Date of Attendance To (DD MM

YYYY) :-

*Address :----------------------------------------------------------------------2-------------------------------------------------------------------------------- Name of Institution :*Date of Attendance From (DD MM YYYY):*Course of Study :-

*Date of Attendance To (DD MM

YYYY) :-

*Address :--------------------------------------------------------------------------------------------------------------------------------------------------------*Provide a list of Language you Speak:- (1)

(2)
(3)
(4)

(5)

(6)

(7)
-------------------------------------------------------------------------------------------------------------------------------------------------------*Have you travelled to any other countries within the last five years ?
(1)
(2)
(3)

(4)

(5)

(6)

(7)

-------------------------------------------------------Additional
Information---------------------------------------------------------Photo 50mm X 50mm, White Background, Upto Shoulder

Applicants Details

(2 Nos)

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For Office Use Only

Invoice Number
Amount Paid
Pending Docs
Party Size

Hi, Only Few Universities in India provides B.Tech (civil) through correspondence; some of them are JNTU-SCDE, Hyderabad
(www.jntu.ac.in/academics/scde.htm), Acharya Nagarjuna University (www.nagarjunauniversity.ac.in/) and IGNOU,
(www.ignou.ac.in). For more information about these institutes, Check there official website. Eligibility for admission is:
Minimum 3 years Diploma in any discipline of Engineering or Equivalent. Minimum of three years relevant experience in the
organization/industry in the area in which candidate is seeking the admission. Another alternative is you can opt for doing
Associate Member, ICE (I) from Institute of Civil Engineers. It is a course of repute. The Institution of Civil Engineers (India)
conducts an examination that qualifies a candidate as an Associate Member of the ICE (I). The Institution of Civil Engineers
(India) conducts the Degree and Diploma level examination in Civil Engineering & Architectural Engineering twice a year for
those, who for various reasons, could not fulfill their ambition to become Degree or Diploma Engineers but had to take up
employment at lower level. They want to upgrade their educational qualification and improve their employment status.
Associate Member of the ICE(I) is considered on par with B.E / B.Tech degrees for competitive exams like the Civil Services,
Engineering Services, GATE, and for placement in government, the public and private sectors. There are 2 sections, namely
Section A and Section B, in this examination. Section A is common for all candidates aspiring to acquire an AMCIE (India).
Under Section B, a particular discipline of engineering has to be chosen from among the streams offered. Please
refer http://www.ice.net.in/index.html for further details. Hope this helps. Good Luck.

Applicants Details