Visto Perguntas
Visto Perguntas
Visto Perguntas
We do not need a printed copy of your application at any point during your interview process. Only print this
application if you want a copy for your own records. If you print your application, please keep it secure.
Photo Provided:
Confirmation Number:
Sex: FEMALE
Do you hold or have you held any nationality other than the one NO
indicated above on nationality?
UNIT 601
Country/Region: BRAZIL
Travel Information
The List of Purposes of Trip to the U.S.
Purpose of Trip to the U.S. (1): TEMP. BUSINESS PLEASURE VISITOR (B)
Address where you will stay in the U.S.: 7125 UNIVERSAL BLVD
Is the address of the party paying for your trip the same as your Home YES
or Mailing Address?
Have you ever been refused a U.S. Visa, or been refused admission to NO
the United States, or withdrawn your application for admission at the
port of entry?
Family Information
Father's Surnames: COSTA VARA
Do you have any immediate relatives, not including parents in the U.S.? NO
Work/Education/Training Information
Primary Occupation: STUDENT
Country/Region: BRAZIL
Have you traveled to any countries/regions within the last five years? NO
Have you belonged to, contributed to, or worked for any professional, NO
social, or charitable organization?
Have you ever served in, been a member of, or been involved with a NO
paramilitary unit, vigilante unit, rebel group, guerrilla group, or
insurgent organization?
Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of NO
yourself or others?
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or NO
other similar action?
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances? NO
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been NO
engaged in prostitution or procuring prostitutes within the past 10 years?
Have you ever been involved in, or do you seek to engage in, money laundering? NO
Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the NO
United States?
Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human NO
trafficking offense in the United States or outside the United States and have you within the last five years,
knowingly benefited from the trafficking activities?
Have you knowingly aided, abetted, assisted or colluded with an individual who has committed or conspired to NO
commit a severe human trafficking offense in the United States or outside the United States?
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the NO
United States?
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist NO
activities?
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist NO
organizations?
Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing NO
financial assistance or other support to terrorists or terrorist organizations, in the last five years?
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? NO
Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? NO
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, NO
or other acts of violence?
Have you ever engaged in the recruitment or the use of the child soldiers? NO
Have you, while serving as a government official, been responsible for or directly carried out, at any time, NO
particularly severe violations of religious freedom?
Have you ever been directly involved in the establishment or enforcement of the population controls forcing a NO
woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or
her free will?
Have you ever been directly involved in the coercive transplantation of human organs or bodily tissue? NO
Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United NO
States immigration benefit by fraud or willful misrepresentation or other unlawful means?
Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal NO
custody by a U.S. court?
Have you voted in the United States in violation of any law or regulation? NO
Have you ever renounced United States citizenship for the purpose of avoiding taxation? NO
Location Information
Location where you will be submitting your application
Preparer of Application
Did anyone assist you in filling out this application? YES
SUITE 09
City: ITAJAI
Country/Region: BRAZIL
A informação que forneceu na sua solicitação e outras informações submetida com a sua solicitação poderão ser acedidas por outras
agencias governamentais que tenham autoridade legal para usarem tal informação, incluindo para propósitos de aplicação de lei
criminal ou de imigração. Se impressões digitais forem coletadas no seu processo de solicitação, elas podem ser utilizadas para
comparações com outras impressões digitais do sistema de impressões digitais do FBI Next Generation Identification (NGI) ou
sistemas que o sucederem (inclusive repositórios civis, criminais ou latentes de impressão digital).A fotografia que forneceu com a
sua solicitação poderá ser usada para verificação de emprego ou outros propósitos de aplicação da lei Americana.
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