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Interview Request Form

(日本語)

Use the form below to request or change your appointment for a Returning Resident DS-117/Widow(er) Petition Form I-360. We will send your appointment notice by e-mail. If you do not receive a notice within 7 working days, please resubmit this form using a different web browser and/or listing a different email address.

1.
Your appointment is at which office?
 Tokyo  Naha
2.
Full name of applicant:
3.
Date of birth:
4.
Current mailing address:
5.
Telephone number in Japan:
6.
E-mail address (required):
7.
Intended date of travel to the U.S:
8.
Your last departure date from the U.S: (DS-117 only)
9.
Preferred week for appointment:
(The week of the first Monday is the first week of the month)
week of
10.
Remarks: (Please indicate if you are applying for a DS-117 or Form I-360):