Please complete this form AFTER you have received your invitation to travel. Adoptive Parent's  Travel Information:   Please list names as they appear on the passports.
Family Last Name
Name (male)
Passport number	Gender  Birth date
Not traveling
Name (female)
Passport number	Gender  Birth date
Not traveling
Home Address
City	State    Zip code
Address where you want the visas sent:
City	State    Zip code
	Additional Travel Companion's  Travel Information:  Please list names as they appear on the passports.  There is an additional $450 fee for each additional traveler, other than the adoptive parents.
Name
Passport number	Gender  Birth date
Name
Passport number	Gender  Birth date
Name
Passport number	Gender  Birth date
Name
Passport number	Gender  Birth date
	Adoptive Parent's  Information
Home Phone:
Work Phone (male):	Cell Phone
Work Phone (female):	Cell Phone
Home Email
Additional Email
Additional Email
INS I-171H expiration date:
Fingerprint  expiration date:
	Child's Information
Child Birth Name
Birth date
New Name
Orphanage	Region