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    Formulario DS160 1

    Uploaded by

    Belén Astudillo Porras
    This document is an online nonimmigrant visa application form requesting personal information from the applicant. It asks for the applicant's name as listed in their passport, other names they have used, gender, marital status, date and place of birth, and includes help text defining terms like telecode and explaining what information should be included. The form notes that the data must match what is written in the applicant's passport.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Formulario DS160 1

    Uploaded by

    Belén Astudillo Porras
    1K views2 pages
    This document is an online nonimmigrant visa application form requesting personal information from the applicant. It asks for the applicant's name as listed in their passport, other names they have used, gender, marital status, date and place of birth, and includes help text defining terms like telecode and explaining what information should be included. The form notes that the data must match what is written in the applicant's passport.

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    SRI

    Original Title

    FORMULARIO DS160 1

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    This document is an online nonimmigrant visa application form requesting personal information from the applicant. It asks for the applicant's name as listed in their passport, other names they have used, gender, marital status, date and place of birth, and includes help text defining terms like telecode and explaining what information should be included. The form notes that the data must match what is written in the applicant's passport.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Formulario DS160 1

    Uploaded by

    Belén Astudillo Porras
    This document is an online nonimmigrant visa application form requesting personal information from the applicant. It asks for the applicant's name as listed in their passport, other names they have used, gender, marital status, date and place of birth, and includes help text defining terms like telecode and explaining what information should be included. The form notes that the data must match what is written in the applicant's passport.

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    © All Rights Reserved
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    20/11/2017 Nonimmigrant Visa - Personal Information 1

    Online Nonimmigrant Visa Application (DS-160) Application ID AA007FH0K2

    OMB CONTROL NUMBER: 1405-0182


    Personal Information 1 FORM NUMBER: DS-160
    EXPIRATION DATE: 10/31/2017
    ESTIMATED BURDEN: 75 MIN

    NOTE: Data on this page must match the information as it is written in your passport.
    Surnames

    (e.g., FERNANDEZ GARCIA)

    Given Names

    (e.g., JUAN MIGUEL)


    Full Name in Native Alphabet

    Does Not Apply/Technology Not Available

    Help: Surnames

    Enter all surnames as listed in your passport. If only one name is listed in your passport, enter that Surname.

    Help: Given Names

    If your passport does not include a given name, please enter 'FNU' in Given Names.

    Have you ever used other names (i.e., maiden, religious, professional, alias, etc.)?

    Yes No

    Help: Other Names

    Other names used include your maiden name, religious name, professional name, or any other names which you are known by or have
    been known by in the past.

    Do you have a telecode that represents your name?

    Yes No

    Help: Telecode

    Telecodes are 4 digit code numbers that represent characters in some non-Roman alphabet names.

    Sex

    Male Female
    Marital Status
    WIDOWED

    Date and Place of Birth

    https://ceac.state.gov/GenNIV/General/complete/complete_personal.aspx?node=Personal1 1/2
    20/11/2017 Nonimmigrant Visa - Personal Information 1
    Date

    19 DEC
    (Format: DD-MMM-YYYY)

    City

    State/Province

    Does Not Apply


    Country/Region

    DJIBOUTI

    Help: Date of Birth

    If day or month is unknown, enter as shown in passport.

    Help: Country/Region

    Select the name that is currently in use for the place where you were born.

    Public reporting burden for this collection of information is estimated to average 75 minutes per response, including time required for searching
    existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final
    collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on
    the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: PRA_BurdenComments@state.gov

    INA Section 222(f) provides that the records of the Department of States and of diplomatic and consular offices of the United States pertaining to the
    issuance and refusal of visas or permits to enter the United States shall be considered confidential and shall be used only for the formulation,
    amendment, administration, or enforcement of the immigration, nationality, and other laws of the United States. Certified copies of such records may
    be made available to a court provided the court certifies that the information contained in such records is needed in a case pending before the court.

    Back: Getting Started Save Next: Personal 2

    https://ceac.state.gov/GenNIV/General/complete/complete_personal.aspx?node=Personal1 2/2

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