Syed Ali Haider is applying for a B1/B2 temporary visitor visa to attend a business conference in Tucson, Arizona from October 18-23, 2014. He is currently a senior studying lasers and opto-electronics at Ghulam Ishaq Khan Institute of Engineering Sciences and Technology in Topi, Pakistan and will complete his bachelor's degree in June 2015. The conference is being paid for by The Optical Society where he is president of the student chapter at his university. He has no criminal history or communicable diseases.
Syed Ali Haider is applying for a B1/B2 temporary visitor visa to attend a business conference in Tucson, Arizona from October 18-23, 2014. He is currently a senior studying lasers and opto-electronics at Ghulam Ishaq Khan Institute of Engineering Sciences and Technology in Topi, Pakistan and will complete his bachelor's degree in June 2015. The conference is being paid for by The Optical Society where he is president of the student chapter at his university. He has no criminal history or communicable diseases.
Syed Ali Haider is applying for a B1/B2 temporary visitor visa to attend a business conference in Tucson, Arizona from October 18-23, 2014. He is currently a senior studying lasers and opto-electronics at Ghulam Ishaq Khan Institute of Engineering Sciences and Technology in Topi, Pakistan and will complete his bachelor's degree in June 2015. The conference is being paid for by The Optical Society where he is president of the student chapter at his university. He has no criminal history or communicable diseases.
Syed Ali Haider is applying for a B1/B2 temporary visitor visa to attend a business conference in Tucson, Arizona from October 18-23, 2014. He is currently a senior studying lasers and opto-electronics at Ghulam Ishaq Khan Institute of Engineering Sciences and Technology in Topi, Pakistan and will complete his bachelor's degree in June 2015. The conference is being paid for by The Optical Society where he is president of the student chapter at his university. He has no criminal history or communicable diseases.
Consular Electronic Application Center - Print Application
Online Nonimmigrant Visa Application (DS-160)
Application - Sensitive But Unclassified(SBU) We do not need a printed copy of your application at any point during your interview process. Only print this application if you want a copy for your own records. If you print your application, please keep it secure. Photo Provided:
C onfirmation Number:
Your Personal Copy -- Do Not Bring to Interview
Personal, Address, Phone, and Passport/Travel Document Information Name Provided:
HAIDER, SYED ALI
Full Name in Native Language:
DOES NOT APPLY
Other Names Used:
NO
Telecode Name Used:
NO
Sex:
MALE
Marital Status:
SINGLE
Date of Birth:
10 JUNE 1993
Place of Birth:
ISLAMABAD, PAKISTAN
C ountry/Region of Origin (Nationality):
PAKISTAN
Do you hold or have you held any nationality other than the one indicated above on nationality?
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Primary Phone Number:
923335175125
Secondary Phone Number:
925122606020
Work Phone Number:
923018375125
Email Address:
u2011403@giki.edu.pk
Passport/Travel Document Type:
REGULAR
Passport/Travel Document Number:
BA6974532
Passport Book Number:
C 4357977
C ountry/Authority that Issued Passport/Travel Document:
PAKISTAN
C ity Where Issued:
ISLAMABAD
C ountry/Region Where Issued:
PAKISTAN
Issuance Date:
22 MAY 2014
Expiration Date:
21 MAY 2019
Have you ever lost a passport or had one stolen?
NO
Travel Information The List of Purposes of Trip to the U.S. Purpose of Trip to the U.S. (1):
TEMP. BUSINESS PLEASURE VISITOR (B)
Specify:
BUSINESS/C ONFERENC E (B1)
Have you made specific travel plans?
YES
Provide a complete itinerary for your travel to the U.S.:
Date of Arrival in U.S.:
18 OC TOBER 2014
Arrival C ity:
TUC SON,ARIZONA
Date of Departure from U.S.:
23 OC TOBER 2014
Address where you will stay in the U.S.:
3800 W STARR PASS BLVD
Person/Entity Paying for Your Trip:
C OMPANY/ORGANIZATION
C ompany/Organization Paying for the Trip:
THE OPTIC AL SOC IETY
Telephone Number:
12022238130
Relationship to You:
PRESIDENT OF OPTIC AL SOC IETY STUDENT
C HAPTER AT GHULAM ISHAQ KHAN INSTITUTE (GIKI)
Address of C ompany/Organization Paying:
2010 MASSAC HUSETTS AVE, NW
C ity:
WASHINGTON, DC
State/Province:
WASHINGTON
Postal Zone/ZIP C ode:
20036
C ountry/Region:
UNITED STATES OF AMERIC A
Are there other persons traveling with you?
NO
Have you ever been in the U.S.?
NO
Have you ever been issued a U.S. visa?
NO
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?
NO
Has anyone ever filed an immigrant petition on your behalf with the
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United States C itizenship and Immigration Services?
U.S. Contact Information C ontact Person Name in the U.S.:
DO NOT KNOW
Organization Name in the U.S.:
THE OPTIC AL SOC IETY
Relationship to You:
OTHER
U.S. C ontact Address:
2010 MASSAC HUSETTS AVE, NW
WASHINGTON, DC , WASHINGTON 20036
Phone Number:
12022238130
Email Address:
chaptersandsections@osa.org
Family Information Father's Surnames:
HAIDER
Father's Given Names:
SYED MUMTAZ
Father's Date of Birth:
28 SEPTEMBER 1956
Is your father in the U.S.?
NO
Mother's Surnames:
HAIDER
Mother's Given Names:
SYEDA NOUREEN
Mother's Date of Birth:
23 MARC H 1963
Is your mother in the U.S.?
NO
Do you have any immediate relatives, not including parents in the
U.S.?
NO
Do you have any other relatives in the United States?
YES
Work/Education/Training Information Primary Occupation:
STUDENT
Present Employer or School Name:
GHULAM ISHAQ KHAN INSTITUTE OF
ENGINEERING SC IENC ES AND TEC HNOLOGY
Address:
GHULAM ISHAQ KHAN INSTITUTE (GIKI)
C ity:
TOPI
State/Province:
KHYBER PAKTHUNKHWA
Postal Zone/Zip C ode:
23640
C ountry/Region:
PAKISTAN
Work Phone Number:
920938271858
Monthly Salary in Local C urrency (if employed):
DOES NOT APPLY
Briefly Describe your Duties:
I AM C URRENTLY ENROLLED IN SEVENTH
SEMESTER(LAST YEAR) OF MY STUDIES AT GHULAM ISHAQ KHAN INSTITUTE MAJORING IN LASERS & OPTO-ELEC TRONIC S. I WILL C OMPLETE MY BAC HELORS DEGREE IN JUNE 2015.
Were you previously employed?
Have you attended any educational institutions at a secondary level or above?
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INTERNATIONAL SYMPOSIUM Name of Organization (7):
OIL AND GAS DEVELOPMENT C OMPANY LIMITED
OGDC L
Do you have any specialized skills or training, including firearms,
explosives, nuclear, biological, or chemical experience?
NO
Have you ever served in the military?
NO
Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante unit, rebel group, guerrilla group, or insurgent organization?
NO
Security and Background Information
Do you have a communicable disease of public health significance? (C ommunicable diseases of public significance include chancroid, gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma venereum, infectious stage syphilis, active tuberculosis, and others diseases as determined by the Department of Health and Human Services.)
NO
Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of yourself or others?
NO
Are you or have you ever been a drug abuser or addict?
NO
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action?
NO
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 engaged in prostitution or procuring prostitutes within the past 10 years?
NO
Have you ever been involved in, or do 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 United States?
NO
Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human trafficking offense in the United States or outside the United States and have you within the last five years, knowingly benefited from the trafficking activities?
NO
Have you knowingly aided, abetted, assisted or colluded with an individual who has committed or conspired to commit a severe human trafficking offense in the United States or outside the United States?
NO
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States?
NO
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities?
NO
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations?
NO
Are you a member or representative of a terrorist organization?
NO
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, or other acts of violence?
NO
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, particularly severe violations of religious freedom?
NO
Have you ever been directly involved in the establishment or enforcement of the population controls forcing a woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or her free will?
NO
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 States immigration benefit by fraud or willful misrepresentation or other unlawful means?
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Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court?
NO
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 C urrent Location:
ISLAMABAD, PAKISTAN
Preparer of Application Did anyone assist you in filling out this application?
NO
Your Personal Copy -- Do Not Bring to Interview
You electronically signed your application on 06-Jul-2014 02:43:46. You were required to electronically sign your application yourself, unless otherwise exempt by regulation, even if the application was prepared by someone other than yourself. Your electronic signature certifies that you have read and understood the questions in this application and that your answers are true and correct to the best of your knowledge and belief. The submission of an application containing any false or misleading statements may result in the permanent refusal of a visa or the denial of entry into the United States. All declarations made in this application are unsworn declarations made under penalty of perjury. (28 U.S.C . 1746). The information that you have provided in your application and other information submitted with your application may be accessible to other government agencies having statutory or other lawful authority to use such information, including for law enforcement and immigration law enforcement purposes. The photograph that you provide with your application may be used for employment verification or other U.S. law purposes.
