US Visa Consulates are located in Mumbai / Delhi / Kolkata / Chennai / Hyderabad

(Please circle the location where you want to attend the US Visa interview)
USA VISA FORM PROFORMA
(Please fill details in CAPITAL letters only using a ball point pen.
NO SHORT FORMS to be used. If you make a mistake, cut and rewrite. Do not overwrite.

Provide Email ID in the box

Mandatory in CAPITAL Letters

A. Employment ID: ____________________________ GCI course date (for New Applicants only):____________

B. Surname (as per passport):_____________________________________________________________________

Name (Given Name as per passport):_____________________________________________________________
C. Passport No. _____________________________
D. Your Date and Place of birth ______________________________________
E. Home Address (Current):_____________________________________________________________________

_______________________________________________________________Pincode:_______________________

F. Landline No:___________________________________Mobile No:__________________________________

G. Father’s Date of birth* _________________________ Mother’s Date of Birth* ________________________
H. Married/Single/Divorced (Please circle).
I. Spouse Name ______________________________________________________________________________
Spouse Date and Place of birth ________________________________________________________________
J. Your Rank on board:__________________________________________Salary:_______(Pound/Dollar. Tick one)
K. Explain briefly your job on board:______________________________________________________________

_____________________________________________________________________________________________

L. Dates when you have visited the United States (dd/mm/yy):__________________________________________

M. Was your U S Visa ever been rejected? Please mention (Yes/No):_______________

IF YES, provide date: ______________________________
N. Work Experiences Details (Please mention work experience before joining our company).
1. Company’s name ______________________________________________________________
Location: ______________________________________________________________
Telephone No. * __________________________ Designation ________________________
Explain briefly what job you are/were doing________________________________________________________

____________________________________________________________________________________________

Supervisor’s name:__________________________________________(not mandatory)

Date of Joining (dd/mm/yy)_____________________Date of Resigning (dd/mm/yy)_________________________

2. Company’s name:____________________________________________________Location:___________________
Telephone No: *____________________________ Designation________________________________________
Explain briefly what job you are/were doing:________________________________________________________

____________________________________________________________________________________________

Supervisor’s name * ______________________________________(not mandatory)

Date of Joining (dd/mm/yy):______________________Date of Resigning (dd/mm/yy)_____________________

O. Educational Qualification (Please mention your highest education detail first)

1. Name of the School / College where you have completed your SSC/HSC/Graduation (Tick one)
________________________________________________________________ Location:____________________
Name of Qualification: (SSC/HSC/Graduation/Others)______________________________________
Date of attendance: From (mm/yy) ____________________ To (mm/yy)______________________

(Mention details of any technical education such as Hotel Management Diploma/Degree below)

2. Name of the Institute: _______________________________________________ Location:_____________________

Name of the Qualification (eg: Diploma is Hotel Management):_____________________________________________

Date of attendance: From (mm/yy)_____________________ To (mm/yy)______________________

I confirm that all details mentioned above are true to the best of my knowledge and belief. I understand if any
details are found to be untrue or if I provide wrong and/or misleading information, then I may lose my
candidature and will not be employed on board Carnival brand ships in the future.

Signature __________________________ Name _____________________________________________________

Date when you are submitted this form:___________________________________________

(For Office Use Only)

Ship at U S port:_________________________________________________

Ship joining date and port:_________________________________________

Entries marked as * are not mandatory