• Aurascape Travels Limited

    Aurascape Travels Limited

    (876) 893-3897 | (307) 302-4609 | info@aurascapetravels.com www.aurascapetravels.com
  • UNITED STATES VISITORS VISA QUESTIONNAIRE 


    Cost J$43,700 or US$270

     

    Instructions: To complete the application process, you will need the following

    • Valid passport

    • Copy of your passport data page and any visas that you already have

    • Digital & physical copies of a photo for a US Visa.

    • Job letter addressed to the US embassy stating your compensation, number of vacation days and tenure or length or length of contract, If you’re self-employed, your business registration will be required.

    • Status letter from a financial institution outlining balances and averages for the past 3 months

     

  •  -
  • Gender*
  • Date of Birth*
     - -
  • Details of Travel
  • From*
     - -
  • To*
     - -
    • Passport Details 
    • Date of Issue*
       - -
    • Date of Expiry*
       - -
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    • Digital Passport Picture 
    • This photo can be retrieved from anywhere providing passport picture services and should be no older than 6 months at the time of submission.

      Ask for the picture to be emailed to you.

      Please note: Scanned copies of printed passport pictures will not be accepted

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    • Visa Renewal Details (if applicable) 
    • Have you ever been issued a U.S visa?*
    • When was your last visa issued?
       - -
    • Please state your visa expiry date
       - -
    • Are you applying for the same type of visa?
    • Are you applying in the same country where the visa above is issued and is this country your principal residence?
    • Previous Travel Details 
    • Have you travelled in the past 5 years?*
    • Date of Travel*
       - -
    • Add more?*
    • Date of Travel*
       - -
    • Add more?*
    • Date of Travel*
       - -
    • Add more?*
    • Date of Travel*
       - -
    • Have you ever been to the United States?*
    • Have you ever been issued a US Visa?*
    • Have you ever been issued a US Driver's License?*
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    • Have you ever had your fingerprints taken by the US Embassy?*
    • Has anyone ever filed an immigrant petition on your behalf with the United States Citizenship and Immigration Services*
    • Have you ever been denied a US Visa or entry to a US port of entrance?*
    • Have you ever been refused a visa or permit, denied entry to, or ordered to leave any country or territory?*
  • Travel Contact
  • Format: (000) 000-0000.
    • Invitation Letter (If Applicable) 
    • Proof of Relationship may include birth certificates, photos or any other applicable information

      The Invitation Letter must include the following:

      • Name and contact information for the host
      • Host’s immigration status (for example, “U.S. citizen”)
      • Relationship between the host and the visa applicant
      • Visa applicant’s full name and address
      • Purpose of the trip
      • Exact dates of the trip
      • Host’s signature


      Please note: 

      If you require further assistance with your invitation letter please select the 3rd option below and we will assist

    • Do you have an invitation letter?*
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  • Financing
  • Is someone else paying for your trip?*
  • Format: (000) 000-0000.
  • Educational Background and Work History
    • Educational Background (Secondary/High School and Post Secondary/University/College) 
    • Have you had any secondary or post seconday level training? (High School, University, College etc.)*
    • Start Date*
       - -
    • End Date*
       - -
    • Add more?
    • Start Date*
       - -
    • End Date*
       - -
    • Add more?
    • Start Date*
       - -
    • End Date*
       - -
    • Current Work History  
    • Start Date*
       - -
    • End Date*
       - -
    • Past Work History 
    • Have you ever been previously employed?
    • Please Note - All details of employment over the past 10 years should be included

    • Start Date*
       - -
    • End Date*
       - -
    • Add more?*
    • Start Date*
       - -
    • End Date*
       - -
    • Add more?*
    • Start Date*
       - -
    • End Date*
       - -
    • Add more?*
  • Family Information
    • Marital Status 
    • If Married or in a Common Law Relationship
    • Spouse's Date of Birth*
       - -
    • Date of Marriage/Common-Law Relationship*
       - -
    • Will they be accompanying you to US?*
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    • If Divorced
    • Previous Spouse's Birth Date*
       - -
    • Marriage From*
       - -
    • Marriage To*
       - -
    • Parents 
    • Date of Birth*
       - -
    • Do they reside in the United States?*
    • Date of Birth*
       - -
    • Do they reside in the United States?*
    • Siblings 
    • Do you have any of the following: siblings, children, spouse, finance/fiancee residing in the USA?  If more than one please include details at the end of form.*
    • Add Another?*
    • Add Another?*
    • Add Another?*
  • Criminal and Medical History
    • Criminal and Security Details 
    • Do you have a communicable disease of public health significance? (Communicable diseases of public significance include chancroid, gonorrhea, granulomainguinale, infectious leprosy, lymphogranuloma venereum, infectious stage syphilis, active tuberculosis, and others diseases as determined by theDepartment of Health and Human Services.)*
    • Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others?*
    • Are you or have you ever been a drug abuser or addict?*
    • Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action?*
    • Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances?*
    • Have you ever been charged for any criminal offence in any country or territory (this Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years? driving under the influence of alcohol or drugs)?*
    • Have you ever been involved in, or do you seek to engage in, money laundering?*
    • Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the United States?*
    • Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human trafficking offense in the United States oroutside 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 commit a severe human trafficking offensein 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 United States?*
    • Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities?*
    • Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations?*
    • Are you a member or representative of a terrorist organization?*
    • Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing financial assistance or other support toterrorists or terrorist organizations, in the last five years?*
    • Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide?*
    • Have you ever committed, ordered, incited, assisted, or otherwise participated in torture?*
    • Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, or other acts of violence?*
    • Have you ever engaged in the recruitment or the use of the child soldiers?*
    • Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom?*
    • Have you ever been directly involved in the establishment or enforcement of the population controls forcing a 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?*
    • Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United States immigration benefit by fraud orwillful misrepresentation or other unlawful means?*
    • Have you ever been removed or deported from any country?*
    • Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court?*
    • Have you voted in the United States in violation of any law or regulation?*
    • Have you ever renounced United States citizenship for the purpose of avoiding taxation?*
  • Disclosure and Payment Confirmation
    • Payment 
    • Have you completed Payment?*
    • Please complete the payment in order to submit!

    • Payment Instructions:

      Click here or the link below to Pay using a Debit/Credit Card.

      https://checkout.aurascapetravels.com/b/aEUdSPcsoaBAgeI6or 

       

      Bank Transfer Details (FGB, BNS or NCB)

      First Global Bank
      Bank Name: First Global Bank Ltd.
      Address: Duke Street
      SWIFT Code: FILBJMKN
      Account Name: Aurascape Travels Limited
      Account Type: Savings
      JMD Account # - 990894554094
      Address: 23 Mayfair Avenue, Kingston 19

      Scotiabank
      Bank Name: The Bank of Nova Scotia Jamaica Ltd.
      Address: Cnr. Duke and Port Royal Streets, Kingston
      SWIFT Code: NOSCJMKN
      Account Name: Aurascape Travels Limited
      Account Type: Savings
      JMD Account # - 50765001032221
      Address: 23 Mayfair Avenue, Kingston 19

      NCB
      Bank Name: National Commercial Bank Ja. Ltd
      Address: 124-126 Constant Spring Road, Kingston 8
      SWIFT Code:  JNCBJMKX
      Account Name: Aurascape Travels Limited
      Account Type: Checking
      JMD Account # - 331585726
      Address: 23 Mayfair Avenue, Kingston 19

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