21823, 1951 Consular Electronic Applicaton Genter - Print Application vy, LORSM DITO COU UN STN Solicitud de Visa de No Inmigrante en linea (DS-160) Aplicacién - Sensible pero sin clasificar (SBU) No necesitamos una copi impresa de su Solicitud en ningdn momento durante su proceso de entrevista. Solo imprima esta solicitud si desea una copia para sus propios registros. Si imprime su solicitud, guardela en un lugar seguro. Foto proporcionada: You must bring a 5cmx5cm passport-like photo to your interview. Numero de confirmacién | | OBS G > Su copia personal: no la Ileve a la entrevista Informacién personal, direccién, teléfono y pasaporte/documento de viaje Nombre proporcionado: Nombre completo en idioma nativo: Otros nombres usados: Nombre de telecédigo utlizado: Sexo: Estado civ Fecha de nacimiento: Place of Birth Country/Region of Origin (Nationality) o you hold or have you held any nationality other than the one Indicated above on nationality? ‘Are you a permanent resident of a country/region other than your country/region of origin (nationalty) above? National Identification Number: U.S, Social Security Number: U.S. Taxpayer 1D Number: Home Address: Your Personal Copy LONDONO SIERRA, SILVANA MARIA SILVANA MARIA LONDONO SIERRA No No FEMENINO SOLTERO 16 DE MARZO DE 1990, RIONEGRO, ANTIOQUIA, COLOMBIA coLomalA No No 1035913319 DOES NOT APPLY DOES NOT APPLY CALLE 55 51.66 - Do Not Bring to Interview hitps:ceac state goviGenNIVicommaniprintappicalon aspx? 780m 2b64uavwwAY.20TakOKIg7 JOM WyiHpwuttSO%%36 1821823, 1951 Consular Electron Application Genter- Print Application Su copia personal: no la Ileve a la entrevista cy: State/Province Postal Zone/ZIP Code: Country/Region Same Mailing Address? Primary Phone Number: Secondary Phone Number: Work Phone Number: Do you have any adtional phone numbers? Email Address: Do you have any additional email adcresses? Do you have a social media presence? Social ia Platform: (1) Social Media Identifier: Social Media Platform: (2) Social Media Identifier: Do you have any adtitional socal media presence? Passport/Travel Document Type PassportTravel Document Number: Passport Book Number: Country/Authority that City Where Issued: State/Province Where Issued sued Passport/Travel Document: Country/Region Where Issued Issuance Date: Exoiration Date: Have you ever lost a passport or had one stolen? Travel Information The List of Purposes of Trip to the U.S. Purpose of Trip to the US. (1) Specify Have you made specifi travel plans? Intended Date of Arrival: Intended Lenath of Stay in U.S. ‘Address where you will stay in the U.S. City, State, Postal/Zip Code: Person/Entity Paying for Your Tip ‘Are there other persons traveling with you? Have you ever been In the U.S.? Your Personal Copy GUARNE ANTIOQUIA DOES NOT APPLY COLOMBIA ves 3178813642 DOES NOT APPLY DOES NOT APPLY No silvanalondont407@gmail.com No FACEBOOK SILVANA MARIA LONDONO SIERRA INSTAGRAM @SILVANA_MARIA_LONDONO__SIERRA No REGULAR Ax508102 DOES NOT APPLY COLOMBIA G ANTIOQUIA ANTIOQUIA COLOMBIA 25 AUGUST 2021 25 AUGUST 2031 No TEMP, BUSINESS PLEASURE VISITOR (B) BUSINESS & TOURISM (TEMPORARY VISITOR) (61/82) No 15 DECEMBER 2023 7 DAY(S) 1313 NICOLLET MALL, MINNEAPOLIS, MN 5540 ‘SAINT PAUL, MINNESOTA 01313 ‘SeLF No No - Do Not Bring to Interview hitps:ceac state goviGenNIVicommaniprintappicaon aspx778OmF %2b64uavwwAY.20TakOKIg7 JOM yiHpwuttSOK%36 21621823, 1951 Consular Electron Application Genter- Print Application Su copia personal: no la Ileve a la entrevista Have you ever been issued a U.S. visa? Have you ever been refused a U.S. Visa, or been refused admission to the United States, or withdrawn your application for admission at the port of entry? Has anyone ever filed an immigrant patition on your behalf with the United States Citizenship and Immigration Services? U.S. Contact Information Contact Person Name in the U.S. Organization Name in the U.S.: Relationship to You: US. Contact Address: Phone Number: Email Address: Family Information Father's Sumames: Father's Given Names: Father's Date of Birth: Is your father in the U.S.? Mother's Surnames: Mother's Given Names: Mother's Date of Birth: Is your mother in the U.S.? Do you have any immediate relatives, not including parents in the U.S.? Do you have any other relatives in the United States? Work/Education/Training Information Primary Occupation: Specify Other: Present Employer or School Name: Address: city: State/Province: Postal Zone/Zip Code: Country/Region Work Phone Number: Monthly Salary in Local Currency (if employed) Briefly Describe your Duties: Your Personal Copy No No No 0 NoT KNOW MILLENNIUM MINNEAPOLIS OTHER 100 SE 4TH ST, MIAMI, FL 33131 MIAMI, FLORIDA 33131 6128864525 DOES NOT APPLY ARBEY LONDONO DE JESUS ARBOLEDA 17 APRIL 1942 No GLORIA ELENA SIERRA GIRALDO (01 JANUARY 1956, No NO NO OTHER (GERENTE ADMISTRATIVA VALERIE ESTE! (CA MINNESOTA CALLE 20 10 30 MEDELLIN DOES NOT APPLY DOES NOT APPLY cOLoMBIA 3178813642 10000000 ASIGNAR Y CONTROLAR RECURSOS D ELA EMPRESA, ASIGNAR Y CONTRO LAR FUNCIONES DE LA EMPRESA, A NALIZAR REVISAR Y CONTROLAR LA PARTE FINANCIERA DE LA EMPREA | REVISAR PROVEEDORES Y FUERZA PRODUCTIVA DE LA EMPRESA, DIS. ENAR CREAR ESTRATEGIAS COMERCL - Do Not Bring to Interview hitps:ceac state goviGenNIVicommaniprintappicaon aspx778OmF %2b64uavwwAY.20TakOKIg7 JOM yiHpwuttSOK%36 a621823, 1951 Consular Electron Application Genter- Print Application Su copia personal: no la Ileve a la entrevista Were you previously employed? Have you attended any educational institutions at @ secondary level or above? Name of Institution (1) Agdress of Institution: city State/Province: Postal Zone/ZIP Code: Country/Region: Course of study: Date of Attendance From: Date of Attendance To: Name of Institution (2) Agdress of Insti city State/Province: Postal Zone/ZIP Code: Country/Region: tion Course of Study: Date of Attendance From: Date of Attendance To: Do you belong to a clan or tribe? Provide a List of Languages You Speak: Language Name (1): Have you traveled to any countries/regions within the last five years? Have you belonged to, contributed to, or worked for any professional, social, or charitable organization? Do you have any specialized sills or training, such as firearms, explosives, nuclear, biological, or chemical experience? Have you ever served in the military? Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante unit, rebel group, guerrila group, or Insurgent organization? Security and Background Information Do you have @ communicable disease of public health significance? (Communicable diseases of public significance ALES PARA LA EMPRESA, No ves UNTR LA RIOIA CALLE 100 19 61 EDIFICIO CENTRO EMPRES BOGOTA DOES NOT APPLY DOES NOT APPLY COLOMBIA ADMINISTRACION DE EMPRESAS 19 JANUARY 2015 20 DECEMBER 2020 UNIR LA RIOIA CALLE 100 19 61 EDIFICIO CENTRO EMPRES BOGOTA DOES NOT APPLY DOES NOT APPLY COLOMBIA GERENCIA DE PROYECTOS 18 FEBRUARY 2021, (01 FEBRUARY 2023 No ESPANOL, No No No No No No include chancreid, gonorrhea, granuloma inguinale, infectious leprosy, Iymphogranuloma venereum, infectious stage syphilis, active tuberculosis, and others diseases as determine by the Department of Health and Human Services.) Do you have 2 mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others? ‘Are you or have you ever been a drug abuser or addict? Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other Similar action? Your Personal Copy No No No - Do Not Bring to Interview hitps:ceac state goviGenNIVicommaniprintappicaon aspx? 780m 2b64uavwwAY.20TakOKIg7 JOM WyiHpwuttSO%%36 40621823, 1951 Consular Electron Application Genter- Print Application Su copia personal: no la Ileve a la entrevista Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances? No Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been No lengaged in prostitution or procuring prostitutes within the past 10 years? Have you ever been involved in, or da you seek to engage in, money laundering? No Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the No United States? Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human No trafficking offense in the United States or outside the United States and have you within the last five years, knowingly benefited from the traficking activities? Have you knowingly aided, abetted, assisted or colluded with an individual whe has committed or conspired to No commit a severe human trafficking offense in the United States or outside the United States? Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the No United stetes? Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrarist No activities? Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist No organizations? Are you a member or representative of a terrorist organization? No Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing No financial assistance or other support to terrorists or terrorist organizations, in the last five years? Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? No Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? No Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, No or other acts of violence? Have you ever engaged in the recruitment or the use of the child soldiers? No Have you, while serving as a government official, been responsible for or directly carried out, at any time, No particularly severe violations of religious freedom? Have you ever been directly involved in the establishment or enforcement of the population controls forcing a No Woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or her free will? Have you ever been directly involved in the coercive transplantation of human organs or bodily tissue?’ No Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United No States immigration benefit by fraud or willful misrepresentatian or other unlewful means? Have you ever been removed or deported from any country? No Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal No custody by a U.S. court? Have you voted in the United States In violation of any law or regulation? No Have you ever renounced United States citizenship for the purpose of avoiding taxation? No Location Information Location where you will be submitting your application Current Location BOGOTA, COLOMBIA Preparer of Application Did anyone assist you in filing out this application? No Your Personal Copy -- Do Not Bring to Interview Usted firmé su solicitud de manera electrénica el 02-Apr-2023 06:51:06 (GMT-05:00). Se le requinié firmar su solicitud personalmente y de manera electrénica al menos que por reglamento quede exento de ello y alin si el formulario fue elaborado a su amore por alguien mas, Su firme electrénica certiica que usted ha leldo y entendido las preguntas en su solicitud de Visa de No- Tnmigrante y que ademas todas sus respuestas son verdaderas y realizadas a su mejor entencer y conviccion. La entrega de una soliitud conteniendo declaraciones falsas y engafiosas pueden resultar en la negativa permanente de una visa para entrar a los, Estados Unidas de Norteamérica. Tadas las declaraciones hechas en esta solcitud no estan sujetas a juramento pero deben ser hitps:ceac state goviGenNIVicommaniprintappicaon aspx? 780m 2b64uavwwAY.20TakOKIg7 JOIN yiHpwuttSO%%3621823, 1951 Consular Electron Application Genter- Print Application hechas bajo protesta de decir verdad. (28 U.S.C. 1746). La Informacién que usted ha proporcionado en su solicitud y alguna otra enviada junto con ésta, puede ser puesta a disposicién de otras agencias del gobierno con el derecho y la autoridad legal que les confiere para usar dicha informacién, incluso para propésitos el érden pablico y leyes de inmigracién. Sise obtienen huellas dactllares como parte de su proceso de solicitud, éstas pueden ser lsadas con el propésito ce compararias con otras husllas dactilares en el Sistema ce Identieacién de Siguiente Generacion (Next Generation Identification System) NGI por sus siglas en inglés, de la Oficina Federal de Investigacién (Federal Bureau of Investigation - FBI por sus siglas en inglés) 0 par sus sistemas subsecuentes (Incluyendo civiles, criminales y archivos existentes de huellas dactilares). La fotograffa que proporcione junto con su solictud puece ser utiizada pare verificacién de empleo w otros ropésitos competentes a la legislacién de las Estados Unidos de Norteamérica, hitps:ceac state goviGenNIVicommaniprintappicaon aspx? 780m %2b64uavwwAY.20TakOKIg7 JOM yiHpwuttSO%%36 6