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30/8/2016 NonImmigrantVisaReviewTravelInformation

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OnlineNonimmigrantVisaApplication(DS160) ApplicationIDAA006CFPHS

TravelInformation

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EditTravelInformation

TheListofPurposesofTriptotheU.S.

PurposeofTriptotheU.S.(1): TEMP.BUSINESSPLEASUREVISITOR(B)

Specify: BUSINESS&TOURISM(TEMPORARY
VISITOR)(B1/B2)

Haveyoumadespecifictravelplans? YES

ProvideacompleteitineraryforyourtraveltotheU.S.

DateofArrivalinU.S.: 22DECEMBER2016

ArrivalFlight: DELTA

ArrivalCity: ORLANDO

DateofDeparturefromU.S.: 29DECEMBER2016

DepartureFlight: DELTA

DepartureCity: CANCUN

TheLocation(s)youplantovisitintheU.S.

Location(1): ORLANDO

AddresswhereyouwillstayintheU.S.: 8660WIRLOBRONSONMEMORIALHWY
KISSIMM

ORLANDO,FLORIDA

Person/EntityPayingforYourTrip: SELF

EditTravelCompanionsInformation

OtherPersonsTravelingwithYou: YES

Areyoutravelingaspartofagroupororganization? NO

PersonsTravelingwithYou:

Name(1): YVERLOPEZ,TATIANA

RelationshiptoYou: SPOUSE

EditPreviousU.S.TravelInformation

HaveyoueverbeenintheU.S.? NO

HaveyoueverbeenissuedaU.S.visa? NO

HaveyoueverbeenrefusedaU.S.Visa,orbeenrefusedadmission NO
totheUnitedStates,orwithdrawnyourapplicationforadmissionat
theportofentry?

Hasanyoneeverfiledanimmigrantpetitiononyourbehalfwiththe NO
UnitedStatesCitizenshipandImmigrationServices?

https://ceac.state.gov/GenNIV/General/review/review_reviewtravel.aspx?node=ReviewTravel 1/2
30/8/2016 NonImmigrantVisaReviewTravelInformation

DONOTBRINGTHISTOYOURINTERVIEW

https://ceac.state.gov/GenNIV/General/review/review_reviewtravel.aspx?node=ReviewTravel 2/2

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