USA VISA CONSULTANT - FORM 0002

INSTRUCTIONS: Review the details in the form and click the 'Click to Submit' link at the bottom. You will be redirected to
the payment screen where you will be required to pay a symbolic sum to complete your registration and open an
application under your name.

1 REQUISITION DETAILS

Requisition ID:
Requisition Date: Requisition Type:
[TO BE ASSIGNED]
2024-01-04 Assessment

2 APPLICANT DETAILS
Name of Applicant:
[WILL BE REQUIRED LATER]
Email of Applicant:
[WILL BE REQUIRED LATER]
Date of Birth:
[WILL BE REQUIRED LATER]
Place of Birth:
[WILL BE REQUIRED LATER]
What is your highest level of
education?
Please Choose
Haven't Graduated High School
High School Graduate
First Year of College
Have you received a degree or Second Year of College
certificate? Third Year
Please of College
Choose
Fourth
No Year of College
Associates Degree
Yes
Are you still studying? Bachelor's Degree
Bachelor's
Please + 1 year of completed MA
Choose
Studies
No
Bachelor's + 2 years of completed MA
Yes
Total amount of years for your Studies
education since grade 1 Master's Degree
Doctorate
Please Choose
PhD
Less than 10
Completed vocational
10
education/training
11
Other
12
Are you currently employed? 13
Please
14 Choose
No
15
Yes
16
Do you have proof of your employment
(pay slips, reference letters, contract)? 17
18
19
Please
20 Choose
No
More than 20
Yes

Please list all languages that you

currently speak:
Are you thinking of going to the United
States with your family members or
alone?
Please Choose
Alone
With Family

What is the purpose of your entry and

stay in the United States:

Are you seeking protection because

you have suffered from persecution or
fear because of: Race, Religion,
Nationality, Membership in a particular
social group, Political opinion?

Please Choose
No
Yes

Have you ever been to the United

States before?
Please Choose
No
Yes

Have you ever had problems with the

law?
Please Choose
No
Yes
Are you currently working for an
American employer?
Please Choose
No
Yes

Would you like to invest your money

into a United States business?
Please Choose
No
Yes

Have you been awarded, or have you

been nationally or internationally
recognized, for excellence in the field of
your outstanding activity?

Please Choose
No
Yes
 Have you ever been a judge of the
work of others in the field of their or
your specialization?
Please Choose
No
Yes

Can you provide information about a

crime committed in the United States?

Please Choose
No
Yes

Original Registration Date:

2024-01-04

Original Registration IP:

161.0.158.88

3 DECLARATION
By submiting this form, I hereby declare the following:

● I agree to USA Visa Consultant's Terms of Use

● I acknowledge that my information will be handled as detailed in USA Visa Consultant's Privacy Policy

4 SUBMISSION
Click the link in the cell to the right to
submit this form
Click to Submit

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