* First of all always remember big names never get rejected and smaller universities rarely get accepted so never apply for visa on their basis e.g I know many people who got their visa rejected when going to Albany etc. Although these are good places. I dont understand the reason but big names never get rejected unless or until you commit a blunder(mentioned below).

* Try to get an acceptance letter from a good university like Cornell, NIH, Yale, John Hopkins, Harvard, Cleveland Clinic, Mayo Clinic, or any others one may find. Be confident at the interview, be prepared to answer few things like,
1. things about your elective’s department and the place you are going to
2. your support in US (any relatives that will pick you from airport and provide you residence at least for time being)
3. where you will stay in US
4. previous travel History

Most people got visa while they didn’t have great answers to these Qs, so not much to worry about but still be prepared…and SOUND LIKE A DOCTOR & A REASONABLE PERSON, BE WELL-MANNERED, neither begging nor over-confident
DOCUMENTS to take are your application, passport, acceptance letter/s, bank statement, any support letter from relative in US (relative must be legal)
DRESS PROPERLY
Another thing is CLEARANCE: It may take a few months, so apply well before time of start of your elective
* You need to answer the following questions at the time of the visa interview

Why are you going?
For clinical electives. Make sure you have documentation as proof of your
acceptance for the clinical experience at hand.

How are you going to pay for the trip?
Bank statements with some money do the trick. A bank statement that has some
money circulating is better that one which is static.

Proof of ties with your home country?
Property, Pictures with close Relatives in your home country etc.

How do I know you will come back?
Get a letter from your college stating that you are their student and will
remain a student till you graduate upon announcement of the result. It
should also state that the college office has all your documents and the documents will be given to you upon graduation.
* Never say you want to live in US afterwards becz both electives and residency are meant to provide you training so that you can serve your country after returning....show strong family ties...property....photos with family here....never say you want to pursue a residency in US (while are applying for electives visa)...you are just going there for electives to gain some international clinical experience....so that later you can serve your own country in a better way...
* If you say that I plan to settle in US or if you show a proof showing your strong tie in US rather than your own country, then its a blunder....always keep in mind there are only two things that are looked for your visa....first and foremost....would you return back to your country and wont become an illegal citizen in US....second you or someone would be able to support you in US....but always remember the latter always comes after the first mentioned fact....you can prove the prior fact by showing pictures with family/fiance/spouse, your current and active bank accounts, proof of your property ties in US....mentioning them that you have many reasons to come back but absolutely no reason to stay in US....it is not advisable to say u want to pursue ur career in US and wud do USMLEs...if applying for electives visa; both electives/residency are basically meant to provide US training to people of other country so that they can GO BACK and serve their country NOT U.S. so they dont want you to have the intention of staying there and not coming back and this is the biggest reason for rejections. You/any of your relative/friend should have enough money to support you in US and you should be able to prove it but not at the cost of compromising the first point. e.g if you have rich parents in US to support u....it woud never be a plus...becz thats an attraction for you to NEVER COME BACK.

always carry as much documents as possible including your pictures with family in your country and proof of your property/ bank accounts in your country....even carrying pictures of your marriage/engagement ceremony is beneficial....mentioning them that you would DEFINITELYreturn back to your country after electives for your SPOUSE/PARENTS/RELATIVES/PROPERTY/MONEY etc and wont ever think about going to US again!
* VISA INTERVIEW TIPS
1)You must carry following documents with you for the interview.
1. Original documents of electives, including transcripts, LOR s, insurances etc. everything.
2. Original Confirmation letter from elective university
3. Photocopies of your Matric and F.Sc certificates, Domicile etc.
4. Two affidavits i.e. one from you (self declaration) and the other from your father(affidavit of support).
5. Bank statement of more than 500,000 Rs and Job certificate of your sponsor (father, mother, brother, sister)
6. No need to carry any sponsor letter from any of your relative in USA, it will go against you.

2) You must be well dressed and choose English language for your interview.
3) You must have letter from strong and good reputed universities/colleges/hospitals like Henry ford Hospital, Emory University, Yale University, Cornell Medical College etc. Letters from institutes like Albany medical college have been rejected by the US embassy for past few years.
4) A lot depends upon the person taking your interview. You must be ready to answer the financial sources of your father or sponsor. The annual income should be answered to be more than 1000,000 to 1200,000 Rs. THE GOAL OF THE INTERVIEW IS TO PROVE THAT YOU HAVE STRONGER TIES WITH PAKISTAN THAN ANY OTHER COUNTRY ESPECIALLY US.
* You must also be ready to satisfy and tell the consulate officer about the status of your blood relatives especially brothers, sisters etc. that what they are doing and where they are currently? Presence of your blood relatives outside Pakistan will go against you, because it shows that your ties are weak with your home country. So, you must be ready to clarify logically that why they are outside Pakistan.
* You must know everything about the elective rotation that you are going to do. Questions like, how did you know this university, why you have chosen this elective, what will you do in this elective and what knowledge you have about this elective, may be asked.
* YOU SHOULD NOT SAY THAT YOU APPLIED TO MANY UNIVERSITIES AND GOT ACCEPTANCE FROM THIS, THAT IS WHY YOU ARE GOING THERE. THIS IS A VERY BAD STATEMENT AND WILL WEAKEN YOUR CASE.
Instead, you should answer that you got to know about this university from their website and then got further information from elective coordinator.
Elective:
An elective is an undergraduate medical program by virtue of which medical students do rotations in the departments of their choice, while being away from their home medical institute with permission.
1. They can ask you about your future plans. During Interview tell the officer that you have so far only planned to do house job and at the moment only thinking about your final exams, electives and house job (Internship). Keep in mind that you don't have to lie; just tell them whatever you are sure about, at that moment.
* If unluckily your visa gets rejected, then next time apply on the basis of the same letter. DON’T TRY TO CHANGE THE LETTER AND YOUR STATEMENTS, IT WILL ONLY WEAKEN YOUR CASE. They have record of each and everything that you have said in the previous interview.
* You must have solid answer about your accommodation arrangements during your stay in USA.

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