Form I-193, Application for Waiver Completed Form Examples and Samples
Discover a sample filled Form I-193, showcasing a waiver application for a tourist visa. This example includes all necessary fields like applicant details, reason for request, and proper signature for submission in 2025, aiding in understanding form completion for waiver requests.
Form I-193 Example – Waiver for Tourist Visa Applicant
How this form was filled:
This example demonstrates a filled Form I-193 for a tourist visa applicant. It covers essential fields like the applicant's personal details, reason for the waiver request, and includes a signature and date for submission in 2025.
Information used to fill out the document:
- Applicant Name: Jane Smith
- Date of Birth: 01/15/1990
- Nationality: Canadian
- U.S. Address: 456 Park Avenue, New York, NY, USA
- Passport Number: CA987654321
- Reason for Waiver: Inability to present a valid passport due to unforeseen circumstances
- Intended Length of Stay: 2 weeks
- Signature: Jane Smith
- Date: 03/10/2025
What this filled form sample shows:
- Accurate personal information including name, date of birth, and nationality
- Clear reason for waiver request due to unforeseen circumstances
- Specified U.S. address and length of stay
- Properly formatted signature and date for 2025 submission
Form specifications and details:
| Use Case: | Tourist visa applicant seeking waiver for documentary requirements |
