Online Nonimmigrant Visa Application (DS-160) Application ID AA00EKMHZJ

Family Information: Relatives

NOTE: Please provide the following information concerning your biological parents. If you are adopted, please provide the following information on your adoptive parents.

Father's Full Name and Date of Birth

(e.g., Hernandez Garcia)

(e.g., Juan Miguel)
Date of Birth
(Format: DD-MMM-YYYY)

Mother's Full Name and Date of Birth


(e.g., Hernandez Garcia)

(e.g., Juanita Miguel)
Date of Birth
(Format: DD-MMM-YYYY)

Help: Immediate Relatives

Means fiancé/fiancée, spouse (husband/wife), child (son/daughter), or sibling (brother/sister).