Welcome to the United States
This form must be completed by every nonimmigrant visitor not in possession of a visitor's visa.
Type or print legibly in pen in ALL CAPITAL LETTERS.
Item 7 - If you are entering the United States by land, enter LAND in this space. (LAND!) If you are entering the United States by ship, enter, unh-unh, SEA in this space.
Do any of the following apply to you? (Answer Yes or No)
(No! No! Yes! No! Yes! No!)
A. Do you have a communicable disease; (COUGH NOW! Coughs . . . ) physical or mental disorder; or are you a drug abuser or addict?
Tell me, Bill, Yes or No. (No) Louder. (No!)
B. Have you ever been arrested or convicted for an offense or crime involving moral turpitude or a violation related to a controlled substance; or ever been arrested or convicted for two or more offenses for which the aggregate sentence to confinement was five years or more?
Answer Yes or No. (Yes! Yes, sir! Yes! No! No! No!)
Or been a controlled substance trafficker; or are you seeking entry to engage in criminal or immoral activities?
Answer Yes or No. (Yes or No) Thank you!
C. Have you ever been or are you now involved in espionage or sabotage; or terrorist activities; or genocide; or between 1933 and 1945 were you involved, in any way, in persecutions associated with Nazi Germany or its allies?
Answer Yes or No. (Yes)