11/28/24, 11:31 AM Consular Electronic Application Center - Print Application

Online Nonimmigrant Visa Application (DS-160)

Application - Sensitive But Unclassified(SBU)

We do not need a printed copy of your application at any point during your interview process. Only print this
application if you want a copy for your own records. If you print your application, please keep it secure.

Photo Provided:

Confirmation Number:

Your Personal Copy -- Do Not Bring to Interview

Personal, Address, Phone, and Passport/Travel Document Information
Name Provided: AYDOGAN, HULYA

Full Name in Native Language: HULYA AYDOGAN

Other Names Used: YES

Other Name (1): SARIGUL, HULYA

Telecode Name Used: NO

Sex: FEMALE

Marital Status: MARRIED

Date of Birth: 07 OCTOBER 1972

Place of Birth: CEMISGEZEK, TUNCELI, TURKEY

Country/Region of Origin (Nationality): TURKEY

Do you hold or have you held any nationality other than the one NO
indicated above on nationality?

Are you a permanent resident of a country/region other than your NO

country/region of origin (nationality) above?

National Identification Number: 39400225768

U.S. Social Security Number: DOES NOT APPLY

U.S. Taxpayer ID Number: DOES NOT APPLY

Home Address: ALTINSEHIR MAH SENEL CAD NO 79

E BLOK DAIRE 8

City: UMRANIYE

State/Province: ISTANBUL

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Postal Zone/ZIP Code: DOES NOT APPLY

Country/Region: TURKEY

Same Mailing Address? YES

Primary Phone Number: 05359550371

Secondary Phone Number: 05514557124

Work Phone Number: DOES NOT APPLY

Do you have any additional phone numbers? NO

Email Address: haaktar@gmail.com

Do you have any additional email addresses? NO

Do you have a social media presence?

Social Media Platform: (1): None

Social Media Identifier:

Do you have any additional social media presence? NO

Passport/Travel Document Type: REGULAR

Passport/Travel Document Number: U34321966

Passport Book Number: DOES NOT APPLY

Country/Authority that Issued Passport/Travel Document: TURKEY

City Where Issued: UMRANIYE

State/Province Where Issued: ISTANBUL

Country/Region Where Issued: TURKEY

Issuance Date: 01 NOVEMBER 2024

Expiration Date: 01 NOVEMBER 2034

Have you ever lost a passport or had one stolen? NO

Travel Information
The List of Purposes of Trip to the U.S.

Purpose of Trip to the U.S. (1): TEMP. BUSINESS OR PLEASURE VISITOR (B)

Specify: BUSINESS OR TOURISM (TEMPORARY VISITOR)

(B1/B2)

Have you made specific travel plans? NO

Intended Date of Arrival: 01 JULY 2025

Intended Length of Stay in U.S.: 1 MONTH(S)

Address where you will stay in the U.S.: 135 HOLLYBROOK DRIVE

Person/Entity Paying for Your Trip: SELF

Are there other persons traveling with you? NO

Have you ever been in the U.S.? YES

Date Arrived (1): 21 FEBRUARY 2021

Length of Stay: 2 MONTH(S)

Date Arrived (2): 29 JUNE 2017

Length of Stay: 2 MONTH(S)

Date Arrived (3): 02 NOVEMBER 2015

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Length of Stay: 2 MONTH(S)

Do you or did you hold a U.S. Driver's License? NO

Have you ever been issued a U.S. Visa? YES

Date Last Visa was Issued: 19 AUGUST 2015

Visa Number: K5491076

Are you applying for the same type of visa? YES

Are you applying in the same country where the visa above is issued NO
and is this country your principal country of residence?

Have you been ten-printed? NO

Has your U.S. Visa ever been lost or stolen? NO

Has your U.S. Visa ever been cancelled or revoked? NO

Have you ever been refused a U.S. Visa, or been refused admission to NO
the United States, or withdrawn your application for admission at the
port of entry?

Has anyone ever filed an immigrant petition on your behalf with the NO
United States Citizenship and Immigration Services?

U.S. Contact Information

Contact Person Name in the U.S.: AKTAR, BEYZA

Organization Name in the U.S.: DO NOT KNOW

Relationship to You: RELATIVE

U.S. Contact Address: 135 HOLLYBROOK DRIVE

BUFFALO, NEW YORK 14221

Phone Number: 2018892646

Email Address: HAAKTAR@GMAIL.COM

Family Information
Father's Surnames: SARIGUL

Father's Given Names: HASAN

Father's Date of Birth: DO NOT KNOW

Is your father in the U.S.? NO

Mother's Surnames: SARIGUL

Mother's Given Names: HATICE

Mother's Date of Birth: DO NOT KNOW

Is your mother in the U.S.? NO

Do you have any immediate relatives, not including parents in the U.S.? YES

Relative Name (1): AKTAR, BEYZA

Relationship to you: CHILD

Status: U.S. LEGAL PERMANENT RESIDENT (LPR)

Spouse's Full Name: AYDOGAN, YUSUF

Spouse's Date of Birth: 03 SEPTEMBER 1971

Spouse's Country/Region of Origin (Nationality): TURKEY

Spouse's City of Birth: ERZINCAN

Spouse's Country/Region of Birth: TURKEY

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Spouse’s Address: SAME AS HOME ADDRESS

Work/Education/Training Information
Primary Occupation: HOMEMAKER

Were you previously employed? NO

Have you attended any educational institutions at a secondary level or NO

above?

Do you belong to a clan or tribe? NO

Provide a List of Languages You Speak:

Language Name (1): TURKISH

Have you traveled to any countries/regions within the last five years? YES

Provide a List of Countries/Regions Visited

Country/Region (1): UNITED STATES OF AMERICA

Have you belonged to, contributed to, or worked for any professional, NO
social, or charitable organization?

Do you have any specialized skills or training, such as firearms, NO

explosives, nuclear, biological, or chemical experience?

Have you ever served in the military? NO

Have you ever served in, been a member of, or been involved with a NO
paramilitary unit, vigilante unit, rebel group, guerrilla group, or
insurgent organization?

Security and Background Information

Do you have a communicable disease of public health significance? (Communicable diseases of public significance NO
include chancroid, gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma venereum, infectious
stage syphilis, active tuberculosis, and others diseases as determined by the Department of Health and Human
Services.)

Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or welfare of NO
yourself or others?

Are you or have you ever been a drug abuser or addict? NO

Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or NO
other similar action?

Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances? NO

Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been NO
engaged in prostitution or procuring prostitutes within the past 10 years?

Have you ever been involved in, or do you seek to engage in, money laundering? NO

Have you ever committed or conspired to commit a human trafficking offense in the United States or outside the NO
United States?

Are you the spouse, son, or daughter of an individual who has committed or conspired to commit a human NO
trafficking offense in the United States or outside the United States and have you within the last five years,
knowingly benefited from the trafficking activities?

Have you knowingly aided, abetted, assisted or colluded with an individual who has committed or conspired to NO
commit a severe human trafficking offense in the United States or outside the United States?

Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the NO
United States?

Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist NO
activities?

Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist NO
organizations?

Are you a member or representative of a terrorist organization? NO

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Are you the spouse, son, or daughter of an individual who has engaged in terrorist activity, including providing NO
financial assistance or other support to terrorists or terrorist organizations, in the last five years?

Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? NO

Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? NO

Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, NO
or other acts of violence?

Have you ever engaged in the recruitment or the use of the child soldiers? NO

Have you, while serving as a government official, been responsible for or directly carried out, at any time, NO
particularly severe violations of religious freedom?

Have you ever been directly involved in the establishment or enforcement of the population controls forcing a NO
woman to undergo an abortion against her free choice or a man or a woman to undergo sterilization against his or
her free will?

Have you ever been directly involved in the coercive transplantation of human organs or bodily tissue? NO

Have you ever been the subject of a removal or deportation hearing? NO

Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or any other United NO
States immigration benefit by fraud or willful misrepresentation or other unlawful means?

Have you failed to attend a hearing on removability or inadmissibility within the last five years? NO

Have you ever been unlawfully present, overstayed the amount of time granted by an immigration official or NO
otherwise violated the terms of a U.S. visa?

Have you ever been removed or deported from any country? NO

Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal NO
custody by a U.S. court?

Have you voted in the United States in violation of any law or regulation? NO

Have you ever renounced United States citizenship for the purpose of avoiding taxation? NO

Have you attended a public elementary school on student (F) status or a public secondary school after November NO
30, 1996 without reimbursing the school?

Location Information
Location where you will be submitting your application

Current Location: ISTANBUL, TURKEY

Preparer of Application
Did anyone assist you in filling out this application? NO

Your Personal Copy -- Do Not Bring to Interview

Başvurunuzu elektronik olarak imzaladığınız tarih 28-Nov-2024 09:31:42 (GMT-05:00). Başvurunuz bir başkası tarafından
hazırlanmış olsa bile, yasal düzenlemelerle muaf olmadığınız sürece, kendi başvurunuzu kendiniz elektronik olarak imzalamanız
gerekir. Elektronik imzanız başvuruda sorulan soruları okuduğunuzu ve anladığınızı ve verdiğiniz yanıtların bilginiz ve inancınız
dahilinde eksiksiz ve doğru olduğunu teyit etmektedir. Yanlış veya yanıltıcı beyanlarda bulunmak vize veya A.B.D.'ye giriş
başvurunuzun reddedilmesine yol açabilir. Bu başvuruda bulunulan bütün beyanlar yeminli ifade kabul edilir (28 U.S.C. 1746).

A.B.D.'ye giriş yaptığınız sınır kapısında vizeniz A.B.D. Göçmenlik Memuruna arz etmeniz gerektiğini ve vizeye sahip olmanızın,
A.B.D.'ye vardığınız zaman, A.B.D. göçmenlik yasalarına göre uygun görülmediğiniz takdirde, size A.B.D.'ye giriş hakkı
vermeyeceğini onaylıyorsunuz. Aynı zamanda yasal oturma izni/yeşil kart sahibi (LPR) statüsüne geçmenizin, bir A.B.D. vatandaşı ile
evli olmanıza ve A.B.D. İç Güvenlik Bakanlığı’nın tüm şartlarını karşılayabilmenize bağlı olduğunu da anladığınızı onaylıyorsunuz.
Tarafınızdan başvuru içerisinde, isteyerek yapılan herhangi bir yanlış veya yanıltıcı beyan veya gizlenmiş maddi eylemin A.B.D.’ye bir
daha kabul edilmemenize ve eğer A.B.D.’ye kabul edilmiş iseniz, cezai takibata uğramanıza ve/veya sınırdışı edilmenize yol
açabileceğini anladığınızı onaylıyorsunuz.

Başvuru formunuzda verdiğiniz bilgilere ve başvurunuzla sunduğunuz bütün diğer bilgilere, bu tür bilgileri göçmenlik yasasını ve
diğer yasaları uygulama göreviyle kanuni yetkiye sahip diğer devlet birimleri erişebilir. Eğer başvurunuzun bir parçası olarak parmak
iziniz alındıysa kayıtlar FBI’ın Yeni Nesil Kimlil Saptama (NGI) parmak izi sistemi ile veya onun yerine geçecek sistemlerindeki (sivil,
adli, sabıka ve örtülü parmak izi data havuzları gibi) kayıtlarla karşılaştırılabilir. Başvurunuza eklediğiniz fotoğraf çalışma kayıtlarını
doğrulama veya A.B.D. yasaları uyarınca diğer amaçlarla kullanılabilir.

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11/28/24, 11:31 AM Consular Electronic Application Center - Print Application

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