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Personal information

NOTE: Data on this page must match the information as it is written in your passport.

Your name

Your date of birth Your gender City where you were born State where you were born (if applicable) Country where you were born

Previous US travel

NOTE: All information must be 100% accurate.

Have you ever been in the U.S.? Have you ever been issued a U.S. Visa? Have you ever been refused a U.S. Visa? If yes, what type of visa? Were you ever denied for US visa? (Yes or no)

Address and Contact

NOTE: All information must be 100% accurate.

Street address City State/Province (if applicable) Postal Zone/ZIP Code Country Your phone number (with country code) Social media handle (Instagram or Facebook)

Passport Information

REMINDER: All information must be 100% accurate.

Citizenship Passport number City where your passport was issued Issuance date Expiration date National identification number (if applicable) If you have dual citizenship please provide country name and passport number

Family Information

REMINDER: All information must be 100% accurate.

Father's first name

Father's last name

Father's date of birth Is your father in the US? (Yes or no)

Mother's first name

Mother's last name

Mother's date of birth Is your mother in the US? (Yes or no)

Additional Information

REMINDER: All information must be 100% accurate.

List all the high schools you attended (include name, address, start date and end date) List all the languages you speak List all the countries you visited in the past 5 years

I agree that by checking this box and submitting the questionnaire, I am affirming that all information provided is truthful and accurate to the best of my knowledge. I understand that any consequences resulting from providing false or misleading information will solely be my responsibility, and StudBud will not be held liable for any such consequences.