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· Visa Applications Questionnaire
All clients wishing to make a visa application for any country are advised to complete the Visa Applications Questionnaire.  This will will help us to provide you with the best possible representation.
Important!
Please note, clients are advised to fill in this form carefully and accurately, before we can give any tangible advice on American, Canadian, Australian, New Zealand or South African Visas.

Acknowledgment
By completing this questionnaire you are providing material information that is true and correct. ILAS (LLP) and our foreign affiliates/agents would rely upon this information to provide excellent and worthwhile legal advice in relation to your immigration matter. If any sections of this form DO NOT apply to you or the country for which you intend to make the application, then please indicate with 'N/A'. (not applicable). Your initial on the last segment of this document indicates that you have read and understood them.
ILAS Visa Application Questionnaire
CONTACT DETAILS
Please enter your Full Name and conatct Email address below.  All Fields are essential, and Fields marked with (*) are compulsory and must be completed.
FULL NAME:

EMAIL:
Please indicate which country you are making the application(s) for: *
America               Canada               Australia               New Zealand               Mauritius               South Africa               UK
*
*
GENERAL QUESTIONNAIRE FOR IMMIGRATION CONSULTATIONS
A.  Please attach a copy of your resume or curriculum vitae to this document. (This is a compulsory field) *
B.  What are your immigration goals?
What do you intend to achieve by this immigration process?
Where in the U.S. (or chosen country above) would you like to reside?
C.  Do you have any family members currently residing in the United States (or chosen country) ?
YES
NO
D.  YOUR PERSONAL INFORMATION
Name:
First                                       Last                                        Middle                                    Maiden
Other Names Used (Including maiden name)
Nationality:
Citizen Of:
DD  /  MM  /   YYYY                                 (Country)                                                 (Country)
Sex:
Town/Village                              State/Province                           Country
U.S.(or chosen country) social security number - if any
Place of Birth:
Telephone:
Home                                        Work                                         Mobile
ZIP/Postcode                                                                              ZIP/Postcode
Address Abroad (Home):
EDUCATION
High School                                                                  College
Year(s) Completed                                                         Year(s) Completed
Have you ever been in the U.S. (or chosen country) before?
YES
NO
Date/Placeof last arrival in U.S. (or chosen country)
DD  /  MM  /   YYYY               Place
Type Of Visa
How long did you stay in the U.S. (or chosen country)?
Has a prior employment visa petition ever been filed on your behalf?
YES
NO
If 'YES' then answer the following:
Means of travelling into U.S. (or chosen country)
Status at entry (e.g. student, visitor)
Consulate visa was issued
Visa Number
Date visa was issued
Visa expiration date
Indefinite Leave To Remain
OR
YES
NO
Passport Number:
Passport Issue Date
Expiration Date
If in the U.S. what is your I-94 number?
I-94 Issue Date
I-94 Expiry Date
Duration
DD  /  MM  /   YYYY                                     DD  /  MM  /   YYYY
Name as it appears exactly on I-94
EMPLOYMENT FROM THE LAST 5 YEARS (present employment first)
RESIDENT ADDRESS FROM THE LAST 5 YEARS (present address first)
List ALL present/past memberships in groups of any kind.
Have you ever filed for permanent residency in the U.S. (or chosen country)?
YES
NO
If 'YES' give Date and Place of filing:
DD  /  MM  /   YYYY               Place
Have you ever committed a crime?
Ever been arrested?
Granted pardon?
If you answered 'YES' to any of the above, please give the following information:
USA embassies and consulates are required to run security clearance on every visa applicant. The following questions are intended for ILAS (LLP) and our foreign affiliates/agents only.
Have you ever:

Committed a crime of moral turpitude or drug-related offence for which you were not arrested?

Been arrested, cited, charged, indicted, fined or imprisoned for breaking a law, excluding traffic violations?

Been the recipient of an act of clemency or similar action?

Exercised diplomatic immunity to avoid prosecution in the U.S.?

Recieved public assistance in the U.S. from any source, or likely to in the future?

Engaged in prostitution in the past 10 years, or likely to in the future?

Engaged in unlawful commercialized vice such as illegal gambling?

Encouraged any alien to enter the U.S. illegally?

Trafficked in any controlled substance?

Been in any way involved in any terrorist activity?

Engaged in espionage or intend to once in the U.S.?

Been a member of or affiliated with the communist party?

Engaged in genocide or persecuted any person(s) because of race, religion, national origin or political opinion?

Been deported or excluded from the U.S.?

Left the U.S. to avoid being drafted into the U.S. army?

Committed fraud in order to gain entry into the U.S.?

Been a J nonimmigrant visitor and not complied with the 2 year foreign residence
requirement or obtained a waiver?

Witheld custody of a U.S. citizen child from a person granted custody of the child?

Been a polygamist or plan to practice polygamy in the U.S.?

Claimed to be a U.S. citizen?
YES


YES
NO


NO
N/A


N/A
YES
NO
N/A
YES
NO
N/A
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
YES
NO
N/A
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
YES
NO
N/A
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
N/A
NO
YES
If answered 'YES' to any of the above, explain fully below:
E.  YOUR FAMILY INFORMATION
Name Of Father
First Name                                      Last Name                                       Maiden Name
Father's Place Of Birth
City                                                 State                                               Country
Father's Date Of Birth
DD  /  MM  /   YYYY 
If Father is deceased, please provide date:
DD  /  MM  /   YYYY 
Father's Residence
DD  /  MM  /   YYYY 
If Mother is deceased, please provide date:
DD  /  MM  /   YYYY 
Mother's Date Of Birth
Mother's Place Of Birth
City                                                 State                                               Country
First Name                                      Last Name                                       Maiden Name
Name Of Mother
Mother's Residence
Were any of your grandparents born in the U.S. (or chosen country of application)?
YES
NO
If 'YES', where:
Date Of Marriage
DD  /  MM  /   YYYY 
Number of times married (including this marriage)
Town/Village                              State/Province                           Country
Spouse's Date Of Birth
DD  /  MM  /   YYYY 
Citizenship
Spouse's Place of Birth:
Spouse's U.S. Social Security Number (If any)
Place Of Marriage
LIST CHILDREN, INCLUDING ANY STEPCHILDREN (use attachment if necessary)
DD  /  MM  /   YYYY 
Date Of Birth
Relationship
Country Of Birth
2.  Full Name
Date Of Birth
DD  /  MM  /   YYYY 
Relationship
Country Of Birth
By signing (your initials) below, you acknowledge that your responses to this questionnaire are true and correct to the best of your knowledge.
INITIALS
FULL NAME
DATE
DD  /  MM  /   YYYY 
Date Of Birth:
Address In U.S (Or Chosen Country) - If Any:
Degrees Earned                                          Institution                                                                                      Year
Any Professional Licenses, Certifications or Professional Memberships
When                                        Where                                        Approved?                                   Inspected?
Visa Classification
DD  /  MM  /   YYYY                                   DD  /  MM  /   YYYY
Name/Address/Occupation                                                                 Salary                                     From(Mo/Yr)       To(Mo/Yr)
House/Flat No. & Street                                  City/State & ZIP/Postcode          Country                        From(Mo/yr)        To(Mo/Yr)
Group Name                                                                                      Location (City/Country)             From(Mo/Yr)       To(Mo/Yr)
Date (dd/mm/yyyy)            Place (City/Country)                Nature of Offence                                                 Outcome
Your Marital Status (Married/Divorced/Widowed/Separated/Single)
Spouse'sName:
First                                    Last                                    Middle                                Maiden
1.  Full Name
U.S. Social Security No. (if any)
U.S. Social Security No. (if any)
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