Filing of Electronic Nonimmigrant
Visa Application
All entries on the application must be filled, i.e. contain
answers to the questions set. Make sure the application is completed
accurately.
The Electronic Visa Application Form is not available in the Russian
language. Answers to the questions on the application must be in
English and must use English characters. Please do not spell the
Russian words with Latin alphabet. We encourage you to use the
Russian- English dictionary for the accurate translation.
To finalize your application hit the Continue key at the bottom
of the application page, then print it out. The full application
form has three pages. Usage of
a laser printer is preferable. Usage of an ink-jet printer does not ensure the
necessary quality of the printed barcode, which may cause extension of the visa
processing time.
Upon completion and printing out your application form you
may proceed to your family members’ visa applications. To save time,
just press the Back key. Getting back on page DS-156, press the
Generate Family Duplicate key at the bottom of the page. The
system will transfer part of information from your application
to the
new application form automatically.
Once you print the application, please make sure to verify the
information and sign the form. Your original signature certifies
that you have read and understood all the questions, and your
answers are true and correct to the best of your knowledge. Please
note
that if someone has assisted you to fill out the application
on line, it should be identified in question No 40. This person
should
also sign your application.
For you convenience, you may use translation of entries for
DS-156 application form below.
U.S. Department of State
NONIMMIGRANT VISA APPLICATION
Attention! Please complete a visa application form on line.
Your answers must be in English and must use English characters.
1. Passport Number
No spacing, hyphens, parentheses, or the N signs. Example: 511234567
2. Place of Issuance: City, Country, State/Province
3. Issuing Country
4. Issuance Date (dd-month-yyyy)
5. Expiration Date (dd-month-yyyy)
6. Surnames (As in Passport)
7. First (As in Passport) and Middle Names
For transliterating middle name please use the
instruction attached,
or choose your patronymic from the attached list.
8. Other Surnames Used (Maiden, Religious, Professional,
Aliases).
For transliterating of such surnames please use the instruction
attached.
If you have never used alias last names, please leave this
entry blank.
9. Other First and Middle Names Used
For transliterating of such names please use
the instruction attached.
If you never used alias first or middle names, please
leave this entry blank.
10. Date of Birth (dd-month-yyyy)
11. Place of Birth: City, Country, State/Province,
according to the current geographical
division.
(For example: If
the applicant was born in Donetsk (Ukraine),
but the information in the passport is USSR- enter UKR.) Enter
RUS for Russia.
12. Nationality. Nationality and country of passport
issuance should be the same.
13. Sex: Male/Female
14. National Identification Number: enter Russian
internal passport number (if applicable)
15. Home Address: include house number, street,
apartment number, city, state or province,
postal zone and
country. (Please do not use commas,
dashes or
slashes)
Please use the English words for the generic terms (region,
prospect, square, street, lane, embankment, alley, boulevard
etc. according
to the dictionary)
and the city/country name. For transliterating of the names
please use the instruction attached.
For example: 12 Pobedy street apt. 43 Gatchina Leningrad region
196231 Russia
16. Home Telephone Number, Business Phone Number,
Mobile/Cell Number, Home Fax Number, Business Fax
Number, Pager Number
Telephone, fax, pager numbers as well as
city codes should be entered without hyphens and
or parentheses. Please enter
space
after the
city code. Example:
812 1234567
17. Marital Status: Married, Single (Never Married),
Widowed, Divorced, Separated Please indicate
the official marital
status (according
to the civil documents).
Common-law marriage is not considered official.
18. Spouse's Full Name (Even if divorced or separated.
Include maiden name.)
19. Spouse's DOB (dd-month-yyyy)
20. Name and Address of Present Employer or School (for
students). If retired or unemployed, leave it blank.
Name: there is no need to translate the Russian personal
name of company/organization. For generic name of your
organization please use the dictionary. For example: Строительная
компания “Монолитстрой” should be indicated as Monolitstroy
Construction company; турагентство “Мир путешествий” as
Mir Puteshestviy Travel agency . For transliterating of
the personal names of the Russian companies please use
the instruction attached.
Address: please use the English words for the generic terms
(prospect, square, street, lane, alley, boulevard etc.
according to the dictionary) and city/country
name. For transliterating of the personal names please use the
instruction attached.
21. Present Occupation (If retired, write "retired/pensioner". If student,
write "student".) Use the dictionary to find the appropriate word
for your position at work.
22. When Do You Intend To Arrive In The U.S.?
If you are unsure about your departure date, please indicate the closest possible
date. Example: If you are planning to travel in January but do not know the exact
date, indicate January 1 as earliest possible date of your departure.
23. E-Mail Address
24. At What Address Will You Stay In The
U.S.? If exact address is unknown, please
provide the city and state of your destination.
25. Name and Telephone Numbers of Person in U.S. Who You Will Be Staying
With or Visiting for Tourism or Business. Please provide the full name of
the contact
person in the U.S. or, if unknown, the name of the inviting organization/school.
Full name/s, Home Phone, Business Phone, Cell Phone
Telephone numbers including city codes should be entered without hyphens or
parentheses. Please enter space after the city code. Example: 203 1112345
26. How Long Do You Intend To Stay in The U.S.?
Please identify the maximum possible length of stay.
27. What is The Purpose of Your Trip?
28. Who Will Pay For Your Trip?
29. Have You Ever Been in The U.S.?
Yes No
When?
For how long?
30. Have You Ever Been Issued a U.S. Visa?
Yes No
When? Where?
What type of visa?
31. Have You Ever Been Refused a U.S. Visa?
Yes No
When? Where?
What type of visa?
32. Do You Intend To Work in The U.S.? Yes No
(If YES, give the name and complete address of U.S. employer.)
33. Do You Intend To Study in The U.S.? Yes No
(If YES, give the name and complete address of the school.)
34. Names and Relationships of Persons Traveling With You
If you travel with a group/delegation, please write “in a group”
35. Has Your U.S. Visa Ever Been Cancelled or Revoked? Yes
No
36. Have you or Anyone Ever Filed an Immigrant Visa Petition
on Your Behalf?
Yes No
If Yes Who
37. Are Any of The Following Persons in The U.S., or Do
They Have U.S. Legal Permanent Residence or U.S. Citizenship?
Mark YES or NO and indicate that person's status in the U.S. (i.e., U.S. legal
permanent resident, U.S. citizen, visiting, studying, working, etc.).
Yes No Husband/Wife________?Yes No Fiance/Fiancee ________
Yes No Father/Mother________?Yes No Son/Daughter_________
Yes No Brother/Sister________
38. IMPORTANT: ALL APPLICANTS MUST READ AND CHECK THE APPROPRIATE BOX FOR EACH
ITEM.
A visa may not be issued to persons who are within specific categories defined
by law as inadmissible to the United States (except when a waiver is obtained
in advance). Is any of the following applicable to you?
o Have you ever been arrested or convicted for any offense or crime, even
though subject of a pardon, amnesty or other similar legal action? Have
you ever unlawfully
distributed or sold a controlled substance(drug), or been a prostitute or
procurer for prostitutes?
Yes No
o Have you ever been refused admission to the U.S., or been the subject of
a deportation hearing or sought to obtain or assist others to obtain a visa,
entry into the U.S., or any other U.S. immigration benefit by fraud or willful
misrepresentation or other unlawful means? Have you attended a U.S. public
elementary school on student (F) status or a public secondary school after
November 30, 1996 without reimbursing the school?
Yes No
o Do you seek to enter the United States to engage in export control violations,
subversive or terrorist activities, or any other unlawful purpose? Are you
a member or representative of a terrorist organization as currently designated
by the U.S. Secretary of State? Have you ever participated in persecutions
directed by the Nazi government of Germany; or have you ever participated
in genocide?
Yes No
o Have you ever violated the terms of a U.S. visa, or been unlawfully present
in, or deported from, the United States?
Yes No
o Have you ever withheld custody of a U.S. citizen child outside the United
States from a person granted legal custody by a U.S. court, voted in the
United States in violation of any law or regulation, or renounced U.S. citizenship
for the purpose of avoiding taxation?
Yes No
o Have you ever been afflicted with a communicable disease of public health
significance or a dangerous physical or mental disorder, or ever been a drug
abuser or addict?
Yes No
While a YES answer does not automatically signify ineligibility for a visa,
if you answered YES you may be required to personally appear before a consular
officer.
39. Was this Application Prepared by Another Person on Your Behalf? Yes No
(If answer is YES, then have that person complete item 40.)
40. Application Prepared By:
NAME:
Relationship to Applicant:
Address:
Signature of Person Preparing Form:_____________________
DATE (dd-month-yyyy)__________________________
41. I certify that I have read and understood all the questions set forth
in this application and the answers I have furnished on this form are
true and
correct to the best of my knowledge and belief. I understand that any
false or misleading statement may result in the permanent refusal of
a visa or
denial of entry into the United States. I understand that possession
of a visa does
not automatically entitle the bearer to enter the United States of America
upon arrival at a port of entry if he or she is found inadmissible.
APPLICANT'S SIGNATURE____________ DATE (dd-month-yyyy) ________
Privacy and Paperwork Reduction Act Statements
INA Section 222(f) provides that visa issuance and refusal records
shall be considered confidential and shall be used only for the formulation,
amendment,
administration, or enforcement of the immigration, nationality, and
other
laws of the United States. Certified copies of visa records may
be made available
to a court which certifies that the information contained in such records
is needed in a case pending before the court.
Public reporting burden for this collection of information is estimated to
average 1 hour per response, including time required for searching existing
data sources, gathering the necessary data, providing the information required,
and reviewing the final collection. You do not have to provide the information
unless this collection displays a currently valid OMB number. Send comments
on the accuracy of this estimate of the burden and recommendations for reducing
it to: U.S. Department of State, A/RPS/DIR, Washington, DC 20520.
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