AMERICAN CITIZEN SERVICES

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  birth Fees

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  by Mail

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  Security/Federal
  Benefit Unit

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Death of an
  American

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Consular Agent in
  Haifa

Registering your
 Trip to Israel

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  and Holidays

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Frequently Asked
  Questions (FAQs)

Forms

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U.S. Consulate in Jerusalem

Immigrant Visa

Non-Immigrant Visa

Tips For COmpleting the DS-11 Application Form

The form should be downloaded and printed on white letter-size paper, with each page on a separate sheet of paper.

The instructions on this form are written for individuals applying for a passport within the United States. As applications are processed differently outside the United States, you should ignore instruction pages one and two of this form.

Complete sections 1 to 22 on the application form in block letters and blue or black ink. This information is mandatory.

Item 5 - Social Security Number: You must complete this item. If you have never had a Social Security Number (SSN), write zeros in the boxes. If you have a number, but do not remember it, you will need to complete an additional form at the Embassy to obtain your Social Security number.

Item 6 - Mailing Address: Complete this item with an Israeli address, either your home address or the address where you are staying. Please note that you may choose to have your new passport sent to a different address when you complete your delivery envelope.

Item 17 - Permanent Address: Complete this item with any address you consider to be your permanent address. This need not be in Israel or the U.S.  If your Permanent address is the same as your mailing address, write “Same as Above”.

Items 18 and 19 - Emergency Contact and Travel Plans: This information is not required, but may be helpful in processing your application and in assisting you in the future.

Oath & Signature (under the photograph outline): You are required to sign in the presence of the consular officer at this office. You must read the "Acts or Conditions" on page four of this form before you proceed further. If any mentioned acts or conditions have been performed by or apply to the applicant, cross out only the applicable portion(s) and submit an explanatory signed statement with the application.