‫‪Nonimmigrant Visa - Confirmation Page‬‬ ‫‪https://ceac.state.gov/GenNIV/general/ESign/Complete_Done.

aspx‬‬

‫ﺗﺄﻛﻳﺩ ﺍﻟﻁﺑﺎﻋﺔ‪:‬‬

‫)‪Online Nonimmigrant Visa Application (DS-160‬‬

‫‪Confirmation‬‬
‫ﻫﺫﺍ ﺗﺄﻛﻳﺩ ﻋﻠﻰ ﺗﻘﺩﻳﻡ ﺇﺳﺗﻣﺎﺭﺓ ﺍﻟﺗﺄﺷﻳﺭﺓ ﻟﻔﻳﺭ ﺍﻟﻬﺟﺭﺓ ﻟـ‬

‫‪:‬ﺍﻻﺳﻡ ﺍﻟﻣﻌﻁﻰ‬ ‫‪ALASMARI, ALI AUDAH A‬‬ ‫‪:‬ﺍﻟﻣﻭﻗﻊ ﺍﻟﺫﻱ ﺗﻡ ﺍﺧﺗﻳﺎﺭﻩ‬

‫ﺗﺎﺭﻳﺦ ﺍﻟﻣﻳﻼﺩ‬ ‫‪11 MAR 1968‬‬ ‫‪JDD‬‬
‫‪:‬ﻣﺣﻝ ﺍﻟﻣﻳﻼﺩ‬ ‫‪S. BLLASMAR, SAUDI‬‬ ‫‪U.S. Consulate General Jeddah‬‬
‫‪ARABIA‬‬ ‫‪Hial and Palestine Streets‬‬
‫‪Al Ruwais District‬‬
‫‪:‬ﺍﻟﺟﻧﺱ‬ ‫‪Male‬‬
‫‪Jeddah, Saudi Arabia‬‬
‫‪:‬ﺍﻟﺟﻧﺳﻳﺔ‬ ‫‪SAUDI ARABIA‬‬
‫‪:‬ﺭﻗﻡ ﺟﻭﺍﺯ ﺍﻟﺳﻔﺭ‬ ‫‪D129107‬‬
‫ﺍﻟﻐﺭﺽ ﻣﻥ ﺍﻟﺳﻔﺭ‬ ‫‪FOREIGN‬‬
‫)‪OFFICIAL/EMPLOYEE (A2‬‬
‫ﺗﺎﺭﻳﺦ ﺇﺳﺗﻛﻣﺎﻝ‬ ‫‪12 FEB 2019‬‬
‫‪:‬ﺍﻟﻁﻠﺏ‬
‫‪:‬ﺭﻗﻡ ﺍﻟﺗﺄﻛﻳﺩ‬ ‫‪AA008OUPH2‬‬ ‫‪Version 01.05.02‬‬

‫ﻫﺫﻩ ﻟﻳﺳﺕ ﺗﺄﺷﻳﺭﺓ‬

‫ﻫﻭ ﺃﻭﻝ ﺧﻁﻭﺓ ﻓﻲ ﺇﺟﺭﺍءﺍﺕ ﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ‪ .‬ﺍﻟﺧﻁﻭﺓ ﺍﻟﺗﺎﻟﻳﺔ ﻫﻲ ﺯﻳﺎﺭﺓ ﻭﻣﺭﺍﺟﻌﺔ ﺻﻔﺣﺔ ﺍﻻﻧﺗﺭﻧﺕ ﺍﻟﺧﺎﺻﺔ ﺍﻟﺳﻔﺎﺭﺓ ﺃﻭ ﺍﻟﻘﻧﺻﻠﻳﺔ ﺑﺎﻟﺳﻔﺎﺭﺓ ﺃﻭ ﺍﻟﻘﻧﺻﻠﻳﺔ ﺍﻟﺗﻲ ﺗﻌﺗﺯﻣﻭﻥ ‪ DS-160‬ﻣﻼﺣﻅﺔ‪ :‬ﺍﻟﺗﻘﺩﻳﻡ ﺍﻻﻟﻛﺗﺭﻭﻧﻲ ﻟﻼﺳﺗﻣﺎﺭﺓ ﺭﻗﻡ‬
‫ﺗﻘﺩﻳﻡ ﺍﻟﻁﻠﺏ ﺑﻬﺎ‪ .‬ﻳﺗﻌﻳﻥ ﻋﻠﻰ ﻣﻌﻅﻡ ﻁﺎﻟﺑﻲ ﺍﻟﺗﺄﺷﻳﺭﺍﺕ ﺟﺩﻭﻟﺔ ﻣﻭﻋﺩ ﻟﻠﻣﻘﺎﺑﻠﺔ ﺍﻟﺧﺎﺻﺔ ﺑﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ‪ ،‬ﺭﻏﻡ ﺃﻧﻪ ﺭﺑﻣﺎ ﻳﺣﻖ ﻟﺑﻌﺽ ﺍﻟﻣﺗﻘﺩﻣﻳﻥ ﺗﺟﺩﻳﺩ ﺗﺄﺷﻳﺭﺍﺗﻬﻡ‪ .‬ﺍﻟﺳﻔﺎﺭﺓ ﺃﻭ ﺍﻟﻘﻧﺻﻠﻳﺔ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﺍﻟﺧﺎﺻﺔ ﺑﺎﻟﺳﻔﺎﺭﺓ ﺃﻭ ﺍﻟﻘﻧﺻﻠﻳﺔ ﻗﺩ‬
‫‪.‬ﺗﺷﻣﻝ ﺗﻌﻠﻳﻣﺎﺕ ﻣﺣﻠﻳﺔ ﻣﺣﺩﺩﺓ ﺑﺧﺻﻭﺹ ﺟﺩﻭﻟﺔ ﻣﻭﺍﻋﻳﺩ ﺍﻟﻣﻘﺎﺑﻼﺕ‪ ،‬ﻭﺗﻘﺩﻳﻡ ﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ‪ ،‬ﻭﻏﻳﺭ ﺫﻟﻙ ﻣﻥ ﺍﻷﺳﺋﻠﺔ ﺍﻟﺷﺎﺋﻌﺔ‬

‫‪:‬ﻳﺟﺏ ﻋﻠﻳﻙ ﺇﺣﺿﺎﺭ ﺻﻔﺣﺔ ﺍﻟﺗﺄﻛﻳﺩ ﻭﺍﻟﻣﺳﺗﻧﺩﺍﺕ ﺍﻟﺗﺎﻟﻳﺔ ﻓﻲ ﻛﻝ ﺍﻟﺧﻁﻭﺍﺕ ﺃﺛﻧﺎء ﺇﺟﺭﺍءﺍﺕ ﺍﻟﻁﻠﺏ‬
‫ﺟﻭﺍﺯ ﺍﻟﺳﻔﺭ‬

‫ﻳﻣﻛﻧﻙ ﺃﻳﺿﺎ ً ﺍﻹﺩﻻء ﺑﻣﺳﺗﻧﺩﺍﺕ ﺇﺿﺎﻓﻳﺔ ﻭﺍﻟﺗﻰ ﻳﻣﻛﻥ ﺃﻥ ﺗﺩﻋﻡ ﻁﻠﺑﻙ ﻟﻠﺗﺄﺷﻳﺭﺓ‬

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‫‪Nonimmigrant Visa - Confirmation Page‬‬ ‫‪https://ceac.state.gov/GenNIV/general/ESign/Complete_Done.aspx‬‬

‫‪Instructions‬‬
‫ﻳﺟﺏ ﻋﻠﻳﻛﻡ ﺗﻘﺩﻳﻡ ﺻﻔﺣﺔ ﺍﻟﺗﺄﻛﻳﺩ ﻭﺑﻬﺎ ﺍﻟﺑﺎﺭﻛﻭﺩ ﺑﺷﻛﻝ ﻭﺍﺿﺢ ﻭﻣﻘﺭﻭء ﻋﻧﺩ ﺍﻟﻣﻘﺎﺑﻠﺔ‪ .‬ﺇﺫﺍ ﻟﻡ ﺗﺗﻭﻓﺭ ﻟﺩﻳﻛﻡ ﺁﻟﺔ ﻁﺎﺑﻌﺔ ﻓﻰ ﻭﻗﺕ ﺇﺳﺗﻛﻣﺎﻝ ﺍﻻﺳﺗﻣﺎﺭﺓ‪ ،‬ﺣﺩﺩﻭﺍ ﺍﻻﺧﺗﻳﺎﺭ ﺍﻟﺫﻱ ﻳﺭﺳﻝ ﺻﻔﺣﺔ ﺍﻟﺗﺄﻛﻳﺩ ﺍﻟﺧﺎﺻﺔ ﺑﻛﻡ ﺑﺎﻟﺑﺭﻳﺩ ﺍﻻﻟﻛﺗﺭﻭﻧﻲ‬
‫‪.‬ﺇﻟﻰ ﻋﻧﻭﺍﻥ ﺑﺭﻳﺩ ﺍﻟﻛﺗﺭﻭﻧﻲ‪ ،‬ﻛﻣﺎ ﻳﻣﻛﻧﻛﻡ ﻁﺑﺎﻋﺔ ﺍﻹﺳﺗﻣﺎﺭﺓ ﺍﻟﺧﺎﺻﺔ ﺑﻛﻡ ﺃﻭ ﺍﺭﺳﺎﻟﻬﺎ ﺑﺎﻟﺑﺭﻳﺩ ﺍﻻﻟﻛﺗﺭﻭﻧﻲ ﻟﻼﺣﺗﻔﺎﻅ ﺑﻬﺎ ﻟﺳﺟﻠﻛﻡ ﺍﻟﺧﺎﺹ‪ .‬ﻻ ﻳﺗﻭﺟﺏ ﻋﻠﻳﻛﻡ ﺗﻘﺩﻳﻡ ﺍﻻﺳﺗﻣﺎﺭﺓ ﻋﻧﺩ ﺍﻟﻣﻘﺎﺑﻠﺔ‬
‫ﻳﺭﺟﻰ ﻣﻼﺣﻅﺔ ﺃﻥ ﺳﻭﻑ ﺗﻛﻭﻥ ﻫﻧﺎﻙ ﺣﺎﺟﺔ ﻟﺗﻘﺩﻳﻡ ﺩﻟﻳﻝ ﻋﻠﻰ ﺃﻥ ﻟﺩﻳﻙ ﺩﻓﻊ ﺭﺳﻭﻡ ﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ ﻭﺃﻳﺔ ﺭﺳﻭﻡ ﺃﺧﺭﻯ ﻣﺭﺗﺑﻁﺔ ﻣﻊ ﺍﻟﺗﻁﺑﻳﻖ ﺍﻟﺧﺎﺹ ﺑﻙ‪ .‬ﻗﺩ ﻳﻛﻭﻥ ﻫﻧﺎﻙ ﻏﻳﺭﻫﺎ ﻣﻥ ﺍﻟﺭﺳﻭﻡ ﺍﻟﻣﺭﺗﺑﻁﺔ ﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ‪ .‬ﻳﺭﺟﻰ‬
‫ﻣﺭﺍﺟﻌﺔ ﺍﻟﺧﺎﺹ ﺍﻟﺑﻼﺩ ﺟﺩﻭﻝ ﺍﻟﻣﻌﺎﻣﻠﺔ ﺑﺎﻟﻣﺛﻝ ﻷﻯ ﺭﺳﻭﻡ ﻳﻣﻛﻥ ﻣﻁﺎﻟﺑﺗﻙ ﺑﺗﺳﺩﻳﺩﻫﺎ‬
‫‪ http://travel.state.gov.‬ﺃﻭ ‪ https://sa.usembassy.gov/visas/‬ﺇﺫﺍ ﻛﺎﻥ ﻟﺩﻳﻙ ﺃﺳﺋﻠﺔ ﺇﺿﺎﻓﻳﺔ‪ ،‬ﺃﻭ ﻟﻺﺳﺗﻌﻼﻡ ﺣﻭﻝ ﻛﻳﻔﻳﺔ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻘﻧﺻﻠﻳﺔ‪ ،‬ﺑﺭﺟﺎء ﺍﻟﺫﻫﺎﺏ ﺇﻟﻰ‬
‫ﻟﻘﺩ ﻛﻧﺕ ﻣﻁﺎﻟﺑﺎ ً ﺑﺗﻭﻗﻳﻊ ﻁﻠﺑﻙ ﺇﻟﻛﺗﺭﻭﻧﻳﺎً‪ ،‬ﺇﻻ ﺇﺫﺍ ﻛﻧﺕ ﻣﻌﻔﻰ ﻁﺑﻘﺎ ﻟﻠﻘﻭﺍﻧﻳﻥ‪ ،‬ﺣﻧﻰ ﻭﺇﻥ ﻛﺎﻥ ﺷﺧﺹ ﺁﺧﺭ ﻗﺩ ﻗﺎﻡ ﺑﺈﺳﺗﻛﻣﺎﻝ ‪-Feb-2019 01:31:09 (GMT-05:00).‬ﻟﻘﺩ ﻭﻗﻌﺕ ﺇﺳﺗﻣﺎﺭﺗﻙ ﺇﻟﻛﺗﺭﻭﻧﻳﺎ ﻓﻰ ‪12‬‬
‫ﺇﺳﺗﻣﺎﺭﺗﻙ‪ .‬ﺗﻭﻗﻳﻌﻙ ﺍﻹﻟﻛﺗﺭﻭﻧﻰ ﻟﻺﺳﺗﻣﺎﺭﺓ ﻳﺅﻛﺩ ﺃﻧﻙ ﻗﺩ ﻗﺭﺃﺕ ﻭﻓﻬﻣﺕ ﺍﻷﺳﺋﻠﺔ ﺍﻟﻣﻁﺭﻭﺣﺔ ﻓﻲ ﻁﻠﺏ ﺍﻟﺗﺄﺷﻳﺭﺓ ﻟﻐﻳﺭ ﺍﻟﻬﺟﺭﺓ ﺍﻟﺧﺎﺻﺔ ﺑﻙ ﻭﺃﻥ ﻛﺎﻓﺔ ﺍﻟﺑﻳﺎﻧﺎﺕ ﺍﻟﻭﺍﺭﺩﺓ ﻓﻲ ﻁﻠﺑﻙ ﻟﺗﺄﺷﻳﺭﺓ ﻟﻐﻳﺭ ﺍﻟﻬﺟﺭﺓ ﺻﺣﻳﺣﺔ ﻭﻛﺎﻣﻠﺔ ﻋﻠﻰ ﺣﺩ‬
‫ﻣﻌﺭﻓﺗﻙ ﻭﻣﻌﺗﻘﺩﺍﺗﻙ‪ .‬ﺗﻘﺩﻳﻡ ﺇﺳﺗﻣﺎﺭﺓ ﺗﺗﺿﻣﻥ ﻣﻌﻠﻭﻣﺎﺕ ﺧﺎﻁﺋﺔ ﺃﻭ ﻣﺿﻠﻠﺔ ﻗﺩ ﺗﺅﺩﻯ ﺇﻟﻰ ﺍﻟﺭﻓﺽ ﺍﻟﺩﺍﺋﻡ ﻟﻁﻠﺑﺎﺕ ﺍﻟﺗﺄﺷﻳﺭﺍﺕ ﺍﻟﺧﺎﺻﺔ ﺑﻙ ﺃﻭ ﺭﻓﺽ ﻁﻠﺑﻙ ﻟﺩﺧﻭﻝ ﺍﻟﻭﻻﻳﺎﺕ ﺍﻟﻣﺗﺣﺩﺓ‪ .‬ﺟﻣﻳﻊ ﺍﻟﺗﺻﺭﻳﺣﺎﺕ ﺍﻟﻣﺫﻛﻭﺭﺓ ﻓﻰ ﻫﺫﺍ ﺍﻟﻁﻠﺏ ﻗﺩ‬
‫‪. ( 28U.S.C. 1746).‬ﺗﻌﺭﺿﻙ ﻟﻠﻣﺳﺋﻭﻟﻳﺔ ﺗﺣﺕ ﻁﺎﺋﻠﺔ ﺍﻟﻘﺎﻧﻭﻥ‬

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