r · sex Date of Birth as in Passport in format Province/Town/City cf birth Country of birth If not...

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Transcript of r · sex Date of Birth as in Passport in format Province/Town/City cf birth Country of birth If not...

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This is according to your zip code residency. To find out your jurisdiction, please visit http://www.passportvisasexpress.com/visa_services#letterI
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Make sure you insert your 'middle name' as printed on your passport; If it is just a middle name initial on passport, please type it in as it is.
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Only insert NA
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Matriculation = college

MUST ENTER AN EMAIL ADRESS!

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IMPORTANT!: Address has to match your driver's license or electric/gas/water bill. PO BOX is not accepted.
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Non U.S. passport must enter home address in the home country under Permanent Address. This is required by the Indian Government.
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USA CITIZENS: Tourist visa: 120 months; Business visa: 12 months or 60 months options. Conference & Journalist visa: 3-month visa only. Do not enter any other numbers.
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Generally it is always 'Multiple', except Conference & Journalist visa; only 'Single' entry visa available.
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If 'Yes' and you cannot remember the exact information, you may insert 'can't remember' and any random approximate date(s)
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Not a mandatory field. Fill out if you wish to. You may only insert the countries you can remember on top of your head.
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DO NOT UPLOAD PHOTO! Please click 'Continue To Next Page' to review your application and print it out on the next page.