US Visa Appointment Booking Request Form

We request you to apply well in advance of your travel date to avoid any
problems with your travel plans.

We request you to go through our website and read the terms and conditions before
using any of our services, and before filling the online application form below
requesting our services.

To apply online for a US Visa appointment Interview anywhere in Canada (including
Toronto, Ottawa, Montreal, Calgary, Vancouver or Halifax), please submit all the
information for the applicant.

Complete all fields using information
as it appears in the passport.
If you are applying for multiple applicants, you will need to fill this form for EACH
applicant that needs a visa, mentioning the relationship with the principal applicant in
the 'Special Comments' section of the form below.
Surname/Last name :
Given name:
Email address:
Secondary  Email address:
(Different from the one
provided above)
Home phone:
Cell phone:
Marital status:
Passport number:
Date of birth (dd - mm - yyyy):
City of birth
State of birth:
Country of birth:
Current legal status in Canada:
Where you need the interview:
Visa type required:
Approximately when you need
the interview:
(Specify a week or month when
you need the interview)
Special comments:
(If you are applying along
with your family
members, please specify
it here, and fill this form
for each applicant)
If you have not yet filled the DS-160 form, leave this field empty and we
will assist you with it.
If you have already filled the DS
160 form, enter the DS-160
form Confirmation number
here. ( Format- AA00xxxxxx )
Please use only Visa or Mastercard with sufficient balance
We cannot accept debit cards
Credit card number
(DO NOT provide a debit card
Expiry date (MM/YY)
CSC code (last three digits
on the back of the card
First name
Last name
Billing address of credit card
Billing Address (Line 2)
Postal code
Contact number
1-888-997-VISA (8472)
US Visa Services | US Visa Support