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Online Nonimmigrant Visa Application (DS-160)

This confirms the submission of the Nonimmigrant visa application for: Name Provided: Place of Birth: Gender: Nationality: PassportNumber: Purpose of Travel: Completed On: Confirmation No: ROMERO ROSAS, JARA MICHELLE SALINA CRUZ, OAXACA Female MEXICO G05138864 TOURISM/MEDICAL TREATMENT (B2) 22 JAN 2012
Version 01.01.00

Date OfBirth: 28 APR 1994

Location Selected: MEX U.S. Embassy Mexico City Paseo de la Reforma 305 Colonia Cuauhtemoc C.P. 06500 Mexico, D.F.


YOU MUST BRING thisconfirmation page and the following document(s) with you to the Application Service Center: Passport You may also provide any additional documents you feel will support your case. YOU MUST SUBMIT thisconfirmation page with a clear and legible barcode at the time of your interview. If you do not have access to a printer at this time, select the option to email your confirmation page to an email address.You may print or email your application for your own records. YOU DO NOT need to submit the application at the time of the interview. Please note that you will be required to provide proof that youhave paid the visa application fee and any other fees associated with your application. There may be other fees associated with the visa application process. Please check your country's ReciprocitySchedule for any other fees you may owe. If you have further questions, or to find out how to contact the Consular Post, please go to http://mexico.usembassy.gov/visas.html or http://travel.state.gov .NOTE: Unless exempt from an interview, you will be required to sign your application by providing a biometric signature, i.e. your fingerprint before a consular officer. By providing this biometricsignature you are certifying under penalty of perjury that you have read and understood the questions in your nonimmigrant visa application and that all statements that appear in your nonimmigrant visa...
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