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Nonimmigrant Visa Application

Address and Phone Information

Home Address

Street Address (Line 1)
Street Address (Line 2) *Optional
City
State/Province
Postal Zone/ZIP Code
Country

Mailing Address

Is your Mailing Address the same as your Home Address?(This is the address to which your passport will be sent if you qualify for a visa).

Phone

Home Phone Number





Email Address


(e.g., emailaddress@example.com)