Hello DV Winning Friends, First of all, congratulations on being selected for the DV Lottery, and I wish you good luck for further process. The information presented herewith is about the DS-260 form that DV winners must fill out in the first round. A sample of the questions asked in this form is provided in this post. If you want to process the DV process qualitatively through Gorkhey Analysis, send your Mobile Number, DV Confirmation Page/Number, and Photo of Passport to our email: gorkheyanalysis@gmail.com.
More information is also in our Contact section. Thank you.
Online Immigrant Visa and Alien Registration Application (DS-260)
Personal, Address and Phone Information
Name Provided: |
************** |
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Full Name in Native
Language: |
************** |
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Other Names Used: |
************** |
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Sex: |
************** |
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Current Marital Status: |
************** |
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Date of Birth: |
************** |
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City of Birth: |
************** |
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State/Province of Birth: |
************** |
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Country/Region of Birth: |
************** |
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Country/Region of Origin
(Nationality): |
************** |
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Document Type: |
************** |
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Document ID: |
************** |
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Country/Authority that
Issued Document: |
************** |
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Issuance Date: |
************** |
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Expiration Date: |
************** |
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Do you hold or have you
held any nationality other than the one you have indicated above? |
************** |
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Present Address: |
************** |
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City: |
************** |
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State/Province: |
************** |
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Postal Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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From Date: |
************** |
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Have you lived anywhere
other than this address since the age of sixteen? |
************** |
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Primary Phone Number: |
************** |
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Secondary Phone Number: |
************** |
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Work Phone Number: |
************** |
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Other Telephone Numbers
Used: |
************** |
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Email Address: |
************** |
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Other Email Addresses
Used: |
************** |
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Social Media
Provider/Platform: |
************** |
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Social Media Identifier: |
************** |
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Other Social Media Used: |
************** |
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Is
your Mailing Address the same as your Present Address? Permanent Address |
************** |
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Name of person currently
living at address: |
************** |
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U.S. Address: |
************** ************** ************** |
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Phone Number: |
************** |
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Is
this address where you want your Permanent Residence Card (Green Card)
mailed? Family Information |
************** |
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Father's Surnames: |
************** |
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Father's Given Names: |
************** |
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Date of Birth: |
************** |
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City of Birth: |
************** |
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State/Province of Birth: |
************** |
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Country/Region of Birth: |
************** |
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Is your father still
living? |
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Current Address: |
************** |
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City: |
************** |
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State/Province: |
************** |
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Postal Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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Mother's Surnames at
Birth: |
************** |
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Mother's Given Names: |
************** |
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Date of Birth: |
************** |
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City of Birth: |
************** |
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State/Province of Birth: |
************** |
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Country/Region of Birth: |
************** |
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Is
your mother still living? Is your mother's address
the same as your father's? |
************** |
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Current Address: |
************** |
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City: |
************** |
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State/Province: |
************** |
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Postal Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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Spouse's Full Name: |
************** |
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Spouse's Date of Birth: |
************** |
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Spouse's City of Birth: |
************** |
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Spouse's State/Province
of Birth: |
************** |
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Spouse's Country/Region
of Birth: |
************** |
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Spouse's Address: |
************** |
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Occupation: |
************** |
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Date of Marriage: |
************** |
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Marriage City: |
************** |
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Marriage State/Province: |
************** |
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Marriage Country/Region: |
************** |
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Is your spouse
immigrating to the U.S.with you? |
************** |
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Do you have any Previous
Spouses? |
************** |
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Do
you have any children? Previous U.S. Travel Information |
************** |
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Have you ever been in the
U.S.? |
************** |
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Have you ever been issued
a U.S. Visa? |
************** |
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Have
you ever been refused a U.S. Visa, been refused admission to the United
States, or withdrawn your application for admission at the |
************** |
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port
of entry? Work/Education/Training Information |
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Primary Occupation: |
************** |
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Specify Other: |
************** |
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Present Employer or
School Name: |
************** |
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Address: |
************** |
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City: |
************** |
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State/Province: |
************** |
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Postal Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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************** |
NO |
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Do you have other
occupations? |
************** |
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In which occupation do
you intend to work in the U.S.? |
************** |
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Specify Other: |
************** |
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Were you previously
employed? |
************** |
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Have you attended
any educational institutions? **************
Highest Level of
Education Completed |
************** |
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Number of Educational
Institutions Attended: |
************** |
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Name of Institution (1): |
************** |
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Address of Institution: |
************** ************** |
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City: |
************** |
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State/Province: |
************** |
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Postal Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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Course
of Study: |
************** |
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Degree
or Diploma: |
************** |
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Date
of Attendance From: |
************** |
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Date
of Attendance To: |
************** |
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Name
of Institution (2): |
************** |
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Address
of Institution: |
************** |
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City: |
************** |
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State/Province: |
************** |
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Postal
Zone/ZIP Code: |
************** |
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Country/Region: |
************** |
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Course
of Study: |
EDUCATION
PEDAGOGY |
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Degree
or Diploma: |
HIGHER SECONDARY EDUCATIONAL
BOARD |
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Date
of Attendance From: |
19
DECEMBER 2010 |
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Date
of Attendance To: |
30
NOVEMBER 2012 |
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Name
of Institution (3): |
MAHENDRA
RATNA CAMPUS |
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Address
of Institution: |
TAHACHAL |
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City: |
KATHMANDU |
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State/Province: |
BAGMATI |
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Postal
Zone/ZIP Code: |
DOES
NOT APPLY |
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Country/Region: |
NEPAL |
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Course
of Study: |
GENERAL
ENGLISH, EDUCATIONAL |
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PSYCHOLOGY |
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Degree
or Diploma: |
DEGREE |
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Date
of Attendance From: |
29
DECEMBER 2013 |
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Date
of Attendance To: |
21
DECEMBER 2016 |
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Have you traveled to any
countries/regions within the last five years? |
NO |
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Have you ever served in
the military? |
NO |
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Have you belonged to,
contributed to, or worked for any professional, social, or charitable
organization? |
NO |
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Do you have any
specialized skills or training, including firearms, explosives, nuclear,
biological, or chemical experience? |
NO |
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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 |
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Can
you speak and/or read languages other than your native language? |
YES |
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List the languages that
you speak and/or read: |
ENGLISH HINDI |
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Interview
Location: KATHMANDU,
NEPAL Security and Background Information |
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Do you have a
communicable disease of public health significance such as tuberculosis (TB)? |
NO |
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Do
you have documentation to establish that you have received vaccinations in
accordance with U.S. law? Explain: NOT AVAILABLE
IN NEPAL |
NO |
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Do you have a mental or
physical disorder that poses or is likely to pose a threat to the safety or
welfare |
NO |
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of
yourself or others?
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, NO amnesty, or other similar
action? Have you ever violated, or
engaged in a conspiracy to violate, any law relating to controlled
substances? NO Are you the spouse, son, or daughter of an individual
who has violated any controlled substance trafficking NO law, and have knowingly benefited from the trafficking
activities in the past five years? Are you coming to the United States to engage in
prostitution or unlawful commercialized vice or have you NO been engaged in prostitution 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 NO outside the United States? Have you ever knowingly aided, abetted, assisted, or
colluded with an individual who has been identified NO by the President of the
United States as a person who plays a significant role in a severe form of
trafficking in persons? Are you the spouse, son, or daughter of an individual
who has committed or conspired to commit a human NO 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? Do you seek to engage in espionage, sabotage, export
control violations, or any other illegal activity while NO in the United States? Do you seek to engage in terrorist activities while in
the United States or have you ever engaged in NO terrorist activities? Have you ever or do you
intend to provide financial assistance or other support to terrorists or
terrorist NO organizations? 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
NO providing financial assistance or 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 violence? |
NO |
Have you ever engaged in
the recruitment of or the use of 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 |
Are you a member of or
affiliated with the Communist or other totalitarian party? |
NO |
Have you ever directly or
indirectly assisted or supported any of the groups in Columbia known as the
Revolutionary Armed Forces of Columbia (FARC), National Liberation Army
(ELN), or United Self-Defense Forces of Columbia (AUC)? |
NO |
Have
you ever, through abuse of governmental or political position converted for
personal gain, confiscated or expropriated property in a foreign nation to
which a United States national had claim of ownership? |
NO |
Are you the spouse, minor
child, or agent of an individual who has through abuse of governmental or
political position converted for personal gain, confiscated or expropriated
property in a foreign nation to which a United States national had claim of
ownership? |
NO |
Have
you ever been directly involved in the establishment or enforcement of
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
choice? |
NO |
Have you ever disclosed
or trafficked in confidential U.S. business information obtained in
connection with U.S. participation in the Chemical Weapons Convention? |
NO |
Are
you the spouse, minor child, or agent of an individual who has disclosed or
trafficked in confidential U.S. business information obtained in connection
with U.S. participation in the Chemical Weapons Convention? |
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? |
NO |
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 ever intentionally assisted another person in withholding 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 or a public secondary school on student (F) status
after November 40, 1996 without reimbursing the school? |
NO |
Do
you seek to enter the United States for the purpose of performing skilled or
unskilled labor but have not yet been certified by the Secretary of Labor? |
NO |
Are
you a graduate of a foreign medical school seeking to perform medical
services in the United States but have not yet passed the National Board of
Medical Examiners examination or its equivalent? |
NO |
Are
you a health care worker seeking to perform such work in the United States
but have not yet received certification from the Commission on Graduates of
Foreign Nursing Schools or from an equivalent approved independent
credentialing organization? |
NO |
Are you permanently
ineligible for U.S. citizenship? |
NO |
Have you ever departed
the United States in order to evade military service during a time of war? |
NO |
Are you coming to the
U.S. to practice polygamy? |
NO |
Are
you a former exchange visitor (J) who has not yet fulfilled the two-year
foreign residence requirement? |
NO |
Has the Secretary of
Homeland Security of the United States ever determined that you knowingly
made a frivolous application for asylum? |
NO |
Are
you likely to become a public charge after you are admitted to the United
States? Social Security Number
Information Have
you ever applied for a Social Security number? NO Do
you want the Social Security Administration to issue a Social YES Security
number and a card? Do
you authorize disclosure of information from this form to the YES Department of Homeland Security, the Social Security
Administration, and such other U.S. Government agencies as may be required
for the purposes of assigning you a social security number (SSN) and issuing
you a Social Security card and do you authorize the Social Security
Administration to share your SSN with the Department of Homeland Security? Preparer of Application: Did anyone assist you in
filling out this application? NO Click here for more information on what to send us. |
NO |
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