Expedite Travel Services

U.S Online Visitor's Visa Form

Please fill out the form below to the best of your knowledge. Please take your time to fill out the form correctly. You don't need to rush or fill out the form in a hurry. Take your time. If you don't have the information when filling out the form, please wait until you have all information to fill out the form. Please don't fill out the form in bits and pieces. Expedite Travel Services created the form for people applying with us online. Once you have filled out the form and submitted it, the information that you provide on the form will be sent to Expedite Travel Services email. Once we receive the information, we will review it before we begin the process of completing your visa application on the U.S.A Embassy website. If something is missing from the information you filled out, we will reach out to you to provide the missing information. If you are experiencing any challenges interpreting the information, please contact us at 876-909-2433 / 876-560-5040 / 876-553-4282 or WhatsApp 876-560-5040 or 876-553-4282 or send us an email at expeditetravelservice@gmail.com so we can further assist you in properly completing the visa application assessment form.

What is your purpose of travel?

Personal Information

Last Name (as stated in your passport)

First Name and Middle Name (as stated in your passport)

Have you used another name in the past, not including a nickname? (For example, if you were married or had a name change.)

Yes No

How many names have you used?

Gender

Marital Status

Date of Birth
/ /

Country of Birth

Parish/City of Birth

Are you a permanent resident of another country?

Yes No

State the country that you are a permanent resident of.

Do you hold another Nationality?

Yes No

State the country you are nationality of.

Do you have a passport for that country?

Yes No

State the Passport Number of that Country.

Do you have a USA social security number?

Yes No

Please enter your social security Number below

Do you have a USA Taxpayer ID Number?

Yes No

Please enter your Tax pay ID Number below

Travel Information

Application Receipt/Petition Number

Date that you plan on travelling to the U.S
/ /

How long will you be staying in the U.S?

Address where you'll stay in the U.S.

Are you paying for your trip?

Yes No

Last name of the person paying for your trip

First name of the person paying for your trip

Relationship to you

Telephone of the person paying for your trip

Email of the person paying for your trip

Is the address of the party paying for your trip the same as your home or mailing address?

Yes No

Address Line 1

Address Line 2

City/Province

State

Zip code/Postal code

Country

Are there any other persons travelling with you?

Yes No

How may persons travelling with you?

Have you ever been in the U.S?

Yes No

How many times have you travelled to the U.S in the past 10 years?

Have you ever been issued a U.S visa?

Yes No

Date last visa issued
/ /

Date last visa expired
/ /

Visa Number

Are you applying for the same type of visa?

Yes No

Are you applying in the same country?

Yes No

Have you ever been fingerprinted?

Yes No

Has your visa ever been lost or stolen?

Yes No

Please explain what happened in the event when the U.S. Visa was lost or stolen

Has your U.S visa ever been cancelled or revoked?

Yes No

Please explain what led to your U.S. Visa been cancelled or revoked

Have you ever been refused a U.S visa?

Yes No

Did the visa officer give you a reason as to why they denied you the visa?

Yes No

Please explain why your U.S. Visa was refused

Are you on filling?

Yes No

Who is filling for you?

Current Home Address

Home Address

Mailing Address

Parish/City

Work Number

How many contact number do you have?

How many email address do you have?

Please select all Social Media accounts that you're associated with:
Facebook
Instagram
LinkedIn
TikTok
Snapchat
YouTube
Twitter
None

Please state your name on Facebook below

Please state your name on Instagram below

Please state your name on LinkedIn below

Please state your name on TikTok below

Please state your name on Snapchat below

Please state your name on YouTube below

Please state your name on Twitter below

Passport Information

Passport Number

Country that Issued Passport

Parish/City where passport was Issued

Issue Date
/ /

Expiration Date
/ /

Have you ever lost a passport or had one stolen?

Yes No

Please explain why your passport was lost/stolen

Name and address of person that you're visiting in the U.S

Last Name (If applicable)

First Name (If applicable)

Employer Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Name and address of person that you're visiting in the U.S

Last Name

First Name

Relationship to you

Street Address

City

State

Zip Code

Phone Number

Email Address

Family Information

Father's Last Name

Father's First Name

Do you know your father's date of birth?

Yes No

Father's Date of Birth
/ /

Is your father still living?

Yes No

Father's Address

Father's Year of Death

Is your father in the U.S?

Yes No

What's his status in the U.S?

Mother's Last Name

Mother's First Name

Do you know your mother's date of birth?

Yes No

Mother's Date of Birth
/ /

Is your mother still living?

Yes No

Mother's Address

Mother's Year of Death

Is your mother in the U.S?

Yes No

What's her status in the U.S?

Do you have any immediate relatives in the U.S including sisters, brothers or children?

Yes No

How many immediate relative do you have in the U.S?

Do you have any other relatives in the U.S?

Yes No

Spouse Information

Spouse's Last Name

Spouse's First Name

Spouse's Date of Birth
/ /

Spouse's Nationality

Spouse's Parish of Birth

Spouse's Address

Former Spouse Information

Former Spouse's Last Name

Former Spouse's First Name

Former Spouse's Date of Birth
/ /

Former Spouse's City of Birth

Former Spouse's Country of Birth

Date of marriage
/ /

Date of marriage ended
/ /

What caused your marriage to end?

Family Information: Fiancé / Fiancée

Fiancé/Fiancée's Surnames

Fiancé/Fiancée First Name and Middle Name

Fiancé/Fiancée's Date of Birth
/ /

Fiancé/Fiancée's Address

Fiancé/Fiancée's Occupation

Family Information: Children

Do you have any children?

Yes No

How many Children do you have?

Occupation

What is your employment status?

Address

City/Parish

Country

Date when you started
/ /

Monthly Income

Briefly describe what you do as a self-employed person

Registered Business Name

Date of registration
/ /

Address

City/Parish

Country

Monthly Income

Briefly describe what the business is about

School Address

City/Parish

Name of Educational Institution

Date You Started School
/ /

Briefly describe what you are currently studying

Job Title

Company Name

Company Address

City/Parish

Company Number

Job Start Date
/ /

N.B If you get pay fortnightly, please add both fortnight pay to get your monthly salary.

Monthly Salary Before Tax

Briefly Describe your Duties

Previous Employment

Were you previously employed?

Yes No

How many places had you work before?

N.B Once you decide to fill out previous employment, you must complete all the information. If you don't remember the exact dates, put the closest date you can remember. We cannot add your previous employment if you don't fill out all the information. For example, if you don't remember when you started and finished the job or don't have a contact number for your previous employer, please don't add it. Previous employment is not mandatory, so if you don't remember when you started or left the job, you don't have to add it. Once you decide to add it, ensure that you add the day/month/year when you start and finish the job and the employer's contact number. One last thing some people might remember the month and the year but not the specific day within the month. Just add any day if you don't know.

School History

Did you attend High School?

Yes No

How many High School did you attend?

Did you attend attend Heart Trust or any Training in Institutions?

Yes No

How many Heart Trust or any Training in Institutions?

Did you attend University or College?

Yes No

How many University or College did you attend?

University or College History (1)

N.B You need to put the date you start and finish school. If you don't remember the date you started and finished school, put the closest date you can remember.

Name of Institution

Address of Institution

Country

Course of Study

When did you start school?
/ /

When did you leave school?
/ /

University or College History (2)

N.B You need to put the date you start and finish school. If you don't remember the date you started and finished school, put the closest date you can remember.

Name of Institution

Address of Institution

Country

Course of Study

When did you start school?
/ /

When did you leave school?
/ /

Additional Information

Have you travelled to any country or regions within the last five years?

Yes No

Select the number of countries you have visited in the last five years

Do you have any training in using firearm?

Yes No

Please explain what type of training you have in using firearms?

Have you ever been arrested before?

Yes No

Why were you arrested?

Student/Exchange Visa Information

List at least two contacts in your country of residence who can verify the information that you have provided on this form. Do not list immediate family members or other relatives. Postal office box numbers are unacceptable.

Contact Person: #1

Last Name

First Name

Address

Telephone

Email

Contact Person: #2

Last Name

First Name

Address

Telephone

Email

SEVIS Information

SEVIS ID

Program Number

Student/Exchange Visa Information

List at least two contacts in your country of residence who can verify the information that you have provided on this form. Do not list immediate family members or other relatives. Postal office box numbers are unacceptable.

Contact Person: #1

Last Name

First Name

Address

Telephone

Email

Contact Person: #2

Last Name

First Name

Address

Telephone

Email

SEVIS Information

SEVIS ID

School Name

Course of Study

School Address Address Line 1

Address Line 2

City

State

Zip Code

Temporary Work Information

Application Receipt/Petition Number

Name of Company who Filed Petition

Name of employer

Employer address where you'll work Address Line 1

Address Line 2

City

State

Zip Code

Employee Phone Number

Monthly Income in USD

For further enquiries contact us at 876-553-4282 / 876-909-2433 / 876-560-5040 or WhatsApp 876-560-5040 or 876-553-4282 or send us an email at expeditetravelservice@gmail.com we will respond to you promptly.