United States Tourist Visa - Application Form

United States Tourist Visa - Application Form

Submission Date*

Personal Details

Full Name*

Date of Birth*

Nationality*

Citizenship*

Marital Status*

Select or enter value

Marriage Date

Spouse Name

Spouse Date of Birth

National Insurance Number*

NIS/Social Security Number

Residential Address*

Mailing Address*

If different from residential address

Email Address*

Contact Number*

Social Media Accounts*

List the name or email address associated with each social account.

Employment History*

Provide your employment or business history over the past 10 years.

Please include your title, company name, address & contact number and email address.

Education*

Provide the following details of your highest level of education ONLY

Important: Institution Name, Address, Start Date, End Date & Field of Study

Countries visited in the last 5 years*

Please list the countries visited in the last 5 years

Have you ever been refused a US visa? *

Select or enter value

If YES, please confirm the following

Include the date and name of the country where the visa was refused.

Have you ever served in the armed forces?*

Select or enter value

If YES, please provide details

Parents Details

Mother's Full Name*

Mother's Date of Birth*

Father's Full Name*

Father's Date of Birth*

Family Status

List ALL immediate relatives (children and/or siblings) holding residence or citizenship status in the U.S.

Family Status in the US: Name & Status

Include Full Name & US Status.

i.e. citizenship, green card holder, etc.

Accomodation Details

Do you require accommodation services in Barbados?*

Please note that accommodation services are offered at a separate cost.

Select or enter value

If NO, please confirm accommodation details

Please list the name, address and telephone number of host in Barbados.

What is your relation to the host in Barbados??

Do you require airline booking services to BDS?*

Please note that airline booking services are offered at a separate cost.

Select or enter value

If YES

Please provide details of preferred departure and arrival flight locations. Please note that a draft itinerary will be prepared in sync with the confirmed US Embassy Appointment date.

Document Upload*

Valid Passport
2 visa size photos (2 x 2 inches or 51 x 51 mm)
Employment Letter or Registered Business Documents

Please note that further documentation may be requested upon review.

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse