Ds156

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11/30/2010

XX0481496

PASAY

PHILIPPINES

PHILIPPINES

07 FEBRUARY 2008

METRO MANILA 06 FEBRUARY 2013

LECITONA KACEY ANNE HULIGANGA

08 JULY 1986 NAGUILIAN

PHILIPPINES

LA UNION

UNIT 203 PAZ LIM CHAY BUILDING, 28 E. RODRIGUEZ SR. AVENUE BARANGAY DON MANUEL, QUEZON CITY 1102 PHILIPPINES

X 632-742-2770

0927-398-4058

X THE PHILIPPINE WOMEN'S UNIVERSITY

TAFT AVENUE, MANILA 1004 PHILIPPINES sybil_08@ yahoo.com

STUDENT

25 JANUARY 2009

5206 FEATHER RIVER DRIVE STOCKTON, CALIFORNIA 95207

N1OF4I1OAK ELOISE H. LECITONA

209-403-3367 0910-771-2445

1 MONTH

TO VISIT MY RELATIVES AND TO TOUR

X MY MOTHER

11-2007

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

KACEY ANNE HULIGANGA LECITONA

Barcode Number: N1OF4I1OAK 29. Additional Visits to the U.S.:

30. Additional Visa Issuances:

31. Additional Visa Refusals:

EVAF 02.02.10

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