Transcription of U.S. Department of State Approved OMB 1405-0018 …
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U.S. Department of State Approved OMB 1405-0018 …
Nonimmigrant Visa Application Application - Sensitive But Unclassified(SBU) Photo Provided: Confirmation Number: Personal, Address, Phone, and Passport Information Name Provided: GUPTA , RAMESH Full Name in Native Language: DOES NOT APPLY Other Names Used: YES Other Name (1) : NONE , RAMESHBHAI Sex: MALE Marital Status: MARRIED Date of Birth: 01 JANUARY 1945 Place of Birth: MUMBAI , MAHARASHTRA , INDIA Nationality: INDIA Other Nationalities: NO National Identification Number: DOES NOT APPLY Social Security Number: DOES NOT APPLY Taxpayer ID Number: DOES NOT APPLY Home Address: 34 SHANKAR LANE City: BORIVALI State /Province: MAHARASHTRA Postal Zone/ZIP Code: 400034 Country: INDIA Same Mailing Address?
16. Home Telephone Number Business Phone Number Mobile/Cell Number 6.
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