OMB APPROVAL NO. 1405-0015 EXPIRES: 06/30/2015 APPLICATION FOR ...

DS-230 Part I 07-2012 7. Nationality (If dual national, give both.) Page 1 of 4 12. Present Occupation 4. Date of Birth (mm-dd-yyyy) 5. Age 6. Place of Birth (City or Town) (Province) (Country) Telephone number U.S ...

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