Fictional example · DS-160 · Divorced, travelling as a tourist

B1/B2 DS-160 Sample for a Divorced Applicant (Montenegro)

See how a fictional divorced pharmacist from Montenegro on a holiday in New York answered the DS-160, including her former husband's details, the married surname she no longer uses and paying for the trip herself. Know what the form asks before you start your own.

19sections175responses~30 minto fillDivorced B1/B2 applicants
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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 visitor visa, applying in Podgorica
  • Divorced: the form asks about her former husband and how the marriage ended
  • Lists the surname she used while married as another name
  • A two-week holiday in New York, paying for it herself and travelling alone
  • A pharmacist at home; a friend in Brooklyn is her U.S. contact
  • First trip to the U.S., with no earlier visa

Different situation? Browse other completed DS-160 examplesSkip to the full sample

Before you start: information you'll want ready

The form will ask for

  • Your passport
  • Your former spouse's full name, date of birth, nationality, and city and country of birth
  • The date you married, the date the marriage ended, how it ended and in which country
  • Any other names you have used, including a married surname
  • Your employer's name, address and phone, your start date and your monthly income

Helpful to have nearby

  • Your marriage certificate and divorce decree, to copy the dates from
  • The address where you will stay in the U.S.
  • 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

    Why
    Jovana is divorced, so she chooses Divorced. That opens a page about her former husband.
    For your application
    Choose the status that is true on the day you fill in the form. Legally separated is a choice of its own on the list.

  2. Sample answer

    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
    Provide the following information:
    Why
    She used her husband's surname, Vukovic, while they were married and went back to Radonjic after the divorce, so she lists Vukovic as another name.
    For your application
    Include a married or maiden name and any other name you have used, even one you no longer use. If you have only ever used one name, answer No.

  3. Sample answer

    Former Spouse Information
    Date of Birthrequired
    30 OCT 1985
    Former Spouse's Place of Birth
    NA Do Not Know
    Date of Marriagerequired
    08 SEP 2012
    Date Marriage Endedrequired
    17 NOV 2020
    Why
    Her former husband is Montenegrin and was born in Niksic, so she picks Montenegro as his nationality and as his country of birth. They divorced by mutual consent in a court in Podgorica, which she states in a few words.
    For your application
    Take the names and dates from your marriage certificate and divorce decree, and fill this in for each former spouse. If you do not know the city where one was born, tick Do Not Know.

  4. Sample answer

    Address where you will stay in the U.S.
    Why
    She has booked a hotel in Manhattan for the two weeks and pays for the trip from her own salary, so she gives the hotel's address and names herself as the payer.
    For your application
    Give the address where you will stay, even if it is a hotel, and name whoever is actually paying.

  5. 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
    She has no relatives in the U.S. A friend from university lives in Brooklyn, so she names her as her U.S. contact.
    For your application
    Name a person or organization in the U.S. who knows about your trip, and choose the relationship that describes how you know them.

  6. 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
    01 SEP 2015
    NA Does not apply
    Why
    She is the pharmacist in charge of a pharmacy in Podgorica, so she names her employer, gives her monthly income and lists her main duties.
    For your application
    Enter your monthly income in your local currency and describe what you actually do, in plain words.

Common questions about this example

Do I have to list my former spouse if we divorced years ago?

Yes. When your marital status is Divorced, the form asks about each former spouse, however long ago the marriage ended: their name, date of birth, nationality and place of birth, and when, how and where the marriage ended.

Is my married surname another name?

The form asks for every other name you have used, a maiden name included. Jovana used her husband's surname while she was married, so she lists it even though she no longer uses it.

What do I write for how the marriage ended?

A short, plain statement in English, such as a divorce or an annulment and the court that granted it. The box rejects some characters, such as the slash, the colon and quotation marks.

The completed DS-160, question by question

§1

Personal Information - Part 1

13 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
Provide the following information:

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
14 APR 1988
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
16 MAY 2027
Address where you will stay in the U.S.
§4

Travel Companions

1 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
§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

16 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

9 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
09 MAR 2022

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
09 MAR 2032
NA No expiration
Have you ever lost a passport or had one stolen?required
§8

US Contact Information

11 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
03 FEB 1959
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 AUG 1962
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

Former Spouse Information

10 responses
Former Spouse Information
Date of Birthrequired
30 OCT 1985
Former Spouse's Place of Birth
NA Do Not Know
Date of Marriagerequired
08 SEP 2012
Date Marriage Endedrequired
17 NOV 2020
§11

Current Occupation

11 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
01 SEP 2015
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
03 OCT 2011
Employment Date Torequired
31 JUL 2015

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
01 OCT 2006
Date of Attendance Torequired
15 JUL 2011
§13

Additional Occupation Details

13 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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