Sample Form

This sample form is for you to try using WPS Fill & Sign to fill out a form.

Please Indicate Type of Visa Requested

✔ Diplomatic Visa
Official Visa

Courtesy Visa

Non-Immigrant Visa

Tourist Visa

Transit Visa

Application for Visa

✔ Mr. Mrs. Miss.

First Name ___________ Middle Name ____________ Last Name ____________

Country/Region _____________ State ______________ City ______________

Street _____________________________________________________________

Email ______________________ Home Phone ___________________________

Cellphone ____________________________

ID card ________________________ Passport ___________________________

Signatures _____________________ Date _______________________