Visit Visa Pre-Assessment & Client Intake Form
(USA B1/B2 & Canada Visit Visa Assessment Form)This form is designed to collect detailed information for preliminary eligibility assessment, profile evaluation, documentation planning, and preparation of strong visa applications for the USA and Canada.
Personal Information
Full Name (as per passport)
First Name
Last Name
DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
Gender
Male
Female
Nationality
Please Select
Pakistan
India
Bangladesh
Other
Current Country of Residence
Please Select
Pakistan
Bangladesh
UAE
Saudi Arabia
Other
Current City
Please Select
Karachi
Lahore
Faisalabad
Islamabad
Peshawar
Gujranwala
Multan
Hyderabad
Sialkot
Mardan
Sargodha
Quetta
Nowshera
Abbottabad
Gujrat
Sukkur
Bahawalpur
Taxila
Sahiwal
Other
Contact Information
Email Address
example@example.com
Phone Number (with country code)
*
-
Area Code
Phone Number
Preferred Method of Contact
Email
Phone
WhatsApp
Passport & Travel Document
Do you have a valid passport?
Yes
No
Passport Issue Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Passport Expiry Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Marital & Family Information
Marital Status
Single
Married
Divorced
Widow
Do you have children?
Yes
No
Number of Children
Ages of Children
Do your spouse/children live with you?
Yes
No
Family Members Currently Living Abroad
Name
Relationship
Country
Visa/Immigration Status
Any Close relatives in USA or Canada?
Yes
No
If yes, provide details
Do you have property/assets in your home country?
Yes
No
Education Background
Highest Qualification
Please Select
Pre-Primary Education
Primary Education
Middle School
Secondary Education or High School
GED (General Educational Development) Vocational Qualification
Technical Education
Certificate Program
Associate Degree
Bachelor's Degree
Post-Graduate Diploma
Professional Certification
Master's Degree
Doctoral Degree (Ph.D., Ed.D., etc.)
Professional Degree (MD, JD, DDS, etc.)
Post-Doctoral Studies
Select Qualification
Degree Title
Enter Degree Title
Institute Name
Enter Institute Name
Graduation Year
English Language Proficiency
IELTS
Bands Achieved
TOEFL
Score Achieved
None
Employment / Business Information
If Employed
Current Job Title
Please Select
Employed
Self-employed/Business
Student
Homemaker
Retired
Other
Organization Name
Joining Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Monthly Income
Employment Status
Permanent
Contract
Self-Employed
Do you have:
Job Letter
Salary Slips
Tax Returns
Leave Approval Letter
If Business Owner:
Business Name
Monthly Business Income
Annual Turnover
Number of Employees
Years in Business
Business Registration Country
NTN Number
Financial Information
Personal Monthly Income
Average Bank Balance (Last 6 Months)
Current Closing Bank Balance
Sponsor for Trip?
Self-sponsored
Family-sponsored
Business-sponsored
Assets & Ties To Pakistan
Property Ownership
Residential
Commercial
Agricultural Land
Estimated Value of Assets
Vehicle Ownership
Yes
No
Family Business Ownership
Enter Business Ownership
Rental Income
Enter Income
Any inheritance/property documents available?
Yes
No
Travel History
Have you traveled outside your home country in the past 5 years?
Yes
No
Countries visited in the last 5 years
Have you previously visited the USA or Canada?
USA
Canada
Both
Neither
Visa Refusals/Denials
Have you ever been refused a visa by any country?
Yes
No
If yes, please provide details (country, year, reason)
Current Visa Application Interest
Which country/ies are you applying to?
USA B1/B2 Visit Visa
Canada Visit Visa
Purpose of Visit
Tourism
Family Visit
Business Visit
Conference/Event
Proposed Date of Travel
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Duration of Stay (in days)
USA Specific Questions
USA Visa
Have you previously applied for a US visa?
Yes
No
DS-160 previously submitted?
Yes
No
Any US immigration petitions filed on your behalf?
Yes
No
Any relatives with Green Card or Citizenship?
Yes
No
Canada Specific Questions
Canada Visa
Previous Canadian visa application?
Yes
No
Biometrics completed before?
Yes
No
UCI Number
Any Canadian immigration file in process?
Yes
No
Social & Security Information
Social Media Accounts
Facebook
Instagram
LinkedIn
Twitter/X
Have you ever:
been arrested,
convicted,
or involved in legal proceedings?
Any military/service background?
Yes
No
Any medical conditions affecting travel?
Yes
No
*
I hereby confirm that all the information provided in this Visit Visa Application Form is true and correct to the best of my knowledge. I agree to the
Terms and Conditions
of the visa process.
Submit
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