Forms
All Forms
Green-card Based
Travel & Visa
Adoption-Based
Citizenship & Naturalization
Products
Fillvisa Free
For individuals
Fillvisa Plus
For professionals
Fillvisa OS
Open source
Fillvisa White Label
For organizations
Resources
Install Fillvisa OS
Cover Letter
Blog
Changelog
About
Why
Privacy Policy
Support
For Professionals 👋
Personal
Personal - 1
Personal - 2
Travel
Travel Info
Travel Companions
Companion Info
Previous U.S Travels
Previous U.S Travels Info
Address & Phone
Address & Phone Info
Passport
Passport Info
U.S Contact
U.S Contact Info
Family
Family Info
Spouse Info
Work / Education/ Training
Present Work Info
Previous Work Info
Additional Work Info
Security & Background
Security Info
Preview & Automate
Automate
USA DS-160 Visa
Previous Work
Go to section:
Personal - 1
Personal - 2
Travel Info
Companion Info
Previous U.S Travels Info
Address & Phone Info
Passport Info
U.S Contact Info
Family Info
Spouse Info
Present Work Info
Previous Work Info
Additional Work Info
Security Info
Automate
DS-160: Previous Work
Previous Employment (last 5 years)
Were you previously employed?
Yes
No
Employer Name
Employer Street Address
City
State/Province
Does not apply
Postal Zone/ZIP Code
Does not apply
Country/Region
-- Select Country --
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE
BOSNIA-HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CABO VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS KEELING ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC OF THE
CONGO, REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D`IVOIRE
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ESWATINI
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC TERRITORIES
GABON
GAMBIA, THE
GAZA STRIP
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA - BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JERUSALEM
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC REPUBLIC OF (NORTH)
KOREA, REPUBLIC OF (SOUTH)
KOSOVO
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, NORTH
MADAGASCAR
MALAWI
MALAYSIA
MALDEN ISLAND
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTH MARIANA ISLANDS
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PALAU
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SABA ISLAND
SAINT MARTIN
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLAND
SOUTH SUDAN
SPAIN
SRI LANKA
ST. EUSTATIUS
ST. HELENA
ST. KITTS AND NEVIS
ST. LUCIA
ST. PIERRE AND MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAME
SVALBARD
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (U.S.)
VIRGIN ISLANDS, BRITISH
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WEST BANK
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Telephone Number
Job Title
Supervisor's Surname
Do not know
Supervisor's Given Names
Do not know
Employment Date From
Day
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Employment Date To
Day
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Briefly describe your duties
Education History
Have you attended any educational institutions at a secondary level or above?
Yes
No
Name of Institution
Street Address
City
State/Province
Does not apply
Postal Zone/ZIP Code
Does not apply
Country/Region
-- Select Country --
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE
BOSNIA-HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CABO VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS KEELING ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC OF THE
CONGO, REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D`IVOIRE
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ESWATINI
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC TERRITORIES
GABON
GAMBIA, THE
GAZA STRIP
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA - BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JERUSALEM
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC REPUBLIC OF (NORTH)
KOREA, REPUBLIC OF (SOUTH)
KOSOVO
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, NORTH
MADAGASCAR
MALAWI
MALAYSIA
MALDEN ISLAND
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTH MARIANA ISLANDS
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PALAU
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SABA ISLAND
SAINT MARTIN
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLAND
SOUTH SUDAN
SPAIN
SRI LANKA
ST. EUSTATIUS
ST. HELENA
ST. KITTS AND NEVIS
ST. LUCIA
ST. PIERRE AND MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAME
SVALBARD
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (U.S.)
VIRGIN ISLANDS, BRITISH
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WEST BANK
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Course of Study
Date of Attendance From
Day
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Date of Attendance To
Day
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Submit
Next: Additional Work Info
Something not right?
â—