International Contact InformationFor visa processing, we need to have a record of your residential address. Personal InformationApplication ID:*Can be found in the confirmation email sent to you after you applied. Example: N-12345First (Given) Name*Middle Name(s) (if any)Last Name (Surname)*Country of Citizenship*Date of Birth (Example: January 20 1992)*Country of Birth*Residential AddressPlease provide the physical address of the house or apartment in the country of your citizenship.Your residential address should be as specific as possible, including house or apartment number, street name, city, state or province, postal code, and country.Note: This can NOT be a Post Office Box (since nobody actually lives inside a Post Office Box). Address Line 1*Address Line 2 (if necessary)Address Line 3 (if necessary)City*ZIP CODE (if applicable)State or Province*Country*Select a countryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCongo, Dem. Rep. ofCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDem. People's Rep. of KoreaDem. Rep. of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland Islands (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong Kong, ChinaHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Dem. People's Rep.Korea, Republic ofKuwaitKyrgyzstanLaos PDRLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacao, ChinaMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Fed. StatesMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPalestinian TerritoryPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of KoreaRepublic of MoldovaReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts & NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent & GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbia & MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSvalbard & Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, ChinaTajikistanTanzania, United Rep.ThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Rep. of TanzaniaUnited StatesU.S. Virgin IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis & Futuna IslandsWestern SaharaYemenZambiaZimbabweTelephone Number(s) & Primary Email AddressThe phone numbers and email address provided above will be used for visa processing, housing, and travel details. Please include your country code in the telephone numbers. Daytime PhoneEvening PhoneMobile PhoneEmail Address* NameThis field is for validation purposes and should be left unchanged.