Portugal

1Applicant Information

2Delivery Location

3Interview Location

4Visa Fee Information

5Review

6Payment

DISCLAIMER:

Each traveler must complete their own form in order to get their visa interview.

Before you begin this application, make sure that you have a valid passport.

All information provided by you, or on your behalf by a designated third party, must be true and correct. You may be subject to administrative or criminal penalties if you knowingly and willfully make a materially false, fictitious, or fraudulent statement or representation in an application submitted by you or on your behalf.
Please take time to read the disclaimer.*
- I agree to the Disclaimer.
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Today's Date
DD slash MM slash YYYY
Name*
Your name must match your passport and DS-160.
First Last
Country / Authority that issued Passport*
Country of Birth*
Country of Permanent Residence*
Passport Number*
DS-160 Number*
Enter your unique DS-160 Barcode Number. It is located on the top right of your DS-160 Confirmation page and starts with AA-

Please closely distinguish between the numbers zero (0) and one (1), and the letters o and i.
Visa Class*
Please Select
Petition Number*
It usually starts with three letters EAC, WAC, LIN or SRC, followed by 10 numeric digits.
Date of Birth*
Day
Month
Year
Gender*
- Male
- Female
Phone Number*
Email*
Enter Email Confirm Email
Were you previously issued a visa to enter the United States?*
- Yes
- No
Visa Issuing Post Name*
Previous Visa Class*
Visa Issue Date*
Day
Month
Year
Visa Expiration Date*
Day
Month
Year
Are you traveling from another country to apply for a U.S. visa in Portugal?*
- Yes
- No
Check all statements that apply*
- You have a residence permit from Portugal and will bring the residence permit to his/her appointment. (Please note that identifying as having a residency permit incorrectly will result in the cancellation of your appointment.)
- None of the above apply

MRV Fee Details:
- Fees will be assigned to the applicant {applicant_name (First):15.3} {applicant_name (Last):15.6} born on {applicant_birth_day:21} in {applicant_birth_country_code:16}, at which point the applicant's information cannot be changed.
- Fees are non-refundable and non-transferable (either to another person or for use in another country).
- You may update your email address and phone number at any time.
- You may change your passport number only one (1) time after a payment has been made.
- You may NOT change the given name, surname, country that issued passport, country of birth, date of birth, or gender associated to your applicant profile after paying your visa fee.
Visa Fees are as follow:
1. Booking Fee: USD$165 per Applicant - Covers processing into U.S. Embassy records.
2. MRV Fees:
  - USD$185 for (B1/B2)(J),(F),(M),(I), (C1/D) visas.
  - USD$205 for (H), (L), (O), (P), (Q), or (R) visas.
  - USD$315 for all E category nonimmigrant (E-1), (E-2) visas.
All Visa applicants, including children, are required to pay a non-refundable and non-transferable Nonimmigrant Visa (MRV) application fee. Payment of the Visa application fee is required whether or not an application results in the issuance of a U.S. Visa.
Terms of Service*
I confirm that the information provided on this form is correct and accurate to the best of my knowledge.

I have read and agreed with the Disclaimer, the Terms and Conditions and the No Refund Policy and understand that this is a third-party processing.

If a cardholder attempts to falsely report that a transaction was fraudulent and requests a chargeback of an application fee, the US Embassy will be informed of the same. It may result in cancellation of any visas already scheduled.
- I agree to the Terms of Service
Please Confirm Visa Class*

Total
$480.00
E-Signature of Applicant
First Last
Please type the applicant's name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Cardholder Phone Number*
Phone number of the person paying for the appointment.
Cardholder Email Address*
Enter Email Confirm Email

Email address of the person paying for the appointment.
E-Signature of Cardholder*
First Last
Signature of the person paying for the appointment.

MRV Fee Details:

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