Fillable Form DS-230

What is Form DS-230?

Form DS-230, Application for Immigrant Visa and Alien Registration, is used to obtain an immigrant visa for foreign nationals who want to migrate permanently to the United States. It must be submitted to the U.S. Consulate.

If you prefer an electronic application, use Form DS-260, Immigrant Visa Electronic Application.

How to fill out Form DS-230?

Enter your answers in print or capital letters. Mark "N/A" if the question does not apply to you. If there is insufficient space on DS-230 for your answers, provide a separate sheet using the same numbers that appear on the form.

PART I. BIOGRAPHIC DATA

1. Family Name, First Name, Middle Name

Enter your name.

2. Other Names Used or Aliases

Enter your other names. For a married woman, enter your maiden name.

3. Full Name in Native Alphabet

Enter your name in your native alphabet if you do not use Roman letters.

4. Date of Birth

Enter your birthdate.

5. Age

Enter your age.

6. Place of Birth

Enter the province and country of your birthplace.

7. Nationality

Enter your nationality.

8. Gender

Mark the appropriate box for your sex. You may select:

• Male
• Female

9. Marital Status

Mark the appropriate box for your marital status. You may select:

• Single (Never Married)
• Married
• Widowed
• Divorced
• Separated

If married more than once, enter the number of marriages you had, including the present.

10. Permanent Address

Enter the permanent address in the U.S. where you intend to live. Then, enter the name and telephone number of the person who currently lives there.

11. Mailing Address

Enter the mailing address in the U.S. for your permanent resident card or Green Card. Then, enter the name and telephone number of the person who currently lives there.

12. Present Occupation

Enter your occupation.

13. Present Address

Enter your present address, including your home and office telephone numbers and email address.

14. Spouse's Maiden or Family Name

Enter your spouse's name.

15. Date and Birth of Place of Spouse

Enter your spouse's birthplace and birthdate.

16. Address of Spouse

Enter your spouse's address if you are not living together.

17. Spouse's Occupation

Enter your spouse's occupation.

18. Date of Marriage

Enter the date of your marriage.

19. Father's Name

Enter your father's name.

20. Father's Date of Birth

Enter your father's birthdate.

21. Place of Birth

Enter your father's birthplace.

22. Current Address

Enter your father's current address.

23. Year of Death

For a deceased father, enter the year of death.

24. Mother's Name

Enter your mother's maiden name.

25. Mother's Date of Birth

Enter your mother's birthdate.

26. Place of Birth

Enter your mother's birthplace.

27. Current Address

Enter your mother's current address.

28. Year of Death

For a deceased mother, enter the year of death.

29. List Names, Dates, and Places of Birth, and Addresses of ALL Children

Enter the name or names of your child or children, including birthdate, birthplace, and address if different from yours.

30. List below all places you have lived

Enter the city, town, province, and country of the places you have lived for at least six months upon turning 16 years old. Then, enter the duration of stay in each location.

31a. Person(s) named in 14 and 29 who will accompany you to the United States now

Enter the name of your spouse and child or children moving with you to the U.S.

31b. Person(s) named in 14 and 29 who will follow you to the United States at a later date

Enter the name of your spouse and child or children following you to the U.S. at a later date.

32. List below all employment for the last ten years

Employer

Enter the name of your employer, including the previous ones and the present.

Location

Enter the company address.

Job Title

Enter your job title.

From/To

Enter the duration of stay in each company.

In what occupation do you intend to work in the United States?

Enter your prospected job in the United States.

33. List below all educational institutions attended

School and Location

Enter the name and the address of the school or schools you have attended.

From/To

Enter the duration of stay in each school.

Course of Study

Enter the course of study in each school.

Degree or Diploma

Enter the degree or diploma attained in each school.

Languages spoken or read

Enter the languages spoken and read in the schools you have attended.

Professional associations to which you belong

Enter the professional associations you belong.

34. Previous Military Service

Mark Yes, if you have been into military service. Mark No, if not.

If Yes, enter the military service's branch, including your date of service, rank or position, and military specialty or occupation.

35. List dates of all previous visits to or residence in the United States

Enter the dates and address of your previous visits or residence in the U.S. Then, enter the type of visa and your A-number.

Enter Never if you haven't gone to the U.S.

Signature of Applicant

Enter your signature.

Date

Enter the date upon signing the Form DS-230.

PART II. SWORN STATEMENT

36. Family Name, First Name, Middle Name

Enter your name.

37. Other Names Used or Aliases

Enter your other names. For a married woman, enter your maiden name.

38. Full Name in Native Alphabet

Enter your name in your native alphabet if you do not use Roman letters.

39. Name and Address of Petitioner

Enter the name and address of the petitioner, including telephone number and email address.

40. United States laws governing the issuance of visas require

Read and answer the questions in this section. Your answers will be a determining factor in whether or not you are eligible to receive a visa.

a. Mark Yes, if you are an alien who has a communicable disease of public health significance; who has failed to present documentation of having received vaccinations in accordance with the U.S. law; who has or has had a physical or mental disorder that poses or is likely to pose a threat to the safety or welfare of the alien or others; or who is a drug abuser or addict.

Mark No, if not.

b. Mark Yes, if you are an alien convicted of, or who admits having committed, a crime involving moral turpitude or violation of any law relating to a controlled substance or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from the trafficking activities in the past five years; who has been convicted of 2 or more offenses for which the aggregate sentences were 5 years or more; who is coming to the U.S. to engage in prostitution or commercialized vice or who has engaged in prostitution or procuring within the past 10 years; who is or has been an illicit trafficker in any controlled substance; who has committed a serious criminal offense in the United States and who has asserted immunity from prosecution; who, while serving as a foreign government official and within the previous 24-month period, was responsible for or directly carried out particularly severe violations of religious freedom; or whom the President has identified as a person who plays a significant role in a severe form of trafficking in persons, who otherwise has knowingly aided, abetted, assisted or colluded with such a trafficker in severe forms of trafficking in persons, or who is the spouse, son or daughter of such a trafficker who knowingly has benefited from the trafficking activities within the past five years.

Mark No, if not.

c. Mark Yes, if you are an alien who seeks to enter the U.S. to engage in espionage, sabotage, export control violations, terrorist activities, the overthrow of the Government of the United States, or other unlawful activity; who is a member of or affiliated with the Communist or other totalitarian party; who participated in Nazi persecutions or genocide; who has engaged in genocide; or who is a member or representative of a terrorist organization as currently designated by the U.S. Secretary of State.

Mark No, if not.

d. Mark Yes, if you are an alien who is likely to become a public charge. Mark No, if not.

e. Mark Yes, if you are an alien who seeks to enter to perform skilled or unskilled labor who has not been certified by the Secretary of Labor; who is a graduate of a foreign medical school seeking to perform medical services who has not passed the NBME exam or its equivalent; or who is a health care worker seeking to perform such work without a certificate from the CGFNS or an equivalent approved independent credentialing organization.

Mark No, if not.

f. Mark Yes, if you are an alien who failed to attend a hearing on deportation or inadmissibility within the last 5 years; who seeks or has sought a visa, entry into the United States, or any immigration benefit by fraud or misrepresentation; who knowingly assisted any other alien to enter or try to enter the United States in violation of law; who, after November 30, 1996, attended in student (F) visa status a U.S. public elementary school or who attended a U.S. public secondary school without reimbursing the school; or who is subject to a civil penalty under INA 274C.

Mark No, if not.

g. Mark Yes, if you are an alien who is permanently ineligible for U.S. citizenship or departed the United States to evade military service in time of war.

Mark No, if not.

h. Mark Yes, if you are an alien who was previously ordered removed within the last 5 years or been ordered removed twice within the last 20 years; who was previously unlawfully present and ordered removed within the last 10 years, or ordered removed twice within the last 20 years; who was convicted of an aggravated felony and ordered removed; who was previously unlawfully present in the United States for more than 180 days but less than one year who voluntarily departed within the last 3 years; or who was unlawfully present for more than one year or an aggregate of one year within the last 10 years.

Mark No, if not.

i. Mark Yes, if you are an alien who is coming to the U.S. to practice polygamy; who withholds custody of a U.S. citizen child outside the U.S. from a person granted legal custody by a U.S. court or intentionally assists another person to do so; who has voted in the United States in violation of any law or regulation; or who renounced U.S. citizenship to avoid taxation.

Mark No, if not.

j. Mark Yes, if you are an alien who is a former exchange visitor who has not fulfilled the 2-year foreign residence requirement. Mark No, if not.

k. Mark Yes, if you are an alien determined by the Attorney General to have knowingly made a frivolous asylum application. Mark No, if not.

l. Mark Yes, if you are an alien who has ordered, carried out or materially assisted in extrajudicial and political killings and other acts of violence against the Haitian people; who has directly or indirectly assisted or supported any of the groups in Colombia known as FARC, ELN, or AUC; who through abuse of a governmental or political position has converted for personal gain, confiscated or expropriated property in Cuba, a claim to which is owned by a national of the U.S., has trafficked in such property or has been complicit in such conversion, has committed similar acts in another country, or is the spouse, minor child or agent of an alien who has committed such acts; who has been directly involved in the establishment or enforcement of population controls forcing a woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or her free choice; or who has disclosed or trafficked in confidential U.S. business information obtained in connection with U.S. participation in the Chemical Weapons Convention or is the spouse, minor child, or agent of such a person; or who has ever engaged in the recruitment of or the use of child solders.

Mark No, if not.

41. Have you ever been charged, arrested, or convicted of any offense or crime?

Mark Yes, if you have been charged, arrested, or convicted of any offense or crime. Then, provide an explanation. Mark No, if not.

42. Have you ever been refused admission to the United States at a port-of-entry?

Mark Yes, if you have been refused admission to the United States at a port-of-entry. Then, provide an explanation. Mark No, if not.

43a. Have you ever applied for a Social Security Number (SSN)?

Mark Yes if you have applied for a Social Security Number (SSN). Then, enter the SSN. If so, mark Yes if you like to receive a replacement card. Mark No, if not.

Mark No if you haven't applied for a Social Security Number (SSN). If so, mark Yes if you want the Social Security Administration (SSA) to assign you an SSN and issue a card. Mark No, if not.

43b. Consent to Disclosure

Mark Yes, if you authorize the disclosure of information from DS-230 to the SSA, the Department of Homeland Security (DHS), and such other U.S. Government agencies as may be required for assigning you an SSN and issuing a Social Security card. You also authorize the SSA to share your SSN with the INS.

Mark No, if not.

44. Were you assisted in completing this application?

Mark Yes, if you were assisted in completing DS-230. Then, enter the name, address, and your relationship with the assistant.

Mark No, if not.

45. Answer the questions on this item with the consular officer.

How to file Form DS-230?

If you are migrating with your family, each member, regardless of age, must accomplish Form DS-230. Make sure that all information entered on the form is factual and accurate.

Upon accomplishing the Form DS-230, you may submit it to the nearest U.S. Embassy or Consulate to process your visa application.