Type of Visa: B1/B2

SURNAME:

GIVEN NAME:

LIST ALL USED NAMES:

SEX: MALE      FEMALE

MARITAL STATUS:    married single divorced widowed legally separated

Date of birth

Place of birth (Indicate Country and City of Birth!):

Status in Canada:

Landed immigrant Work permit Study permit Travel document

Preferred week of appointment:
(Note: subject of availability. May not be guaranteed.)

Preferred time for interview:
(Note: subject of availability. May not be guaranteed.)

in the morning(recommended) in the afternoon

Preferred day for the interview:
(Note: subject of availability. May not be guaranteed.)

Monday Tuesday Wednesday Thursday Friday Any working day

After the interview, U.S. Embassy/Consulate will send your passport by DHL courier service, you have the option to pick up at local DHL branch or have passport delivered to your home address at extra cost, you will have the option after your interview.
Do you prefer if your passport will be sent to Brampton Branch or Markham Branch for pick up:

Brampton Markham