|
This form is only for applicants who have already scheduled a visa appointment online but who have an urgent need to be interviewed at an earlier time. All fields must be completed. After clicking “submit”, you will be contacted via email as soon as your application for an expedited visa interview has
been reviewed but no later than two business days after submission. We will schedule an expedited appointment only one time. If your request for an expedited appointment is approved, you should be ready and available at any time for the approved appointment date/time”.
If you need earlier interview date for a group of 10 or more applicants, please do not submit this individual request. Instead, please send an email directly to VisaHanoi@state.gov with the following information: the size of group, name of each person, the travel date, the purpose of travel, and the contact person’s telephone number). We will contact you directly via email or telephone.
|
|
*ALL data fields are mandatory.
|
|
|
1. Surname:
|
|
2. Given Name:
|
|
3. Sex:
Male
Female
|
|
4. Date of Birth:
|
|
5. Passport Type:
Diplomatic
Official
Regular
Other
|
|
6. Nationality:
|
|
7. Passport No.:
|
|
8. Workplace,
Company or Organization: (Write “NO” if not applicable)
|
|
9. Contact
Telephone:
|
|
10. Email:
|
|
11. Purpose of
Travel:
|
|
12. Reason for Expedited Visa
Interview Request:
|
|
13. Date of Online
Scheduled Interview Appointment:
|
|
14. Date of Proposed Travel/Departure:
|
|
15. Have you ever
been refused a visa to the United States:
Yes
No
|
|
Date
of last refusal:
|
|
16. Have you ever
been issued a visa to the United States:
Yes
No
|
|
Date
of last issuance:
|
|
Note: If you were refused a visa within one year, it is unlikely that your request will be approved
|
|
