☂@การกรอกข้อมูลวีซ่า กรอกด้วยดินสอ และเอเจ้นจะกรอกออนไลน จ่ายเงิน และนัดสัมภาษณ์ให้
1.Personal
Name Provided:
Full Name In Native Language:
Other name use:
Telecode Name Used: No
Sex: Female
Marital status: single
Date of birth:
Place of birth:
Country (Nationality) :Thailand
Do you hold other nationality: No
National ID:
US social security no.: does not apply
US taxpayer id no.: does not apply
Home address:
Same mailing address: yes
Primary phone no.:
Email address:
Passport type: regular
Passport no.:
Country issued: Thailand
City where issue: Bangkok
Issuance date:
Expiration date
Have you ever lost a passport: no
2Travel Information
Purpose of trip to US: Alien in Transit (C)
Specify: Crewmember in transit (C1/D)
Intended date of arrival:
Intended length of stay in US: 1day
Address where you will stay in US:
Person paying for your trip: self
Are there other person traveling with you: no
Have you ever been to US: no
Have you ever been issued US visa:yes
Have you ever been refused us visa: no
3US contact
Contact person name :pin us:
Organization name in us: Steiner transocean ltd
Relationship to you: employer
US contact address
4Family Information
Father surnamm
Father given name
Date of birth:
Mother surname
Mother given name
Date of birth
No of former spouses
Former spouse name
Date of birth
Date of marriage:
How the marriage ended
5Work/Education
Primary occupation: other
Specify other: massage therapist
Present employer name: steiner transocean ltd
Monthly salary: 50000
Brief describe your duties: massage therapist