Ds 160 Form Updated

7/12 INSIDEOUT TRAVEL & TOURS
TH
4 FLR. #420 SM PREMIER DOWNTOWN
C.M RECTO AVENUE, LAPASAN,
CAGAYAN DE ORO CITY
(088) 8591960 / 09173209751 / 09399700425
[email protected]
LIST OF REQUIREMENTS
RENEWAL / DROPBOX FOR ABOVE 79
FIRST TIMER YEARS OLD DROPBOX FOR BELOW 14 YEARS OLD
 Passport Copy  Valid Passport & Passport  Original Passport

 Application Form with The Us Visa  Application Form
 Application Form
 2 Pcs Of 2x2 Photos (White  2 Pcs Of 2x2 Photos (White
 2 Pcs Of 2x2 Photos (White Background, No
Accessories & No Showing of Teeth & w/
Background, No Accessories Background, No Accessories & collar) latest photo for the last 3-6months
& No Showing of Teeth & w/ No Showing of Teeth & w/  Copy of Either or Both Parent/s US Visa
collar) latest photo for the collar) latest photo for the last  Original PSA Birth Certificate
last 3-6months 3-6months
ALL IN FEE: PHP 17,000.00
US Visa Form (WRITE IN CLEAR, BOLD AND CAPITAL LETTERS)

Personal, Address, Phone, and Passport Information
Name Provided (Surname—First Name):

Full Name with complete middle name (as shown in the Passport):
Sex:
Marital Status:
Date of Birth:
Place of Birth:
Nationality:
Other Nationalities:
National Identification Number:

U.S. Social Security Number:
U.S. Taxpayer ID Number:
Home Address:
City:
State/Province:
Postal Zone/ZIP Code:
Country:
Mobile/Cell Phone Number:
Home Phone Number:
Work Phone Number:
Email Address:
Social Media Account(s) and name:

Same Mailing Address: c/o 7/12 Insideout Travel & Tours
Passport Number:
Country/Authority that Issued Passport:
City Where Issued:
State/Province Where Issued:
Country Where Issued:
Issuance Date:
Expiration Date:
Have you lost a passport or had one stolen?
Travel Information
▲ Purpose of Your Trip to U.S.

Purpose (1):
Intended Date of Arrival:
Intended Length of Stay in U.S.:
Address where you will stay in the U.S:
Person/Entity Paying for Your Trip:

(If Other Person please provide Complete Name,
Address, Contact number and Email Address):
Relationship to you:
Other Persons Traveling with You (If yes, please provide

1. 2.
complete name & Relationship to you):
▲ Have you ever been in the U.S.?

Provide information on your last five U.S. Visits:
Travel Date of Arrival: 1. 2. 3. 4.
Length of Stay:
Do you or did you hold a U.S. Driver's License? If yes,

please give Driver’s License #, Date Issued and State of
Issued.
▲ Have you ever been issued a U.S. Visa?

Date Last Visa was Issued:
Visa Number (8 digits):
Are you applying for the same type of visa?
Are you applying in the same country where the
visa above is issued and is this country your
principal country of residence?
Have you been ten-printed?
Has your U.S. Visa ever been lost or stolen?
Has your U.S. Visa ever been cancelled or
revoked?
Have you ever been refused a U.S. Visa, been refused Do you have any pending petition in the U.S.? Type of petition
admission to the United States, or withdrawn your made by the relatives in the U.S.? Please give details:
application for admission at the point of entry? Date &
Reason:
Previous Travel (for the last five years):

Name of Countries - Year
U.S. Contact Information

Contact Person Name in the U.S.,
Status in the US.
Organization Name in the U.S.:
Relationship to You:
U.S. Contact Address:
Phone Number:
Email Address:
Family Information: Previous Employment of the Applicant:

Father's Surnames: Name of Company:
Father's Given Names: Complete Address:
Father's Date of Birth: Job Title:
Is your father in the U.S.? if yes, please specify the Status: Date of Employment from dd/mm/yy:
Mother's Surnames: Date of Employment to dd/mm/yy:
Mother's Given Names: Supervisor Complete Name:
Mother's Date of Birth: Contact #:
Is your mother in the U.S.? If yes, please specify the Status: Duties:
Do you have any immediate relatives (such as Spouse, Fiancée,

Sibling/s, Child,) not including parents in the U.S.? If yes, give the full
name, relationship to you, and specify status:
Do you have any other relatives in the United States? (YES OR NO) :
IF APPLICANT IS MARRIED
Spouse's Full Name:
Spouse's Date of Birth:
Spouse's Nationality:
Spouse's City of Birth:
Spouse's Country of Birth:
Spouse’s Address:
Note: Widow/Separated/Divorce PROVIDE YOUR SPOUSE

DETAILS
Work / Education / Training Information Educational Attainment of the Applicant:

College Graduate/Level or High School
Primary Occupation: Name of School:
Present Employer or School Name:
Start Date:
Address: Complete Address:
City: Course:
State/Province: School Started dd/mm/yy:
Postal Zone/Zip Code: School Ended dd/mm/yy:
Country: Contact #:
Month Salary in Local Currency, if employed:
Work Phone/Tel.No#:
Briefly Describe your Duties:

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7/12 INSIDEOUT TRAVEL & TOURS

 Passport Copy  Valid Passport & Passport  Original Passport

ALL IN FEE: PHP 17,000.00

US Visa Form (WRITE IN CLEAR, BOLD AND CAPITAL LETTERS)

Name Provided (Surname—First Name):

National Identification Number:

Social Media Account(s) and name:

▲ Purpose of Your Trip to U.S.

Person/Entity Paying for Your Trip:

Other Persons Traveling with You (If yes, please provide

▲ Have you ever been in the U.S.?

Do you or did you hold a U.S. Driver's License? If yes,

▲ Have you ever been issued a U.S. Visa?

Previous Travel (for the last five years):

U.S. Contact Information

Family Information: Previous Employment of the Applicant:

Do you have any immediate relatives (such as Spouse, Fiancée,

Note: Widow/Separated/Divorce PROVIDE YOUR SPOUSE

Work / Education / Training Information Educational Attainment of the Applicant:

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