Nonimmigrant Visa - Confirmation Page https://ceac.state.gov/GENNIV/General/ESign/Complete_Done.aspx?no...

Online Nonimmigrant Visa Application (DS-160)

Confirmation
This confirms the submission of the Nonimmigrant visa
application for:

Name PATIL, AJINKYA Location Selected:

Provided:
BMB
Date Of Birth: 11 AUG 1988 U.S. Consulate General Mumbai
Place of Birth: NAGPUR, INDIA
C-49, G-Block, (Near Hotel Trident
Gender: Male
- BKC)
Country/Region INDIA Bandra Kurla Complex,
of Origin
(Nationality) : Bandra East,
Passport J2745423
Mumbai 400051, India
Number:
Purpose of STUDENT (F1)
Travel:
Completed On: 31 MAY 2013
Confirmation AA0033GX8P
No:

THIS IS NOT A VISA Version 01.02.00

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 to the Application Service Center:
Passport; I-20A or B/or I-20MN; Proof of SEVIS registration and fee payment

You may also provide any additional documents you feel will support your case.

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Nonimmigrant Visa - Confirmation Page https://ceac.state.gov/GENNIV/General/ESign/Complete_Done.aspx?no...

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 to http://www.ustraveldocs.com/in or
http://travel.state.gov .
You have indicated that you are applying for a F, M, or J visa. If you are not returning to the same program and/or you fell out of
student status, you must pay a SEVIS fee (http://www.ice.gov/sevis/). You should bring your SEVIS fee receipt with you to your
interview. The fee should be paid at least three business days prior to your scheduled appointment date.
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 5/31/2013 10:22:52 AM EST. 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.

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