Form DS-221 (Two way Visa Action request and Response

[Ron/Sharon 0]

The following is or is part of the AP process.

The name of the form is DS-221 (two-way action request and response) of which one page of 7 pages is posted in this forum. This form is normally filled by the consular officer after the interview if told an AP is needed but in rarer cases such as mine it is sent to the beneficiary to be filled. This form is for internal use the information I had to fill was biographical only, questions 1 to 19, 21, 22 24 only

Following is a list that the consular officer works from:

TWO-WAY VISA ACTION REQUEST AND RESPONSE - AKA DS-221

Post/Dept. Date (mm-dd-yyyy)

Alien Registration Number Last Previous

TO: Visa Office (VO) U.S. Department of State Immigration and Naturalization Service at:

ACTION REQUESTED (Check one only)

Security Advisory Opinion

212(d)(3) (A) Waiver

Name Check Only

If 212(d)(3) (A) Waiver, SHOWWHETHER:

Security -212(a)(28)

Other-212(a) -

NOT recommended by Consular Officer

Basis for Recommendation:

Humanitarian

Educational

Facilitative of International Exchange

Other –

1. NAMEOF APPLICANT (Include aliases, maiden name, previous married name, etc.)

2. Date of Birth (mm-dd-yyyy)

3. Place of Birth (Include city)

4. Present Address

5. Sex

6. Marital Status, Date and Place of Marriage, Spouse's Name

7. Occupation

8. Name and Address of Employer

9. Nationality (Include former)

10. Passport Type

11. Passport Number

12. Issued By

13. Dated (mm-dd-yyyy)

14. Father's Full Name

15. Mother's Full Maiden Name

16. Residences of 6 months or More for Past Five Years (Years, cities, countries)

17. Relatives in United States (Names, relationships, street addresses, cities, states) or Primary Destination in United States

18. Visa Classification Contemplated:

19. No. of Entries

20. Valid Until

21. Planned time of arrival, port of entry and length of stay in United States

22. Purpose of entry

23. Facts occasioning ineligibility, name check or SAO request

24. Date of any prior U.S. visit, (mm-dd-yyyy)

25. In CLASS? Yes - NO

26. Remarks/Continuation of above items

Consular Officer's Signature

FROM U.S. Department of State (VO) TO: Above-named Post - USCIS Date (mm-dd-yyyy)

Washington Agency name checks on the above person(s):

Reveal no derogatory information.

Reveal the attached information dated:

Have been initiated. Your office will be notified if there is any derogatory information.

Reveal no derogatory information since the communication referenced at top right.

Signed:

FROM U.S. Citizenship and Immigration Services at: TO: Post/Dept. Date (mm-dd-yyyy)

It is ordered that the application be granted for the above indicated purpose, subject to renovation at any time, valid as set forth below.

ENTRY:

PERIOD OF TEMPORARY STAY:

Signature Title

DS-221

07-2008

PART 1 - ADDRESSEE'S Copy

PART 2 - FBI

PART 3 - REPORT TO CONGRESSI

PART 4 - CONGRESSI

PART 5 - RETURNTO POST/DEPT,

PART 6 - SENDER'S FILE Copy

INSTRUCTIONS

For name check only, send original and six copies to VO.

For "Parakeet" name check (APPA 22 CFR 41/42.90 Note 7), security advisory opinion, or 212(d)(3)(A) waiver action, send original and six copies to VO. (To request "Parakeet," or other special checks which may, from time to time, be instituted, use blank space under "Action Requested.")

For 212(d)(3)(A) waiver actions directed to USCIS abroad, send original and copies 4 thru 7 to INS: send remaining copies to VISA officer for Washington Agency name checks.

Use additional sheet (in number of copies specified above) for any item for which insufficient space is provided.

In security advisory opinion or 212(d)(3)(A) waiver requests, attach a narrative statement (TO VO: original and three copies: TO USCIS abroad: original and one copy) which should include the pertinent items listed below:

a. Give full summary and evaluation of pertinent information obtained through clearances, investigations and interview. Indicate source of information, reference or file number, if pertinent, and any limitation on use of information.

For "meaningful" membership see 22 CFR 41/42.91 (a)(28) Note 5

and p.n. 1.2.

For "involuntary" membership see 22 CFR 41/42.91(a)(28) Note 7

and p.n.1.3.

For "defector" cases, see 22 CFR 41/42.91(a)(28) Note 9 and p.n.

1.4.

(Note: If time factors are pressing, an alien who appears to qualify for defector status may be recommended or 212(d)(3)(A) action.)

b. Indicate political, economic, public relations factors, if any, and any special interest at post (Political Section, Economic Section, USIS, etc.)

c. In non-immigrant cases, state whether consular officer is satisfied that the alien has a residence abroad which he has no intention of abandoning, if required, and that he is properly classifiable as a non-immigrant.

d. Give a clear recommendation as to final decision, with reasons therefore.

11. 212(d)(3)(a) Waiver Cases:

a. Indicate political, economic, public relations factors, if any, and any special interest at post (Political Section, Economic Section, US IS etc.

b. State whether consular officer is satisfied that the alien has a residence aboard which he has no intention of abandoning. If required, and that he is properly classifiable as a non-immigrant.

c. Give reasons for consular officer's recommending or not recommending a waiver (if not covered completely on face of form).

d. Give details as to purpose of visit (Item 22 on Form). including names and addresses of persons in the United States to be visited.

e. If consular officer recommends more than one entry, give reasons therefore. (See 22 CFR 41.95, Note 7.)

f. In security cases give the information outlined in section I(a) above.

g. In cases involving convictions give the designation of the crime, the date and place of its commission and of the conviction, and the sentence or other judgement of the court.

1. Describe the disease, defect or disability. If pertinent, give examining physician's findings including whether

"communicable" or "noncommunicable", if alien has tuberculosis, If "communicable," state whether alien will comply with "Sanitary Measures for Travel of Aliens with Tuberculosis."

2. If alien is seeking admission for treatment indicate:

i. What arrangements have been made for treatment including where and from whom treatment will be

received.

II. What financial arrangements have been made for payment or hospital and other expenses.

iii. Whether a bond will be available if required by the Attorney General.

i. In other cases describe the circumstances on which the finding of ineligibility was based.

D5-221

07-2008 Instruction Page 1 of 1