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General Visa Questionnaire (GVQ)

It is important that you complete the secure questionnaire in its entirety as the appropriate legal strategy can be affected by the answer to a question that may seem unimportant to you. All information contained in a GVQ will be kept confidential.

We will contact you within 24 hours after you submit your questionnaire.

General Information
Please select one: Prospect   Client  

Personal Information
Surname (Last Name)
Given Name(s)
Name in Native Alphabet
Birth Date / / (day / month / year)
Birthplace
(city, province, or state, country)
Current Nationalities
1st 
2nd 
Social Security No. - -
US DL/ID#

Contact Information
Address 1
Address 2
City
State/Province
Zip Code
Country
Phone Number
Fax Number
Mobile
Email

U.S. Residential Address
Do you have a U.S. address? Yes   No  

Passport/Visa Information
Passport/ID#
Expiration Date / / (day / month / year)
Prior U.S. visa application(s)? Yes   No  
Currently valid US visa? Yes   No
Multiple Entry? Yes   No
Has your U.S. visa ever been cancelled? Yes   No
Have you ever overstayed the duration of a visa status? Yes   No
Have you ever been refused entry into the U.S.? Yes   No
Preferred Consulate for Processing Abroad City 
Country

Employment Information
Current Employer Information
Business Name
Start Date / / (day / month / year)
Your Title
Business Address  
Address 1
Address 2
Business City
Business State
Business Zip Code
Phone Number  ()- 
Fax Number  ()- 
Mobile  ()- 
Email
Current U.S. Employment Offer? Yes   No

Educational Experience
Total years as student
University
Degree
Specialization
Graduation Year
University #2
Degree #2
Specialization #2
Graduation Year #2

Inadmissibility Information
Have you ever been arrested or convicted anywhere in the world? Yes   No
Have you ever lied or misrepresented yourself to get any U.S. visa or immigration benefit? Yes   No

Family Information
Marital Status Single
Significant Other/Domestic Partner
Legally Married
Separated
Divorced
Widowed
Children No   Yes
Number of children
Family members with US citizenship (USC) or permanent residence (LPR)? Yes   No
Has any parent or grandparent ever lived in the USA Yes   No

Misc
Add your own message
  
In addition to submitting your completed visa questionnaire to E&M, you can also have your
completed questionnaire sent to you and two other recipients.
Email Address:
Sender
Other 1
Other 2

Click to confirm that you want to submit questionnaire.

 
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