Briefly describe the action that was taken against you that you believe to be discriminatory. The following should be included: •.1. Surname(s) - family name(s). Write down your last name(s) like it appears on your passport. 2. So the more proof you can show that you are a "law-abiding" traveler with strong links to your country, the better. My application being rejected or to the annulment of a visa already granted and may also render me liable to prosecution under the law of the Member. Click Here : Age Discrimination In Employment Act (1). Expand Click Here : Employment Discrimination in Palm Beach County (1). Info for U.S. Law Enforcement. U.S. Department of State Seal. Travel.State.