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OnlineNonimmigrantVisaApplication(DS160)

Confirmation

This confirms the submission of the Nonimmigrant visa application for:

Name
Provided:

MALANCEA, LUDMI
LA

Date Of Birth: 06 OCT 1962

PURCARI,
MOLDOVA

Gender:

Female

Country/Regi
on of Origin MOLDOVA
(Nationality) :
Passport
Number:

B0918739

Purpose of
Travel:

BUSINESS/PERSONA
L (B1/B2)

Completed
On:

03 SEP 2014

Confirmation
No:

AA004CL6B
4

Location Selected:
CHS
Embassy of the
United States of
America
103 Mateevici
Street
Chisinau MD-2009
Republic of
Moldova
Version 01.02.01

THIS IS NOT A VISA

Print Application

Email Confirmation

Note: Electronically submitting your DS-160 online application is the FIRST STEP in the visa application
process. The next step is to review the internet page of the embassy or consulate where you plan to apply
for your visa. Most visa applicants will need to schedule a visa interview, though some applicants may
qualify for visa renewal. The embassy or consulate information may include specific local instructions about
scheduling interviews, submitting your visa application, and other frequently asked questions.
YOU MUST BRING the confirmation page and the following document(s) with you at all steps during the
application process:
Passport
You may also provide any additional documents you feel will support your case.

Instructions

YOU MUST SUBMIT the confirmation page with a clear and legible barcode at the time of your interview. If
you do not have access to a printer at this time, select the option to email your confirmation page to an
email address. You may print or email your application for your own records. YOU DO NOT need to submit
the application at the time of the interview.
Please note that you will be required to provide proof that you have paid the visa application fee and any
other fees associated with your application. There may be other fees associated with the visa application
process. Please check your country's Reciprocity Schedule for any other fees you may owe.
If you have further questions, or to find out how to contact the Consular Post, please go
tohttp://moldova.usembassy.gov/ or http://travel.state.gov .

NOTE: Unless exempt from an interview, you will be required to sign your application by providing a
biometric signature, i.e. your fingerprint before a consular officer. By providing this biometric signature you
are certifying under penalty of perjury that you have read and understood the questions in your
nonimmigrant visa application and that all statements that appear in your nonimmigrant visa application
have been made by you and are true and complete to the best of your knowledge and belief. Furthermore at
the time of your interview, you will be required to certify under penalty of perjury that all statements in your
application and those made during your interview are true and compete to the best of your knowledge and
belief.
You electronically signed your application on 9/3/2014 4:29:40 PM (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).
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. The
photograph that you provide with your application may be used for employment verification or other U.S.
law purposes.
This site is managed by the Bureau of Consular Affairs, U.S. Department of State. External links to other
Internet sites should not be construed as an endorsement of the views contained therein.
Copyright Information Disclaimers Paperwork Reduction Act

SelectTooltipLanguage

English

Exit

OnlineNonimmigrantVisaApplication(DS160)
Confirmation
This confirms the submission of the Nonimmigrant visa application for:

Name
Provided:

MALANCEA, GHEOR
GHE

Date Of Birth: 01 AUG 1960

Male

Country/Regi MOLDOVA

Location
Selected:
CHS
Embassy of the
United States of
America
103 Mateevici
Street
Chisinau MD2009

Republic of
Moldova

on of Origin
(Nationality) :
Passport
Number:

B0918738

Purpose of
Travel:

BUSINESS/PERSON
AL (B1/B2)

Completed
On:

03 SEP 2014

Confirmation
No:

AA004CLG
5C

Version 01.02.01

THIS IS NOT A VISA

Print Application

Email Confirmation

Note: Electronically submitting your DS-160 online application is the FIRST STEP in the visa application
process. The next step is to review the internet page of the embassy or consulate where you plan to apply
for your visa. Most visa applicants will need to schedule a visa interview, though some applicants may
qualify for visa renewal. The embassy or consulate information may include specific local instructions about
scheduling interviews, submitting your visa application, and other frequently asked questions.

YOU MUST BRING the confirmation page and the following document(s) with you at all steps during the
application process:
Passport
You may also provide any additional documents you feel will support your case.

Instructions
YOU MUST SUBMIT the confirmation page with a clear and legible barcode at the time of your interview. If
you do not have access to a printer at this time, select the option to email your confirmation page to an
email address. You may print or email your application for your own records. YOU DO NOT need to submit
the application at the time of the interview.
Please note that you will be required to provide proof that you have paid the visa application fee and any
other fees associated with your application. There may be other fees associated with the visa application
process. Please check your country's Reciprocity Schedule for any other fees you may owe.
If you have further questions, or to find out how to contact the Consular Post, please go
tohttp://moldova.usembassy.gov/ or http://travel.state.gov .
NOTE: Unless exempt from an interview, you will be required to sign your application by providing a
biometric signature, i.e. your fingerprint before a consular officer. By providing this biometric signature you
are certifying under penalty of perjury that you have read and understood the questions in your
nonimmigrant visa application and that all statements that appear in your nonimmigrant visa application
have been made by you and are true and complete to the best of your knowledge and belief. Furthermore at

the time of your interview, you will be required to certify under penalty of perjury that all statements in your
application and those made during your interview are true and compete to the best of your knowledge and
belief.
You electronically signed your application on 9/3/2014 4:52:30 PM (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).
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. The
photograph that you provide with your application may be used for employment verification or other U.S.
law purposes.
This site is managed by the Bureau of Consular Affairs, U.S. Department of State. External links to other
Internet sites should not be construed as an endorsement of the views contained therein.
Copyright Information Disclaimers Paperwork Reduction Act