Passport / Travel document type
Passport / Travel document Number
Passport Book Number
Country / Authority that issued Passport/Travel Document
City where issued
country/region where issued
issuanced date
expiration date
Have you ever lost a passport or has one stolen
Have you ever been in the U.S
Have you ever been issued a U.S visa
Have you ever been refused a U.S visa, or been rufusedadmission to the United States, or withdrawn your application of admission at the port of entry?
Has anyone ever filled and immigration petition on your behalfwith the United States Citizenship and Immigration Services?