first refusal..... no docs were asked with the medical request letter.....neither over emails. USA refusal stamp was there on his passport...he could not hide it. In fact, his truth should have been admired. perhaps had he traveled to other countries before... luck would have gone in his favor. here are my follow up questions: 1- why wasted him time and money for medicals....could not they identify his travel history by just having a look at his passports. 2- same with family ties in Pakistan.... his parents and siblings reside in Pakistan. property, house etc everything is there.... they still consider this a lack of family ties in Pakistan. He is single. He just can not marry a girl just for proving this point.