Ds 230 Form – Fill Out and Use This PDF

Ds 230 Form – Fill Out and Use This PDF

Ds 230 Form PDF Details

Form Preview Example

How to Edit Ds 230 Form Online for Free

Watch Ds 230 Form Video Instruction

Please rate Ds 230 Form

Ds 230 Form PDF Details

Form Preview Example

How to Edit Ds 230 Form Online for Free

Watch Ds 230 Form Video Instruction

Please rate Ds 230 Form

Ds 230 Form isn’t the one you’re looking for?

Ds 230 Form isn’t the one you’re looking for?

Related Documents

Related Resources

Ds 230 Form – Fill Out and Use This PDF

The DS-230 form, officially titled "Application for Immigrant Visa and Alien Registration," is a critical document processed by the U.S. Department of State. It serves as a comprehensive application that individuals must complete as part of the process to obtain an immigrant visa, allowing them to live permanently in the United States. To proceed with the application process, interested individuals are encouraged to thoroughly fill out the DS-230 form by clicking the button below.

Get Form Now Download PDF

Ds 230 Form PDF Details

The DS-230 form, officially titled "Application for Immigrant Visa and Alien Registration," serves as a comprehensive tool for those aspiring to immigrate to the United States, paving the way for them to apply for an immigrant visa. As mandated by the U.S. Department of State, this document is not only crucial but is divided into two detailed parts, each requesting specific information from the applicant. The first part focuses on biographic data, requiring applicants to disclose full names, birth details, information regarding family members who will immigrate with the applicant, and a host of other personal history details. The second part, a sworn statement, delves into more delicate areas such as criminal history, previous U.S. visa applications, health issues, and potential public charge statuses, aiming to assess the eligibility and admissibility of the applicant into the United States. The form emphasizes the importance of honesty, warning applicants about the severe consequences of providing false statements or concealing material facts, which could lead to permanent exclusion from the U.S., criminal prosecution, or deportation. Additionally, the DS-230 form serves multiple functions post-admission, such as assisting in the issuance of a Permanent Resident Card and, if indicated by the applicant, facilitating the assignment of a Social Security number. The comprehensive nature of this document underscores its importance in the immigration process, acting as a first step towards achieving the American dream for many individuals worldwide.

Question	Answer
Form Name	Ds 230 Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	immigrant application, application immigrant, visa alien registration, visa immigrant application

Form Preview Example

U.S. Department of State

APPLICATION FOR

IMMIGRANT VISA AND ALIEN REGISTRATION

OMB APPROVAL NO. 1405-0015 EXPIRES: 07/31/2018

ESTIMATED BURDEN: 1 HOUR*

(See Page 2)

PART I - BIOGRAPHIC DATA

Instructions: Complete one copy of this form for yourself and each member of your family, regardless of age, who will immigrate with you. Please print or type your answers to all questions. Mark questions that are Not Applicable with "N/A". If there is insufficient room on the form, answer on a separate sheet using the same numbers that appear on the form. Attach any additional sheets to this form.

Warning: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States.

This form (DS-230 Part I) is the first of two parts. This part, together with Form DS-230 Part II, constitutes the complete Application for Immigrant Visa and Alien Registration.

1. Family Name

First Name

Middle Name

2.Other Names Used or Aliases (If married woman, give maiden name)

3.Full Name in Native Alphabet (If Roman letters not used)

Date of Birth (mm-dd-yyyy)

Age

6. Place of Birth (City or Town)

(Province)

(Country)

Nationality (If dual national,

Gender

9. Marital Status

give both.)

Female

Single (Never Married)

Married

Widowed

Divorced

Separated

Male

Including my present marriage, I have been married

times.

10.Permanent address in the United States where you intend to live, if known (street address including ZIP code). Include the name of a person who currently lives there.

11.Address in the United States where you want your Permanent Resident Card (Green Card) mailed, if different from address in item #10 (include the name of a person who currently lives there).

Telephone number	Telephone number
12. Present Occupation	13. Present Address (Street Address) (City or Town) (Province) (Country)

Telephone Number (Home)

Telephone Number (Office)

E-mail Address

14. Spouse's Maiden or Family Name

First Name

Middle Name

15. Date (mm-dd-yyyy) and Place of Birth of Spouse

16.Address of Spouse (If different from your own)

17.Spouse's Occupation

18.Date of Marriage (mm-dd-yyyy)

19. Father's Family Name

First Name

Middle Name

20.Father's Date of Birth (mm-dd-yyyy)

21. Place of Birth

22. Current Address

23.If Deceased, Give Year of Death

24. Mother's Family Name at Birth

First Name

Middle Name

25.Mother's Date of Birth (mm-dd-yyyy)

26. Place of Birth

27. Current Address

28.If Deceased, Give Year of Death

DS-230 Part I	This Form May be Obtained Free at Consular Offices of the United States of America	Page 1 of 4
07-2015	Previous Editions Obsolete

29. List Names, Dates and Places of Birth, and Addresses of ALL Children.

Name	Date (mm-dd-yyyy)	Place of Birth	Address (If different from your own)

30.List below all places you have lived for at least six months since reaching the age of 16, including places in your country of nationality. Begin with your present residence.

City or Town	Province	Country	From/To (mm-yyyy) or "Present"

31a. Person(s) named in 14 and 29 who will accompany you to the United States now.

31b. Person(s) named in 14 and 29 who will follow you to the United States at a later date.

32. List below all employment for the last ten years.

Employer	Location	Job Title	From/To (mm-yyyy) or "Present"

In what occupation do you intend to work in the United States?

33. List below all educational institutions attended.

Languages spoken or read

Professional associations to which you belong

34. Previous Military Service	Yes	No
	Yes	No
Branch			Dates of Service (mm-dd-yyyy)
Branch			Dates of Service (mm-dd-yyyy)
Rank/Position			Military Speciality/Occupation

35.List dates of all previous visits to or residence in the United States. (If never, write "never") Give type of visa status, if known. Give DHS "A" number if any.

From/To (mm-yyyy)	Location	Type of Visa	"A" Number (If known)

Signature of Applicant

Date (mm-dd-yyyy)

Privacy Act and Paperwork Reduction Act Statements

The information asked for on this form is requested pursuant to Section 222 of the Immigration and Nationality Act. The U.S. Department of State uses the facts you provide on this form primarily to determine your classification and eligibility for a U.S. immigrant visa. Individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. immigrant visa. If you are issued an immigrant visa and are subsequently admitted to the United States as an immigrant, the Department of Homeland Security will use the information on this form to issue you a Permanent Resident Card, and, if you so indicate, the Social Security Administration will use the information to issue you a social security number and card.

*Public reporting burden for this collection of information is estimated to average 1 hour per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: PRA_BurdenComments@state.gov. Please do not send Visa Applications to this address. Send Visa Applications to your nearest U.S Embassy or Consulate for processing.

DS-230 Part I

Page 2 of 4

U.S. Department of State

OMB APPROVAL NO. 1405-0015

APPLICATION FOR IMMIGRANT VISA AND

ALIEN REGISTRATION

EXPIRES: 07/31/2015

ESTIMATED BURDEN: 1 HOUR*

PART II - SWORN STATEMENT

Warning: Any false statement or concealment of a material fact may result in your permanent exclusion from the United States. Even if you are issued an immigrant visa and are subsequently admitted to the United States, providing false information on this form could be grounds for your prosecution and/or deportation.

This form (DS-230 Part II), together with Form DS-230 Part I, constitutes the complete Application for Immigrant Visa and Alien Registration.

36. Family Name

First Name

Middle Name

37.Other Names Used or Aliases (If married woman, give maiden name)

38.Full Name in Native Alphabet (If Roman letters not used)

39. Name and Address of Petitioner

Telephone number

E-mail Address

40.United States laws governing the issuance of visas require each applicant to state whether or not he or she is a member of any class of individuals excluded from admission into the United States. The excludable classes are described below in general terms. You should read carefully the following list and answer Yes or No to each category. The answers you give will assist the consular officer to reach a decision on your eligibility to receive a visa.

Except as Otherwise Provided by Law, Aliens Within the Following Classifications are Ineligible to Receive a Visa.

Do Any of the Following Classes Apply to You?

a. An alien who has a communicable disease of public health significance; who has failed to present documentation of having	Yes
received vaccinations in accordance with U.S. law; who has or has had a physical or mental disorder that poses or is likely to	Yes

pose a threat to the safety or welfare of the alien or others; or who is a drug abuser or addict.
b. An alien convicted of, or who admits having committed, a crime involving moral turpitude or violation of any law relating to a		Yes

controlled substance or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from the


trafficking activities in the past five years; who has been convicted of 2 or more offenses for which the aggregate sentences
were 5 years or more; who is coming to the United States to engage in prostitution or commercialized vice or who has
engaged in prostitution or procuring within the past 10 years; who is or has been an illicit trafficker in any controlled
substance; who has committed a serious criminal offense in the United States and who has asserted immunity from
prosecution; who, while serving as a foreign government official, was responsible for or directly carried out particularly severe
violations of religious freedom; or whom the President has identified as a person who plays a significant role in a severe form
of trafficking in persons, who otherwise has knowingly aided, abetted, assisted or colluded with such a trafficker in severe
forms of trafficking in persons, or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from
the trafficking activities within the past five years.
c. An alien who seeks to enter the United States to engage in espionage, sabotage, export control violations, terrorist activities,		Yes

the overthrow of the Government of the United States or other unlawful activity; who is a member of or affiliated with the


Communist or other totalitarian party; who participated, engaged or ordered genocide, torture, or extrajudicial killings; or who
is a member or representative of a terrorist organization as currently designated by the U.S. Secretary of State.

d. An alien who is likely to become a public charge.	Yes
	Yes

e. An alien who seeks to enter for the purpose of performing skilled or unskilled labor who has not been certified by the		Yes

Secretary of Labor; who is a graduate of a foreign medical school seeking to perform medical services who has not passed

the NBME exam or its equivalent; or who is a health care worker seeking to perform such work without a certificate from the
CGFNS or from an equivalent approved independent credentialing organization.
f. An alien who failed to attend a hearing on deportation or inadmissibility within the last 5 years; who seeks or has sought a		Yes

visa, entry into the United States, or any immigration benefit by fraud or misrepresentation; who knowingly assisted any other

alien to enter or try to enter the United States in violation of law; who, after November 30, 1996, attended in student (F) visa
status a U.S. public elementary school or who attended a U.S. public secondary school without reimbursing the school; or
who is subject to a civil penalty under INA 274C.

No No

Privacy Act and Paperwork Reduction Act Statements

DS-230 Part II

Previous Editions Obsolete

Page 3 of 4

g. An alien who is permanently ineligible for U.S. citizenship; or who departed the United States to evade military service in	Yes	No
time of war.	Yes	No
time of war.
h. An alien who was previously ordered removed within the last 5 years or ordered removed a second time within the last	Yes	No
20 years; who was previously unlawfully present and ordered removed within the last 10 years or ordered removed a	Yes	No

second time within the last 20 years; who was convicted of an aggravated felony and ordered removed; who was
previously unlawfully present in the United States for more than 180 days but less than one year who voluntarily departed
within the last 3 years; or who was unlawfully present for more than one year or an aggregate of one year within the last
10 years.
i. An alien who is coming to the United States to practice polygamy; who withholds custody of a U.S. citizen child outside	Yes	No
the United States from a person granted legal custody by a U.S. court or intentionally assists another person to do so;
who has voted in the United States in violation of any law or regulation; or who renounced U.S. citizenship to avoid
taxation.
j. An alien who is a former exchange visitor who has not fulfilled the 2-year foreign residence requirement.	Yes	No
k. An alien determined by the Attorney General to have knowingly made a frivolous application for asylum.	Yes	No
	Yes	No
l. An alien who has ordered, carried out or materially assisted in extrajudicial and political killings and other acts of violence	Yes	No
against the Haitian people; who has directly or indirectly assisted or supported any of the groups in Colombia known as
FARC, ELN, or AUC; who through abuse of a governmental or political position has converted for personal gain,
confiscated or expropriated property in Cuba, a claim to which is owned by a national of the United States, has trafficked
in such property or has been complicit in such conversion, has committed similar acts in another country, or is the
spouse, minor child or agent of an alien who has committed such acts; who has been directly involved in the
establishment or enforcement of population controls forcing a woman to undergo an abortion against her free choice or a
man or a woman to undergo sterilization against his or her free choice; or who has disclosed or trafficked in confidential
U.S. business information obtained in connection with U.S. participation in the Chemical Weapons Convention or is the
spouse, minor child or agent of such a person; or who has ever engaged in the recruitment of or the use of child solders.
41. Have you ever been charged, arrested or convicted of any offense or crime? (If answer is Yes, please explain)	Yes	No

42. Have you ever been refused admission to the United States at a port-of-entry? (If answer is Yes, please explain)

Yes No

43a.

Have you ever applied for a Social Security

Number (SSN)?

43b. Consent to Disclosure: I authorize disclosure of information

Yes

from this form to the Department of Homeland Security (DHS), the

Social Security Administration (SSA), such other U.S. Government

Give the number

Do you want the Social

agencies as may be required for the purpose of assigning me an SSN

Security Administration to

Would you like to receive a replacement

and issuing me a Social Security card, and I authorize the SSA to share

assign you a SSN and issue a

card? (You must answer YES to question

card? (You must answer YES

my SSN with the INS.

Yes

43b. to receive a card.)

to question 43b. to receive a

number and a card.)

The applicant's response does not limit or restrict the

Government's

Yes

ability to obtain his or her SSN, or other information on this form, for

enforcement or other purposes as authorized by law.

44. Were you assisted in completing this application?

Yes

you,

(If answer is Yes, give name and address of person assisting

indicating whether relative, friend, travel agent, attorney, or other)

DO NOT WRITE BELOW THE FOLLOWING LINE

The consular officer will assist you in answering item 45.

DO NOT SIGN this form until instructed to do so by the consular officer

45. I claim to be:
	A Family-Sponsored Immigrant	I derive foreign state chargeability
	An Employment-Based Immigrant	under Sec. 202(b) through my
		under Sec. 202(b) through my

	A Diversity Immigrant
	A Special Category (Specify)
	(Returning resident, Hong Kong, Tibetan, Private Legislation, etc.)

Preference

Numerical limitation (foreign state)

I understand that I am required to surrender 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 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, the undersigned applicant for a United States immigrant visa, do solemnly swear (or affirm) that all statements which appear in this application, consisting of Form DS-230 Part I and Part II combined, have been made by me, including the answers to items 1 through 45 inclusive, and that they are true and complete to the best of my knowledge and belief. I do further swear (or affirm) that, if admitted into the United States, I will not engage in activities which would be prejudicial to the public interest, or endanger the welfare, safety, or security of the United States; in activities which would be prohibited by the laws of the United States relating to espionage, sabotage, public disorder, or in other activities subversive to the national security; in any activity a purpose of which is the opposition to or the control, or overthrow of, the Government of the United States, by force, violence, or other unconstitutional means.

I understand that completion of this form by persons required by law to register with the Selective Service System (males 18 through 25 years of age) constitutes such registration in accordance with the Military Selective Service Act.

I understand all the foregoing statements, having asked for and obtained an explanation on every point which was not clear to me.

Signature of Applicant

Subscribed and sworn to before me this		day of				at:

Consular Officer

DS-230 Part II	This Form May be Obtained Free at Consular Offices of	Page 4 of 4
	The United States of America

How to Edit Ds 230 Form Online for Free

The PDF editor can make filling out files simple and easy. It is really easy to modify the [FORMNAME] file. Follow these particular actions to be able to accomplish this:

Step 1: Select the button "Get form here" to get into it.

Step 2: The document editing page is currently available. It's possible to add information or edit existing data.

Fill out all of the following segments to complete the template:

stage 1 to filling out immigrant application

Inside the area Date mmddyyyy and Place of Birth, Address of Spouse If different, Spouses Occupation, Date of Marriage mmddyyyy, Fathers Family Name, First Name, Middle Name, Fathers Date of Birth mmddyyyy, Place of Birth, Current Address, If Deceased Give Year of Death, Mothers Family Name at Birth, First Name, Middle Name, and Mothers Date of Birth mmddyyyy enter the details which the system asks you to do.

part 2 to entering details in immigrant application

Note down any information you may need within the area List Names Dates and Places of, Name, Date mmddyyyy, Place of Birth, Address If different from your own, List below all places you have, mmyyyy, Province, Country, FromTo or Present, a Persons named in and who will, and b Persons named in and who will.

part 3 to completing immigrant application

Please place the rights and responsibilities of the parties in the b Persons named in and who will, List below all employment for the, Employer, Location, Job Title, FromTo or Present, mmyyyy, In what occupation do you intend, List below all educational, School and Location, FromTo mmyyyy, Course of Study, Degree or Diploma, Languages spoken or read, and Professional associations to which field.

immigrant application b Persons named in and who will, List below all employment for the, Employer, Location, Job Title, FromTo or Present, mmyyyy, In what occupation do you intend, List below all educational, School and Location, FromTo mmyyyy, Course of Study, Degree or Diploma, Languages spoken or read, and Professional associations to which blanks to insert

End by reading all of these areas and filling in the proper details: Previous Military Service, Yes, Branch, RankPosition, Dates of Service mmddyyyy, Military SpecialityOccupation, List dates of all previous visits, FromTo mmyyyy, Location, Type of Visa, A Number If known, Signature of Applicant, Date mmddyyyy, Privacy Act and Paperwork, and DS Part I.

stage 5 to entering details in immigrant application

Step 3: Select the "Done" button. Finally, it is possible to export your PDF file - save it to your device or send it by using email.

Step 4: It will be safer to have duplicates of your form. You can rest assured that we will not reveal or read your data.

School and Location

From/To (mm-yyyy)

Course of Study

Degree or Diploma