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Non-Immigrant Visa - Review Personal, Address, Phone, and Passport Information

This document is an online nonimmigrant visa application for Beka Razmadze. It summarizes his personal information including his name, date of birth, country of birth, passport information, home address in Warsaw, Poland, and primary phone number. It prompts him to review all entered information before submitting the application and notes that corrections can be made by clicking links on the right side of the page. Once reviewed, it directs him to the sign and submit page to complete the application process.

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beqa.razmo1995
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52 views1 page

Non-Immigrant Visa - Review Personal, Address, Phone, and Passport Information

This document is an online nonimmigrant visa application for Beka Razmadze. It summarizes his personal information including his name, date of birth, country of birth, passport information, home address in Warsaw, Poland, and primary phone number. It prompts him to review all entered information before submitting the application and notes that corrections can be made by clicking links on the right side of the page. Once reviewed, it directs him to the sign and submit page to complete the application process.

Uploaded by

beqa.razmo1995
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Online Nonimmigrant Visa Application (DS-160) Application ID AA00CR1TOH

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: Upload New Photo

DO NOT BRING THIS TO YOUR INTERVIEW


Edit Personal Information

Name Provided: RAZMADZE, BEKA

Full Name in Native Alphabet: ბექა რაზმაძე


Other Names Used: NO

Telecode Name Used: NO

Sex: MALE

Marital Status: SINGLE

Date of Birth: 18 MARCH 1995

Country/Region of Birth: TBILISI, GEORGIA, GEORGIA

Country/Region of Origin (Nationality): GEORGIA

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

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


of origin (nationality) above?

National Identification Number: 01005030805

U.S. Social Security Number: DOES NOT APPLY

U.S. Taxpayer ID Number: DOES NOT APPLY

Edit Address and Phone Information

Home Address: KRYMSKA 5 FLAT 11

KRYMSKA 5

City: WARSAW

State/Province: POLAND

Postal Zone/ZIP Code: 02-759

Country/Region: POLAND

Same Mailing Address? YES

Primary Phone Number: +48504193545

DO NOT BRING THIS TO YOUR INTERVIEW

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