1. Family Name
The following questions must be answered by all applicants for visas to enter the United States as the fiancée or fiancé of a U.S. citizen in order that a
determination may be made as to visa eligibility.
This form, together with Form DS-156, Nonimmigrant Visa Application, completed in duplicate, constitutes the complete application for a "K" Fiancé(e)
Nonimmigrant Visa authorized under Section 222(c) of the Immigration and Nationality Act.
* NOTE If presently married to anyone, you are not eligible for a fiancé(e) visa.
5. List name, date and place of birth of all unmarried children under 21 years of age.
I understand that I am required to submit my visa to the United States Immigration Officer at the place where I apply to enter the United States, and that
the possession of a visa does not entitle me to enter the United States if at that time I am found to be inadmissible under the immigration laws. I further
understand that my adjustment of status to permanent resident alien is dependent upon marriage to a U.S. citizen and upon meeting all of the requirements
of the U.S. Department of Homeland Security.
I understand that any willfully false or misleading statement or willful concealment of a material fact made by me herein may subject me to permanent
exclusion from the United States and, if I am admitted to the United States, may subject me to criminal prosecution and/or deportation.
I hereby certify that I am legally free to marry and intend to marry , a U.S. citizen, within 90
days of my admission into the United States.
I do solemnly swear or affirm that all statements which appear in this application have been made by me and are true and complete to the best of my
knowledge and belief.
NONIMMIGRANT FIANCÉ(E) VISA APPLICATION
*Public reporting burden for this collection of information is estimated to average one hour per response, inc