[TOWN OF WITNESS], [COUNTRY OF WITNESS]

In re: Application for a Visa for the United States of America

Evidence in support of a bona fide marriage between [SPONSOR NAME], U.S. Citizen
Applicant, and [ALIEN NAME], Beneficiary

AFFIRMATION OF [NAME OF YOUR WITNESS]

[NAME OF YOUR WITNESS], being duly sworn, deposes and says:

1. I am making this affirmation in connection with the application of [ALIEN NAME] for a Visa for
the United States of America. The contents of the affirmation are based on my own knowledge
and are true.

2. I was born on [WITNESS BIRTH DATE] in [WITNESS TOWN, COUNTY, COUNTRY].

3. My address is [WITNESS TOWN, COUNTY, COUNTRY].

4. [ALIEN NAME], the beneficiary, is my [FRIEND, DAUGHTER, NEIGHBOR].

5. [WHEN THIRD PARTY FIRST MET / BECAME AWARE OF RELATIONSHIP OF

PETITIONER AND BENEFICIARY]

6. [OTHER OCCASIONS THIRD PARTY HAS WITNESSED FIRST HAND, WHICH CONFIRMS
THE RELATIONSHIP IS GENUINE]

7. I have visited [SPONSOR NAME] and [ALIEN NAME] at [PLACE], and found them a very
happy couple and obviously in love.

8. I was a witness at [SPONSOR NAME] and [ALIEN NAME]’s wedding on [DATE].

9. I have personal knowledge of the bona fide of [SPONSOR NAME] and [ALIEN NAME]’s
relationship. Their marriage is legitimate, viable, and not entered into for any immigration-related
purpose.

_________________________
[NAME OF WITNESS]

Sworn before me this _______ day of _______, 2011