INTERVIEW WAIVER FORM
Renewal of Visa (B1/B2) for applicants of 60 years of age, or older:
I AM 72 YEARS OLD
I am renewing my B1/B2 visa;
YES
I am a Pakistani Citizen applying with a Pakistani Passport;
YES
My last U.S. visa was “multiple” entry (it should read as “M”);
YES
I am applying for the same U.S. visa class;
YES
My U.S. visa is still valid, or I am applying within 48 months of my previous visa's
expiration date;
YES, IT IS STILL VALID
I am applying from the same U.S. Embassy/Consulate, from which my last U.S. Visa was
issued;
YES
My most recent prior application in this category resulted in an issued U.S. visa;
YES
My previous visa has never been revoked, lost, or stolen;
YES
My name, date of birth, nationality, and place of birth are the same on both applications
(current and previous);
YES
On my previous visit to the United States, I complied with all immigration laws and
regulations;
YES
HABIBULLAH KHAN PASSPORT NO.: BU4114542
CONFIRMATION NO.: AA00ASLD71