Please fill out this form one time for each person who will need a visa (use only standard English characters).

This will be used to prepare your forms, so fill out everything honestly and completely.

• 1. Last (surname) Name:
• 2. First (given) name:
• 2. Middle Name(s):
• 3. Alias:
• 4. Suffix (e.g. Jr. Sr. etc.):
• 5. Gender:
  Male Female
• 6. Role in group (e.g. guitarist, soundperson etc.):
• 7. Date of Birth:
  date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December
• 8. Place of Birth:
   
  City
  Country
  State/province
  Country of Citizenship:
• 9. Your Passport
  Passport number:
  Country that issued your passport:
  Date of issuance:
  date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December
Date of expiration:
date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December
City where issued (this may not be your home city):
Country where issued (this may not be your country of citizenship or residence):
• 10. Country of Primary Residence (Do not list US):
• 11. Foreign Address (This must be a contact address for you outside the US. It could, for example, be your home or the office of your manager. If you choose to have US tax documents sent to you, they will go to this address.):
  
  
  
  
• 12. Date that member began working with group:
  date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December
• 13. Has this individual ever received a visa to the US?
  Yes No
  When?
  What type?
  What visa number? (It should be three letters followed by ten digits, on your old visa.)
• 14. Are there any special circumstances (positive or negative) regarding this band member?
  Yes No
  Please explain, and please answer each of the following questions:
• 15. Is this member of the band very famous in his or her own country?
  Yes No
• 16. Is this band member running for elected office in his or her home country?
  Yes No
• 17. Does this member of the band have a criminal record anywhere?
  Yes No
• 18. Is this group member married to an American citizen?
  Yes No
• 19. Is there any security concern regarding this group member, which would be of concern to the US government or his or her own government?
  Yes No
• 20. Has this member of the group been denied a US visa in the last 7 years?
  Yes No
• 21. Is this member of the group involved with exclusion or deportation proceedings?
  Yes No
• 22. Does this member of the group already have legal working status in the USA? (For example, does one musician have an American passport or green card?)
  Yes No
  Please explain.