Online Nonimmigrant Visa Application (Ds- 160)

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Online Nonimmigrant Visa Application (DS- 160)

A p p licatio n ID AA002L8ZBZ

Travel Information
DO NOT BRING THIS TO YOUR INTERVIEW
E dit T r a v e l Inf o r m atio n
The List of P urpose s of Trip to the U.S .
P urpose of Trip to the U.S . (1):

TEMP . B US I NES S P LEA S UR E V I S I TO R (B )

S pe cify :

B US I NES S & TO UR IS M (TEMP O R A R Y V I S I TO R )
(B 1 /B 2 )

I nte nde d D a te of A rriv a l:

20 D EC EMB ER 2012

I nte nde d Le ngth of S ta y in U.S .:

1 W E E K (S )

A ddre sswhe re y ou will sta y in the U.S .:

6894 THO R NLA K E A V E, WHI TTI ER ,
C A 90606
LO S A NG ELES , C A LI FO R NI A 90606

P e rson/Entity P a y ing for Your Trip:

O THERP ER S O N

Na me of P e rson P a y ing for Your Trip:

R A MI R EZ A LV A , FER NA ND O

Te le phone Numbe r:

55858059

Ema il A ddre ss:

D O ES NO T A P P LY

R ela tionship to You:

P A R ENT

I s the a ddre ss of the pa rty pa y ing for y our trip the sa me a s y our
Home or Ma iling A ddre ss?

Y ES
E dit T r a v e l Co m pa nio nsInf o r m a tio n

O the r P e rsons Tra v e ling with You:

NO
E dit Pr e v io us U.S. T r a v e l Inf o r m a tio n

Ha v e y ou e v e r be e n in the U.S .?

NO

Ha v e you e v e r be e n issue d a U.S . v isa ?

NO

Ha v e y ou e v e r be e n re fuse d a U.S . V isa , be e n re fuse d a dmission to
the Unite d S ta te s, or withdra wn y our applica tion for a dmission a t the
port of e ntry ?

NO

Ha s a ny one e v e r file d a n immigra nt pe tition on y our be ha lf with the
Unite d S ta te s C itize nship a nd Immigra tion S e rv ice s?

NO

DO NOT BRING THIS TO YOUR INTERVIEW

h ttps://c eac .state.gov/GENNI V/Gen eral/review/review_reviewtravel.aspx ?n ode=ReviewTravel

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