Were you previously issued a visa to enter the United States?
Yes
No
Complete the following information from your most recently issued U.S. visa.
Visa Issuing Post Name *
1. Dubai
2. Abu Dhabi
3. Not listed
Previous visa class *
Visa issue date*
Visa expiration date*
Is the applicant traveling from another country to apply for a visa in United Arab Emirates? *
Yes
No
Check all statements that apply
X is a resident of the United Arab Emirates (Check this box if the applicant has a UAE residency visa and/or an Emirati ID card)
The previous visa that X is renewing was issued after 7 February, 1987.
The prior visa and current passport of X contain the same date of birth, place of birth, and nationality or if there has been a change in name, the applicant has evidence of the official change (e.g., marriage certificate, divorce decree, court record)
X answered 'NO' to all of the 'Medical and Health', 'Criminal', 'Security' or 'Immigration Law Violation' questions on the DS-160 Visa application form.
Within the last 12 months, X was refused a U.S. visa in the same visa class for which they are applying now.
None of the above apply
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