Ds156 Complete
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- Words: 128
- Pages: 3
11/30/2010
XX2024035
Pagadian City
PHILIPPINES
PHILIPPINES
13 SEPTEMBER 2008
Zamboanga del sur 12 SEPTEMBER 2013
mengo nonan norginia 18 NOVEMBER 1978 PHILIPPINES
Zamboanga del sur
PHILIPPINES
P 5, Karpok Lapuyan Zamboanga del sur 7034 PHILIPPINES
X
0622143810
0639269048833
X City Government of PagadianSangguniang Panlungsod
Legilative bldg., Sagun St., San Francisco Dist.,Pagadian City
norginiam@ yahoo.com
government employee
Z1MC1QPZL2
X
11-2007
X
X
X
X
X X X
X
X
X X
X X X X X X
X
U.S. Department of State SUPPLEMENT TO NONIMMIGRANT VISA APPLICATION PLEASE BE SURE TO SUBMIT THIS PAGE WITH THE REST OF YOUR APPLICATION DO NOT MARK OR WRITE IN THIS SPACE
nonan mengo
Barcode Number: Z1MC1QPZL2 29. Additional Visits to the U.S.:
30. Additional Visa Issuances:
31. Additional Visa Refusals:
EVAF 02.02.10
XX2024035
Pagadian City
PHILIPPINES
PHILIPPINES
13 SEPTEMBER 2008
Zamboanga del sur 12 SEPTEMBER 2013
mengo nonan norginia 18 NOVEMBER 1978 PHILIPPINES
Zamboanga del sur
PHILIPPINES
P 5, Karpok Lapuyan Zamboanga del sur 7034 PHILIPPINES
X
0622143810
0639269048833
X City Government of PagadianSangguniang Panlungsod
Legilative bldg., Sagun St., San Francisco Dist.,Pagadian City
norginiam@ yahoo.com
government employee
Z1MC1QPZL2
X
11-2007
X
X
X
X
X X X
X
X
X X
X X X X X X
X
U.S. Department of State SUPPLEMENT TO NONIMMIGRANT VISA APPLICATION PLEASE BE SURE TO SUBMIT THIS PAGE WITH THE REST OF YOUR APPLICATION DO NOT MARK OR WRITE IN THIS SPACE
nonan mengo
Barcode Number: Z1MC1QPZL2 29. Additional Visits to the U.S.:
30. Additional Visa Issuances:
31. Additional Visa Refusals:
EVAF 02.02.10
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