I, <Name>, working as <designation> at <complete address>, aged <current age>years, residing at
<complete address> being duly sworn, hereby affirm and state that:
I would like to visit USA to visit my <relation son/daughter/relatives> <Name of the person> to spend some quality family time and visit tourist attractions in USA such as <name of a few places>. I would be staying at my <relationship> residence at <complete US address>. I intend to visit USA for <duration> months. My <relationship> is sponsoring this short trip. During my stay in the United States, my <relationship> will bear all my responsibilities including return air ticket fare, food, housing and medical I’m committed to come back within the legal stay granted by authorities. I have already taken a NOC certificate from <employer> for the trip.
Place:
Date:
<Last Name, First name>
Sworn before me
Date:
Signature/Stamp:
