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Personal, Address, Phone, and Passport Information: Do Not Bring This To Your Interview

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10/02/2022, 13:53 Non-Immigrant Visa - Review Personal, Address, Phone, and Passport Information

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Online Nonimmigrant Visa Application (DS-160) Application ID


AA00AMFUUD

Personal, Address, Phone, and Passport Information


Note: You have completed data entry for your NIV application. Before submitting the application, please review your entries below. To
navigate to the next section to be reviewed, click the ‘Next’ button on the bottom of the page. If an entry is incorrect, click on the links
on the right side of the page, which will direct you to the page where you entered the data. Once you have reviewed all sections, you
will be directed to the Sign and Submit page to complete the application process.
Photo Provided:

DO NOT BRING THIS TO YOUR INTERVIEW


Edit Personal Information

Name Provided: SAMANTARAY, SUBHAM

Full Name in Native Alphabet: DOES NOT APPLY

 Other Names Used: NO

Telecode Name Used: NO

Sex: MALE

Marital Status: SINGLE

Date of Birth: 10 AUGUST 1998

Country/Region of Birth: BALASORE, ODISHA, INDIA

Country/Region of Origin (Nationality): INDIA

Do you hold or have you held any nationality other than the one NO
indicated above on nationality?

Are you a permanent resident of a country/region other than your NO


country/region of origin (nationality) above?

National Identification Number: DOES NOT APPLY

U.S. Social Security Number: DOES NOT APPLY

U.S. Taxpayer ID Number: DOES NOT APPLY

Edit Address and Phone Information

Home Address: GPRA COMPLEX, CENTRAL GOVERMENT


ACCOMODA

EAST KIDWAI NAGAR

City: SOUTH WEST DELHI

State/Province: DELHI

Postal Zone/ZIP Code: 110023

Country/Region: INDIA

Same Mailing Address? YES

DO NOT BRING THIS TO YOUR INTERVIEW


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10/02/2022, 13:53 Non-Immigrant Visa - Review Personal, Address, Phone, and Passport Information

DO NOT BRING THIS TO YOUR INTERVIEW


Primary Phone Number: 7057292979

Secondary Phone Number: DOES NOT APPLY

Work Phone Number: DOES NOT APPLY

Have you used additional phone numbers in the last five years? NO

Email Address: subham98@gmail.com

Have you used additional email addresses in the last five years? NO

Do you have a social media presence?

Social Media Provider/Platform (1): FACEBOOK

Social Media Identifier: SUBHAM SAMANTARAY

Have you used additional social media platforms in the last five years? NO

Edit Passport/Travel Document Information

Passport/Travel Document Type: REGULAR

Passport/Travel Document Number: M6290186

Passport Book Number: DOES NOT APPLY

Country/Authority that Issued Passport/Travel Document: INDIA

City where issued: PANAJI

Country/Region where issued: INDIA

Issuance Date: 16 FEBRUARY 2015

Expiration Date: 15 FEBRUARY 2025

Have you ever lost a passport or had one stolen? NO

DO NOT BRING THIS TO YOUR INTERVIEW

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