Fictional example · DS-160 · Couple on a first holiday

B1/B2 DS-160 Sample for a Couple on Holiday (Philippines)

See how a fictional IT project manager from Manila on a first U.S. holiday with his wife answered the DS-160, including his wife as a travel companion, a hotel as the U.S. point of contact and travel plans that are not yet booked. Know what the form asks before you start your own.

19sections175responses~35 minto fillCouples and first-time tourists
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This is a fictional example for educational purposes, not an official or pre-approved application. Your DS-160 answers must reflect your own circumstances. Do not copy the sample answers unless they are independently true for you.

Is this example similar to your situation?

  • B1/B2 tourist visa, applying in Manila
  • Travelling with his wife, named as his travel companion
  • Ten days in the U.S., staying at a hotel in Los Angeles
  • Knows nobody in the U.S., so the hotel is his point of contact
  • Pays for the trip himself, with nothing booked yet
  • First trip to the U.S., with no earlier U.S. visa

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Before you start: information you'll want ready

The form will ask for

  • Your passport
  • Your national ID number (PhilSys), if you have one
  • Your spouse's full name, date of birth and place of birth
  • Your employer's name, address and phone, your start date and your monthly income
  • Your previous employer and your college, with their addresses and dates
  • The name, address and phone of the place you will stay in the U.S.

Helpful to have nearby

  • The date you plan to arrive and how long you will stay
  • The countries you have visited in the last five years
  • Your social media usernames from the last five years
  • A recent photo that meets the U.S. visa photo rules

Questions applicants commonly get stuck on

How this fictional applicant answered, why, and what to check for your own form. Answer for your own situation, which may differ.

  1. Sample answer

    Traveling with Others

    You should answer Yes to this question if you are traveling with family, as part of an organized tour, or as part of a performing group or athletic team. You do not need to list individuals who are traveling with you for the purposes of employment with the same employer.

    Are there other persons traveling with you?required
    Are you traveling as part of a group or organization?required
    Provide the following information for each person traveling with you:
    Why
    Paolo travels with his wife Camille, so he answers Yes and names her, with Spouse as the relationship.
    For your application
    Name each person you travel with. If you travel with a tour group or an organization, the form asks for the group's name instead.

  2. Sample answer

    Contact Person or Organization in the United States

    Your U.S. Point of Contact can be any individual in the U.S. who knows you and can verify, if necessary, your identity. If you do not personally know anyone in the U.S., you may enter the name of the store, company, or organization you plan to visit during your trip.

    Contact Person or Organization in the United States

    Contact Person

    Do Not Know

    Organization Name

    Do Not Know
    Why
    They do not know anyone in the U.S., so he gives the Los Angeles hotel where they will stay, with no person's name and Other as the relationship.
    For your application
    The form's own help says that if you do not know anyone in the U.S., you may enter a store, company or organization you plan to visit. Give that place's address and phone.

  3. Sample answer

    Have you made specific travel plans?required

    Arrival Plans

    If you are unsure of your travel plans, please provide an estimate.

    Please provide an explanation of your travel plans.
    Arrival Daterequired
    14 APR 2027
    Why
    Nothing is booked yet, so he answers No to specific travel plans and gives the date they plan to arrive and a stay of ten days.
    For your application
    If you have not bought tickets, give your planned dates. If you have, answer Yes and give your flights and the places you will visit.

  4. Sample answer

    Address where you will stay in the U.S.
    Why
    He gives the hotel's address as the place they will stay, and himself as the person paying for the trip.
    For your application
    Name whoever is actually paying. If your spouse pays, choose Other Person and give their details.

  5. Sample answer

    Why
    As he is married, the form asks for Camille's name, date and place of birth, and where she lives: at the same address as he does.
    For your application
    Give your spouse's details as they appear in their passport, and check they match what your spouse writes on their own form.

  6. Sample answer

    Have you ever been in the U.S.?required
    Have you ever been issued a U.S. Visa?required
    Why
    This is his first trip to the U.S. and he has never had a U.S. visa, so he answers No to both questions.
    For your application
    Count every earlier visit and every U.S. visa you have held, even an expired one.

  7. Sample answer

    Present Work/Education/Training Information
    Present Employer or School Information
    Present Employer or School Address
    NA Does not apply
    NA Does not apply
    Start Daterequired
    02 JUL 2018
    NA Does not apply
    Why
    He gives his employer in Pasig, his start date, his duties and his monthly income in Philippine pesos.
    For your application
    Describe what you do in plain words, and give your income in your own currency, as a monthly figure.

Common questions about this example

Does my wife need her own DS-160?

Yes. Every applicant needs their own DS-160, children included. Paolo names Camille as his travel companion, and she fills in a form of her own.

Official source
What do I give as my U.S. point of contact if I do not know anyone there?

The form's own help says you may enter the name of a store, company or organization you plan to visit. Paolo gives the hotel where he and Camille will stay.

Do we need to book flights before we fill in the form?

The form does not need them. If nothing is booked, answer No to specific travel plans and give the date you plan to arrive and how long you will stay, as Paolo does.

We have travelled to other countries. Does the form ask about that?

Yes. It asks which countries you have visited in the last five years. Paolo lists Japan, South Korea and Singapore.

The completed DS-160, question by question

§1

Personal Information - Part 1

11 responses

Surnames

Enter all surnames as listed in your passport. If only one name is listed in your passport, enter that Surname.

Given Names

If your passport does not include a given name, please enter 'FNU' in Given Names.

Full Name in Native Alphabet

If your passport does not include a given name, please enter 'FNU' in Given Names.

NA Does Not Apply/Technology Not Available

Other Names

Other names used include your maiden name, religious name, professional name, or any other names which you are known by or have been known by in the past.

Have you ever used other names (i.e., maiden, religious, professional, alias, etc.)?required

Telecode

Telecodes are 4 digit code numbers that represent characters in some non-Roman alphabet names.

Do you have a telecode that represents your name?required

Sex

Please select MALE or FEMALE

Date of Birth

If day or month is unknown, enter as shown in passport.

Date of Birthrequired
12 APR 1990
NA Does Not Apply

Country/Region

Select the name that is currently in use for the place where you were born.

§2

Personal Information - Part 2

6 responses
Do you hold or have you held any nationality other than the one indicated above on nationality?required

Permanent Resident

Permanent resident means any individual who has been legally granted by a country/region permission to live and work without time limitation in that country/region.

Are you a permanent resident of a country/region other than your country/region of origin (nationality) indicated above?required

Identification Numbers

Your National ID Number is a unique number that your government provides. The U.S. Government provides unique numbers to those who seek employment (Social Security Number) or pay taxes (Taxpayer ID).

NA Does Not Apply
NA Does Not Apply
NA Does Not Apply
§3

Purpose of Visa

11 responses
Purpose of Visit
Have you made specific travel plans?required

Arrival Plans

If you are unsure of your travel plans, please provide an estimate.

Please provide an explanation of your travel plans.
Arrival Daterequired
14 APR 2027
Address where you will stay in the U.S.
§4

Travel Companions

5 responses

Traveling with Others

You should answer Yes to this question if you are traveling with family, as part of an organized tour, or as part of a performing group or athletic team. You do not need to list individuals who are traveling with you for the purposes of employment with the same employer.

Are there other persons traveling with you?required
Are you traveling as part of a group or organization?required
Provide the following information for each person traveling with you:
§5

Previous U.S. Travel History

5 responses
Have you ever been in the U.S.?required
Have you ever been issued a U.S. Visa?required
Have you ever been refused a U.S. Visa, or been refused admission to the United States, or withdrawn your application for admission at the port of entry?required
Have you ever been denied travel authorization by the Department of Homeland Security through the Electronic System for Travel Authorization (ESTA)?required
Has anyone ever filed an immigrant petition on your behalf with the United States Citizenship and Immigration Services?required
§6

Address and Phone Details

18 responses
Home Address
NA Does not apply
NA Does not apply

Mailing Address

If your mailing address is different from your home address, please provide your mailing address.

Is your Mailing Address the same as your Home Address?required

Phone

You must provide a primary phone number. The primary phone number should be the phone number at which you are most likely to be reached; this could be a land line or a cellular/mobile number. If you have an additional land line or a cellular/mobile number please list that as your secondary phone number.

Phone
NA Does not apply
NA Does not apply
Have you used any other phone numbers in the last five years?required

Email Address

You must provide an email address. The email address you provide will be used for correspondence purposes. Provide an email address that is secure and to which you have reasonable access.

Have you used any other email addresses in the last five years?required
Social Media
Do you wish to provide information about your presence on any other websites or applications you have used within the last five years to create or share content (photos, videos, status updates, etc.)?required
§7

Passport Information

10 responses

Passport/Travel Document Number

Enter the information on the travel document you will be using when traveling to the U.S. Your travel document should be a valid, unexpired passport or other valid, unexpired documentation that is sufficient to establish your identity and nationality.

Passport Book Number

The Passport Book Number is commonly called the inventory control number. You may or may not have a Passport Book Number on your passport. The location of the Passport Book Number on your passport may vary depending on the country that issued your passport. Please contact your passport issuing authority if you are unable to determine whether or not your passport contains a Passport Book Number.

NA Does not apply
Where was the Passport/Travel Document Issued?
Issuance Daterequired
19 FEB 2024

Expiration Date

In most cases your passport/Travel Document must have at least six months of validity beyond the date of your visa application and/or your arrival in the United States.

Expiration Daterequired
18 FEB 2034
NA No expiration
Have you ever lost a passport or had one stolen?required
§8

US Contact Information

10 responses

Contact Person or Organization in the United States

Your U.S. Point of Contact can be any individual in the U.S. who knows you and can verify, if necessary, your identity. If you do not personally know anyone in the U.S., you may enter the name of the store, company, or organization you plan to visit during your trip.

Contact Person or Organization in the United States

Contact Person

Do Not Know

Organization Name

Do Not Know
Address and Phone Number of Point of Contact
NA Does not apply
§9

Family Information

10 responses
Father's Full Name and Date of Birth
NA Do not know
NA Do not know
Date of Birthrequired
08 OCT 1961
NA Do not know
Is your father in the U.S.?required
Mother's Full Name and Date of Birth
NA Do not know
NA Do not know
Date of Birthrequired
21 JAN 1964
NA Do not know
Is your mother in the U.S.?required

Immediate Relatives

Means fiancé/fiancée, spouse (husband/wife), child (son/daughter), or sibling (brother/sister).

Do you have any immediate relatives, not including parents, in the United States?required
Do you have any other relatives in the United States?required
§10

Spouse Information

7 responses
Spouse's Date of Birthrequired
25 JUL 1992
Spouse's Place of Birth
NA Do not know
§11

Current Occupation

12 responses
Present Work/Education/Training Information
Present Employer or School Information
Present Employer or School Address
NA Does not apply
NA Does not apply
Start Daterequired
02 JUL 2018
NA Does not apply
§12

Previous Occupation

26 responses
Were you previously employed?required
Employer/Employment Information:
Employer Address
NA Does not apply
NA Does not apply
NA Do not know
NA Do not know
Employment Date Fromrequired
05 JUN 2012
Employment Date Torequired
29 JUN 2018

Level of Education

You must answer Yes to this question if you have ever attended, for any length of time, a high school/secondary school (or its equivalent in your country) or college, university, graduate school, a doctoral program, or a vocational program.

Have you attended any educational institutions at a secondary level or above?required
Provide the following information on the educational institution(s) you have attended.
Address
NA Does not apply
NA Does not apply
Date of Attendance Fromrequired
10 JUN 2007
Date of Attendance Torequired
31 MAR 2012
§13

Additional Occupation Details

11 responses
Do you belong to a clan or tribe?required
Provide a List of Languages You Speak

Enter only one language per field. To add more languages, use the Add Another button below — do not list several languages in the same field.

Have you traveled to any countries/regions within the last five years?required
Provide a List of Countries/Regions Visited
Have you belonged to, contributed to, or worked for any professional, social, or charitable organization?required
Do you have any specialized skills or training, such as firearms, explosives, nuclear, biological, or chemical experience?required
Have you ever served in the military?required
Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante unit, rebel group, guerrilla group, or insurgent organization?required
§14

Security Background - Part 1

3 responses
Do you have a communicable disease of public health significance? (Communicable diseases of public significance include chancroid, gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma venereum, infectious stage syphilis, active tuberculosis, and other diseases as determined by the Department of Health and Human Services.)required
Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others?required
Are you or have you ever been a drug abuser or addict?required
§15

Security Background - Part 2

7 responses
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action?required
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances?required
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years?required
Have you ever been involved in, or do you seek to engage in, money laundering?required
Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the United States?required
Have you ever knowingly aided, abetted, assisted or colluded with an individual who has committed, or conspired to commit a severe human trafficking offense in the United States or outside the United States?required
Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human trafficking offense in the United States or outside the United States and have you within the last five years, knowingly benefited from the trafficking activities?required
§16

Security Background - Part 3

12 responses
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States?required
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities?required
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations?required
Are you a member or representative of a terrorist organization?required
Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing financial assistance or other support to terrorists or terrorist organizations, in the last five years?required
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide?required
Have you ever committed, ordered, incited, assisted, or otherwise participated in torture?required
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, or other acts of violence?required
Have you ever engaged in the recruitment or the use of child soldiers?required
Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom?required
Have you ever been directly involved in the establishment or enforcement of population controls forcing a woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or her free will?required
Have you ever been directly involved in the coercive transplantation of human organs or bodily tissue?required
§17

Security Background - Part 4

5 responses
Have you ever been the subject of a removal or deportation hearing?required
Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United States immigration benefit by fraud or willful misrepresentation or other unlawful means?required
Have you failed to attend a hearing on removability or inadmissibility within the last five years?required
Have you ever been unlawfully present, overstayed the amount of time granted by an immigration official or otherwise violated the terms of a U.S. visa?required
Have you ever been removed or deported from any country?required
§18

Security Background - Part 5

5 responses
Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court?required
Have you voted in the United States in violation of any law or regulation?required
Have you ever renounced United States citizenship for the purposes of avoiding taxation?required
Are you a former exchange visitor (J) who has not yet fulfilled the two-year foreign residence requirement?required
Have you attended a public elementary school on student (F) status or a public secondary school after November 30, 1996 without reimbursing the school?required
§19

Preparer of Application

1 responses

Preparer of Application

If someone other than you completed this application, provide their details here. You must still electronically sign the application yourself.

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