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Qualification Page
G-10

First Name

Last Name

Age

Nationality

Gender

Female

Male

How many kids do you have ?

Are you in the US right now ?

Yes

Phone

Leve of Education

Career

Marital Status

Single

Engaged

Married (Same-Caste)

Married (Inter-Caste)

Separated

Divorced

Widow

Your visa is:

Valid

Expired

No VISA yet

Visa Type

if YES, what state & city

What type of visa you have ? (if you have no visa put "N/A")

In the past, how many times you got rejected from getting visa ?

Have you ever been arrested in your life ?

Yes

Do you belong to any group/caste or organization or consider yourself a minority ?

Yes

Do you have any invention/patent/unique talents ?

Yes

Have you ever violated the law or done any illigal activities anywhere in the world?

Yes

Are you intending to do ANY kind of violation or illigal activity anywhere in the world ?

Yes

In your home country, your life -or your family's life- in immediate danger/threat ?

Yes

Why do you want to live in the US, not any other country ?

What makes you so special to say "YES" to your request?

List major things that you do NOT have right now because you do not have US citizenship.

How would your life change if you get the US Citizenship ? (be convincing)

Anything about yourself (essensial information) you want to add ?

How did you hear about us ?

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Qualification Page G-10

Qualification Page
G-10