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5/5/2016

NonimmigrantVisaConfirmationPage

OnlineNonimmigrantVisaApplication(DS160)

Confirmation
ThisconfirmsthesubmissionoftheNonimmigrantvisa
applicationfor:
Name
Provided:

PATEL,SUDHIRKUMAR
DAHYABHAI

DateOfBirth:

20OCT1990

PlaceofBirth:

RAMPURA,INDIA

Gender:

Male

Country/Region INDIA
ofOrigin
(Nationality):
Passport
Number:

L8391905

Purposeof
Travel:

STUDENT(F1)

LocationSelected:
BMB
U.S.ConsulateGeneralMumbai
C49,GBlock,(NearHotelTrident
BKC)
BandraKurlaComplex,
BandraEast,
Mumbai400051,India

CompletedOn: 05MAY2016
Confirmation
No:

AA005YHDK6

THISISNOTAVISA

Version01.02.02

Note:ElectronicallysubmittingyourDS160onlineapplicationistheFIRSTSTEPinthevisaapplicationprocess.Thenextstepisto
reviewtheinternetpageoftheembassyorconsulatewhereyouplantoapplyforyourvisa.Mostvisaapplicantswillneedto
scheduleavisainterview,thoughsomeapplicantsmayqualifyforvisarenewal.Theembassyorconsulateinformationmayinclude
specificlocalinstructionsaboutschedulinginterviews,submittingyourvisaapplication,andotherfrequentlyaskedquestions.
YOUMUSTBRINGtheconfirmationpageandthefollowingdocument(s)withyoutotheApplicationServiceCenter:
PassportI20AorB/orI20MNProofofSEVISregistrationandfeepayment
Youmayalsoprovideanyadditionaldocumentsyoufeelwillsupportyourcase.

https://ceac.state.gov/GenNIV/General/ESign/Complete_Done.aspx?node=Done

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5/5/2016

NonimmigrantVisaConfirmationPage

Instructions
YOUMUSTSUBMITtheconfirmationpagewithaclearandlegiblebarcodeatthetimeofyourinterview.Ifyoudonothaveaccess
toaprinteratthistime,selecttheoptiontoemailyourconfirmationpagetoanemailaddress.Youmayprintoremailyour
applicationforyourownrecords.YOUDONOTneedtosubmittheapplicationatthetimeoftheinterview.
Pleasenotethatyouwillberequiredtoprovideproofthatyouhavepaidthevisaapplicationfeeandanyotherfeesassociatedwith
yourapplication.Theremaybeotherfeesassociatedwiththevisaapplicationprocess.Pleasecheckyourcountry'sReciprocity
Scheduleforanyotherfeesyoumayowe.
Ifyouhavefurtherquestions,ortofindouthowtocontacttheConsularPost,pleasegotohttp://www.ustraveldocs.com/inor
http://travel.state.gov.
YouhaveindicatedthatyouareapplyingforaF,M,orJvisa.Ifyouarenotreturningtothesameprogramand/oryoufelloutof
studentstatus,youmustpayaSEVISfee(http://www.ice.gov/sevis/).YoushouldbringyourSEVISfeereceiptwithyoutoyour
interview.Thefeeshouldbepaidatleastthreebusinessdayspriortoyourscheduledappointmentdate.
NOTE:Unlessexemptfromaninterview,youwillberequiredtosignyourapplicationbyprovidingabiometricsignature,i.e.your
fingerprintbeforeaconsularofficer.Byprovidingthisbiometricsignatureyouarecertifyingunderpenaltyofperjurythatyouhave
readandunderstoodthequestionsinyournonimmigrantvisaapplicationandthatallstatementsthatappearinyournonimmigrant
visaapplicationhavebeenmadebyyouandaretrueandcompletetothebestofyourknowledgeandbelief.Furthermoreatthe
timeofyourinterview,youwillberequiredtocertifyunderpenaltyofperjurythatallstatementsinyourapplicationandthose
madeduringyourinterviewaretrueandcompetetothebestofyourknowledgeandbelief.
Youelectronicallysignedyourapplicationon05May201602:54:17(GMT05:00).Youwererequiredtoelectronicallysignyour
applicationyourself,unlessotherwiseexemptbyregulation,eveniftheapplicationwaspreparedbysomeoneotherthanyourself.
Yourelectronicsignaturecertifiesthatyouhavereadandunderstoodthequestionsinthisapplicationandthatyouranswersare
trueandcorrecttothebestofyourknowledgeandbelief.Thesubmissionofanapplicationcontaininganyfalseormisleading
statementsmayresultinthepermanentrefusalofavisaorthedenialofentryintotheUnitedStates.Alldeclarationsmadeinthis
applicationareunsworndeclarationsmadeunderpenaltyofperjury.(28U.S.C.1746).
YoucertifiedthatyouunderstandthatyouarerequiredtosubmityourvisatotheUnitedStatesImmigrationOfficerattheport
whereyouapplytoentertheUnitedStates,andthatpossessionofthevisadoesnotentitleyoutoentertheUnitedStatesif,upon
yourarrival,youarefoundtobeinadmissibleunderU.S.immigrationlaws.Youcertifiedthatyouunderstandthatanywillfullyfalse
ormisleadingstatementorwillfulconcealmentofamaterialfactmadebyyouwithintheapplicationmaysubjectyoutopermanent
exclusionfromtheUnitedStatesand,ifyouareadmittedtotheUnitedStates,maysubjectyoutocriminalprosecutionand/or
deportation.
Theinformationthatyouhaveprovidedinyourapplicationandotherinformationsubmittedwithyourapplicationmaybeaccessible
toothergovernmentagencieshavingstatutoryorotherlawfulauthoritytousesuchinformation,includingforlawenforcementand
immigrationlawenforcementpurposes.Iffingerprintsarecollectedaspartofyourapplicationprocess,theymaybeusedforthe
purposeofcomparingthemtootherfingerprintsintheFBIsNextGenerationIdentification(NGI)fingerprintsystemoritssuccessor
systems(includingcivil,criminal,andlatentfingerprintrepositories).Thephotographthatyouprovidewithyourapplicationmaybe
usedforemploymentverificationorotherU.S.lawpurposes.

https://ceac.state.gov/GenNIV/General/ESign/Complete_Done.aspx?node=Done

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