12/04/2021 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:

Confirmation Number:

Your Personal Copy -- Do Not Bring to Interview

Personal, Address, Phone, and Passport/Travel Document Information
Name Provided: SHAHID, ZOYA

Full Name in Native Language: DOES NOT APPLY

Other Names Used: NO

Telecode Name Used: NO

Sex: FEMALE

Marital Status: SINGLE

Date of Birth: 24 SEPTEMBER 1992

Place of Birth: KARACHI, PAKISTAN

Country/Region of Origin (Nationality): PAKISTAN

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: 4220196392544

U.S. Social Security Number: DOES NOT APPLY

U.S. Taxpayer ID Number: DOES NOT APPLY

Home Address: A-84 SINDH BALOCH SOCITEY GULISTAN E JOH

City: KARACHI

State/Province: KARACHI

Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: PAKISTAN

Same Mailing Address? YES

Primary Phone Number: 03227475372

Secondary Phone Number: DOES NOT APPLY

Work Phone Number: DOES NOT APPLY

Do you have any additional phone numbers? NO

Email Address: [email protected]

Do you have any additional email addresses? YES

Additional Email: (1): [email protected]

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Do you have a social media presence?

Social Media Platform: (1): FACEBOOK

Social Media Identifier: ZOYA SHAHID

Social Media Platform: (2): LINKEDIN

Social Media Identifier: ZOYA SHAHID

Do you have any additional social media presence? NO

Passport/Travel Document Type: REGULAR

Passport/Travel Document Number: RA5142542

Passport Book Number: E3225372

Country/Authority that Issued Passport/Travel Document: PAKISTAN

City Where Issued: KARACHI

State/Province Where Issued: KARACHI

Country/Region Where Issued: PAKISTAN

Issuance Date: 06 JUNE 2016

Expiration Date: 05 JUNE 2021

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: TOURISM/MEDICAL TREATMENT (B2)

Have you made specific travel plans? NO

Intended Date of Arrival: 01 JULY 2021

Intended Length of Stay in U.S.: 1 MONTH(S)

Address where you will stay in the U.S.: 12464 CARVER LANE HUNTLEY IL 60142

Person/Entity Paying for Your Trip: SELF

Are there other persons traveling with you? YES

Are you traveling as part of a group or organization? NO

Persons Traveling with You:

Name (1): SHAHID, SURRIYA

Relationship to You: PARENT

Have you ever been in the U.S.? YES

Date Arrived (1): 31 MAY 2013

Length of Stay: 1 MONTH(S)

Do you or did you hold a U.S. Driver's License? NO

Have you ever been issued a U.S. Visa? YES

Date Last Visa was Issued: 14 NOVEMBER 2012

Visa Number: DO NOT KNOW

Are you applying for the same type of visa? YES

Are you applying in the same country where the visa above is issued YES
and is this country your principal country of residence?

Have you been ten-printed? YES

Has your U.S. Visa ever been lost or stolen? NO

Has your U.S. Visa ever been cancelled or revoked? NO

Have you ever been refused a U.S. Visa, or been refused admission to NO
the United States, or withdrawn your application for admission at the
port of entry?

Has anyone ever filed an immigrant petition on your behalf with the NO
United States Citizenship and Immigration Services?

U.S. Contact Information

Contact Person Name in the U.S.: ALAM, SUMERA

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Organization Name in the U.S.: DO NOT KNOW

Relationship to You: RELATIVE

U.S. Contact Address: 12464 CARVER LANE HUNTLEY IL 60142

CHICAGO, ILLINOIS

Phone Number: 0016308634519

Email Address: DOES NOT APPLY

Family Information
Father's Surnames: SHAIKH

Father's Given Names: MUHAMMAD SHAHID AKHTAR

Father's Date of Birth: DO NOT KNOW

Is your father in the U.S.? NO

Mother's Surnames: SHAHID

Mother's Given Names: SURRIYA

Mother's Date of Birth: DO NOT KNOW

Is your mother in the U.S.? NO

Do you have any immediate relatives, not including parents in the U.S.? YES

Relative Name (1): ALAM, SUMERA

Relationship to you: SIBLING

Status: U.S. CITIZEN

Work/Education/Training Information
Primary Occupation: RESEARCH

Present Employer or School Name: KHAADI

Address: 22ND FLOOR, SKY TOWER B - EAST WING

DOLMEN MALL, KARACHI

City: KARACHI

State/Province: DOES NOT APPLY

Postal Zone/Zip Code: DOES NOT APPLY

Country/Region: PAKISTAN

Work Phone Number: 111542234

Monthly Salary in Local Currency (if employed): 320000

Briefly Describe your Duties: I HEAD THE E-COM ANALYTICS UNI

T FOR KHAADI ACROSS PAKISTAN

Were you previously employed? YES

Employer Name (1): TPL CORP

Employer Address: 12TH FLOOR,

CENTREPOINT
BUILDING

OFF SHAHEED-E-MILLAT EXPRESSWAY

City: KARACHI

State/Province: DOES NOT APPLY

Postal Zone/Zip Code: DOES NOT APPLY

Country/Region: PAKISTAN

Telephone Number: 03227475372

Job Title: CMO

Supervisor's Surname: FARAH

Supervisor's Given Name: SAYEED

Employment Date From: 05 MAY 2018

Employment Date To: 05 DECEMBER 2020

Briefly describe your duties: I WAS THE HEAD OF INSIGHTS AND

DIGITAL FOR ALL GROUP COMPANI
ES

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Have you attended any educational institutions at a secondary level or YES
above?

Name of Institution (1): IOBM

Address of Institution: KORANGI CREEK, KARACHI, KARACHI CITY

City: KARACHI

State/Province: DOES NOT APPLY

Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: PAKISTAN

Course of Study: BUSINESS ADMIN

Date of Attendance From: 01 AUGUST 2011

Date of Attendance To: 01 AUGUST 2015

Do you belong to a clan or tribe? NO

Provide a List of Languages You Speak:

Language Name (1): URDU

Language Name (2): ENGLISH

Language Name (3): PUNJABI

Have you traveled to any countries/regions within the last five years? NO

Have you belonged to, contributed to, or worked for any professional, YES
social, or charitable organization?

Name of Organization (1): END7

Name of Organization (2): CRISIS TEXTLINE

Do you have any specialized skills or training, such as firearms, NO

explosives, nuclear, biological, or chemical experience?

Have you ever served in the military? NO

Have you ever served in, been a member of, or been involved with a NO
paramilitary unit, vigilante unit, rebel group, guerrilla group, or
insurgent organization?

Security and Background Information

Do you have a communicable disease of public health significance? (Communicable diseases of public significance include chancroid, NO
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.)

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 NO
or procuring prostitutes within the past 10 years?

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 NO
United States or outside the United States and have you within the last five years, knowingly benefited from the trafficking activities?

Have you knowingly aided, abetted, assisted or colluded with an individual who has committed or conspired to commit a severe human NO
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 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

Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing financial assistance or NO
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, or other acts of NO
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, particularly severe violations of NO

Your Personal Copy -- Do Not Bring to Interview

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religious freedom?

Have you ever been directly involved in the establishment or enforcement of the population controls forcing a woman to undergo an NO
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 been the subject of a removal or deportation hearing? 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 NO
benefit by fraud or willful misrepresentation or other unlawful means?

Have you failed to attend a hearing on removability or inadmissibility within the last five years? NO

Have you ever been unlawfully present, overstayed the amount of time granted by an immigration official or otherwise violated the terms NO
of a U.S. visa?

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 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

Have you attended a public elementary school on student (F) status or a public secondary school after November 30, 1996 without NO
reimbursing the school?

Location Information
Location where you will be submitting your application

Current Location: KARACHI, 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 12-Apr-2021 12:29:10 (GMT-05:00). 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).

You certified that you understand that you are required to submit your visa to the United States Immigration Officer at the port where you apply to enter the
United States, and that possession of the visa does not entitle you to enter the United States if, upon your arrival, you are found to be inadmissible under U.S.
immigration laws. You certified that you understand that any willfully false or misleading statement or willful concealment of a material fact made by you within
the application may subject you to permanent exclusion from the United States and, if you are admitted to the United States, may subject you to criminal
prosecution and/or deportation.

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. If
fingerprints are collected as part of your application process, they may be used for the purpose of comparing them to other fingerprints in the FBI’s Next
Generation Identification (NGI) fingerprint system or its successor systems (including civil, criminal, and latent fingerprint repositories). The photograph that
you provide with your application may be used for employment verification or other U.S. law purposes.

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