U.S.

EmbassyBaghdad:IraqiYoungLeadersExchangeProgram

GuidelinesforCompletingtheDS160NonImmigrantVisaApplication
GeneralInformation
TheDS160isanonlineformthatmustbecompletedpriortoschedulingavisainterview. TheapplicationmustbecompletedinEnglish. ApagebypagesummaryoftheDS160questionsisprovidedbelow.Beforeyoufillouttheonlineform,make sureyouhaveallthenecessaryinformationneededtocompletetheform.ForIYLEPvisaapplications,thereis specificinformationthatneedstobeincludedintheDS160.Thisinformationisprovidedbelow(inBLUEtext) nexttothecorrespondingfields.PleasefollowthesedirectionswhencompletingyourDS160. Completeallfields.Exceptforthosemarkedoptional,allfieldsarerequiredinformation.Ifthereisafield thatdoesnotapplytoyou,youmaychecktheboxDoesNotApplywhenitisanoption.Youwillnotbeableto movetothenextpageuntilyouhavecompletedtherequiredfields.

RecordYourApplicationID!
Ifthereisnoactivityfor20minutesormoreintheprocessofcompletingtheonlineapplication,yoursessionwillexpire. Youwillhavetheabilitytoretrieveyourapplicationifyouencounteratimeout,systemerror,orifyouwishto completeyourapplicationatalatertimewithyourApplicationID. IMPORTANT!RecordtheApplicationIDdisplayedonthetoprighthandcorner(circledinyellowbelow)assoonas youbegintheapplicationprocess!YoumusthavetheApplicationIDandtheanswertothesecurityquestionthatyou selectonthefirstpagetoretrieveyourapplication.Itisverycommonforapplicantstoencounteratleastonetimeout orsystemerrorwhilecompletingtheDS160.

YourapplicationwillbeautomaticallysavedeachtimeyouclicktheNextbutton.Youwillbeabletoretrieveyour unsubmittedapplicationforthenext30days.Tocompleteyourapplicationafter30days,youcanpermanentlysavethe applicationtoadiskortoyourharddrive.Clickthe"Save"buttonatthebottomofthelastpageyouhavecompleted andfollowtheinstructionstosavetheapplicationdatatoafile. WhenyouhavefinishedandsubmittedyourDS160form,saveandprinttheconfirmationpage.Youwillneedtosubmit itwiththerestofthedocumentsrequiredforvisainterview.

GettingStarted

AccesstheDS160athttps://ceac.state.gov/genniv/ Step1.ClickStartApplication Locationwhereyouwillbesubmittingyourapplication:SelectBAGHDAD,IRAQ Clickthebuttonbelowtotestyourphoto:ThisisoptionalyoucanmovedirectlytoStep2 Step2.SelectStartaNewApplication Page1of9

1.PersonalInformation
Note:PersonalInformationMUSTmatchpassport! PersonalInformationPart1 Surnames Givennames FullNameinNativeAlphabet Haveyoueverusedothernames(i.e.,maiden, religious,professional,alias,etc.)? IfYES,provideothernamesused Sex MaritalStatus Dateofbirth CityofBirth State/ProvinceofBirth CountryofBirth PersonalInformationPart2 Nationality Doyouholdorhaveyouheldanationalityotherthan theoneyouhaveindicatedabove? NationalIdentificationnumber: U.S.SocialSecurityNumber U.S.TaxpayerID AddressandPhoneInformation StreetAddress City State/Province PostalZone/ZIPCode Country IsyourMailingAddressthesameasyourHome Address? HomePhoneNumber WorkPhoneNumber WorkFaxNumber MobilePhoneNumber EmailAddress EnteryourIraqiJensiyanumber.Ifyoudonothavea Jensiyanumber,checkDoesNotApply. CheckDoesNotApply CheckDoesNotApply

Includeallnameslistedinpassport Includeallnameslistedinpassport TypeyournameinArabic,ifyouareunabletotypein yournameinArabic,checktheDoesNotApplybox.

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 2.PassportandTravelInformation
PassportInformation PassportNumber PassportBookNumber Country/AuthoritythatIssuedPassport WhereWasPassportIssued? o City o State/Province*Ifshownonpassport o Country IssuanceDate ExpirationDate Haveyoueverlostapassportorhadonestolen? TravelInformation Areyouprincipalapplicant? PurposeofTriptoU.S. Haveyoumadespecifictravelplans? IntendeddateofArrival Enterthepassportnumberasitappearsinyour passport CheckDoesNotApply SelectYES Select:ExchangeVisa(J) SelectNO Enterthedatethreedaysbeforethestartofthe program IntendedlengthofstayinU.S. AddresswhereyouwillstayintheU.S. o StreetAddress(line1) Entertheaddressreflectingthesiteofactivity o StreetAddress(line2) o City: o State: o ZipCode: Person/EntityPayingforYourTrip Select:COMPANY/ORGANIZATION o NameofCompanyorOrganizationPaying Enter:U.S.EmbassyBaghdad,Iraq forTrip o TelephoneNumber Enter:12405530581 o RelationshiptoYou SelectOther IstheAddressofthepartypayingforyoutripthe SelectNO sameasyourHomeorMailingAddress? AddressofCompanyorOrganizationPaying StreetAddress(line1): Enter:U.S.EmbassyBaghdad StreetAddress(Line2): Enter:AlKindiStreet,InternationalZone City: Enter:Baghdad State/Province: PostalZone/Zipcode: Enter:09870 Country Select:Iraq Page3of9

 TravelCompanions Arethereotherpersonstravelingwithyou? SelectNO PreviousU.S.Travel HaveyoueverbeenintheU.S.? IfYES,answerquestionsAB. IfNO,skipquestionsAB. A. Providedateofarrival&lengthofstayforlastfivevisits B. DoyouordidyoueverholdaU.S.DriversLicense?(providelicense#andstateofissueif applicable) HaveyoueverbeenissuedaU.S.Visa? IfYES,answerquestionsCH. IfNO,skipquestionsCH. C. Enterdatelastvisawasissuedandvisanumber(ifknown) D. Areyouapplyingforthesametypeofvisa? E. Areyouapplyinginthesamecountrywherethevisaabovewasissuedandisthiscountry yourprincipalcountryofresidence? F. Haveyoubeentenprinted(providedfingerprintsforalltenofyourfingers)? G. HasyourU.S.Visaeverbeenlostorstolen? H. HasyourU.S.Visaeverbeencancelledorrevoked? HaveyoueverbeenrefusedaU.S.Visa,beenrefusedadmissiontotheU.S.,orwithdrawnyour applicationforadmissionatthepointofentry? IfYES,provideexplanation U.S.PointofContactInformation ContactPersonorOrganizationintheUnitedStates Surnames: GivenNames: OrganizationName Relationshiptoyou Address/PhoneNumberofPointofContact: StreetAddress(line1): StreetAddress(Line2): City: State/Province: PostalZone/Zipcode: EmailAddress: Enter:Khalil Enter:Hiba Enter:WorldLearning ChooseOTHER Enter:WorldLearning Enter:101515thStreet,NW,7thfloor Enter:Washington Select:DistrictofColumbia Enter:20005 checkDoesNotApply

3.FamilyInformation
FamilyInformation:Relatives FathersFullNameandDateofBirth: Surnames GivenNames Enterfullinformationeveniffatherisdeceased Page4of9

DateofBirth IsyourfatherintheU.S.? MothersFullNameandDateofBirth: Surnames GivenNames DateofBirth IsyourmotherintheU.S.? Doyouhaveanyimmediaterelatives(fianc/fiance, spouse,children,orsiblings)notincludingparents,in theUnitedStates? IfYES,providename,relationship,cityinU.S. foreachrelative DoyouhaveanyotherrelativesintheUnitedStates? FamilyInformation:Spouse SpousesFullName SpousesSurnames SpousesGivenNames SpousesDateofBirth SpousesNationality SpousesPlaceofBirth: City Country SpousesAddress

Enterfullinformationevenifmotherisdeceased

Entercurrentspouseinformation.Ifdivorced,enter previousspouseinformation. Select:SameasApplicantsHomeAddress

4.Work/Education/TrainingInformation
PresentWork/Education/TrainingInformation PrimaryOccupation Providethefollowinginformationconcerningyourcurrent employmentoreducation. PresentEmployerorSchoolName PresentEmployerorSchoolAddress StreetAddress City State/Province PostalZone/ZipCode Country Monthlysalaryinlocalcurrency(ifemployed): Enteryoursalarybeforedeductionsoranestimateofyour averageearningsforamonth.Ifyouareabusinessowner, youshouldenteranaverageamountofnetincomeyou receivefromthebusinessafterexpenses.Ifyoureceivea pension,entertheamountofthepension. Brieflydescribeyourduties Page5of9

 PreviousWork/Education/TrainingInformation Wereyoupreviouslyemployed? Provideemploymentinformationforthelastfive years,ifapplicable.Addmoreentriesuntilaspanof5 yearshasbeenrecorded MUSTincludemonthandyear MUSTincludemonthandyear (Justasentenceortwo)

IfYES,enterEmployer/Employment Information o EmployerName o EmployerStreetAddress o City o State/Province o PostalZone/ZipCode o Country o TelephoneNumber o JobTitle o SupervisorsSurname o SupervisorsGivenNames o EmploymentDateFrom o EmploymentDateTo o Brieflydescribeyourduties: Haveyouattendedanyeducationalinstitutionsother thanelementaryschools? IfYES,providethefollowinginformationon alleducationalinstitutionsyouhave attended,notincludingelementaryschools. o NameofInstitution o StreetAddress o City o State/Province o PostalZone/ZipCode o Country o CourseofStudy o DateofAttendanceFrom: o DateofAttendanceTo:

AdditionalWork/Education/TrainingInformation Doyoubelongtoaclanortribe? IfYES,provideclanortribename Haveyoutraveledtoanycountrieswithinthelastfiveyears? IfYES,providealistofcountriesvisited Haveyoubelongedto,contributedto,orworkedforany professional,social,orcharitableorganization? IfYES,providealistoforganizations Doyouhaveanyspecializedskillsortraining,suchasfirearms, explosives,nuclear,biological,orchemicalexperience? Haveyoueverservedinthemilitary? Page6of9

Includeanytraveloutsideofyourhome country,includingtraveltotheU.S.

IfYES,providethefollowinginformation: o Nameofcountry(whereyouperformedmilitary service) o Branchofservice o Rank/Position o MilitarySpecialty o DateofServiceFrom o DateofServiceTo Haveyoueverservedin,beenamemberof,orbeeninvolvedwith aparamilitaryunit,vigilanteunit,rebelgroup,guerrillagroup,or insurgentorganization? IfYES,Explain

5.SecurityandBackground
MedicalandHealthInformation Doyouhaveacommunicablediseaseofpublichealthsignificancesuchastuberculosis(TB)? IfYES,Explain Doyouhaveamentalorphysicaldisorderthatposesorislikelytoposeathreattothesafetyorwelfareof yourselforothers? IfYES,Explain Areyouorhaveyoueverbeenadrugabuseroraddict? IfYES,Explain CriminalInformation Haveyoueverbeenarrestedorconvictedforany offenseorcrime,eventhoughsubjectofapardon, amnesty,orothersimilaraction? IfYES,Explain Haveyoueverviolated,orengagedinaconspiracyto violate,anylawrelatingtocontrolledsubstances? IfYES,Explain AreyoucomingtotheUnitedStatestoengagein prostitutionorunlawfulcommercializedviceorhave youbeenengagedinprostitutionorprocuring prostituteswithinthepast10years? IfYES,Explain Haveyoueverbeeninvolvedin,ordoyouseekto engagein,moneylaundering? IfYES,Explain Includeallarrestsordetentions,includingthoseat theborderandbyCustomsandBorderPatrol.

SecurityInformation Doyouseektoengageinespionage,sabotage,exportcontrolviolations.Oranyotherillegalactivitywhilein theUnitedStates? DoyouseektoengageinterroristactivitieswhileintheU.S.orhaveyoueverengagedinterroristactivities? Page7of9

Haveyoueverordoyouintendtoprovidefinancialassistanceorothersupporttoterroristsorterrorist organizations? Areyouamemberorrepresentativeofaterroristorganization? Haveyoueverordered,incited,committed,assisted,orotherwiseparticipatedingenocide? Haveyouevercommitted,ordered,incited,assistedorotherwiseparticipatedintorture? Haveyoucommitted,ordered,incited,assisted,orotherwiseparticipatedinextrajudicialkillings,political killings,orotheractsofviolence? Haveyou,whileservingasagovernmentofficial,beenresponsibleforordirectlycarriedout,atanytime, particularlysevereviolationsofreligiousfreedom? ImmigrationLawViolations Haveyoueversoughttoobtainorassistotherstoobtainavisa,entryintotheU.S.,oranyotherUnitedStates Immigrationbenefitbyfraudorwillfulmisrepresentationorotherunlawfulmeans? MiscellaneousInformation HaveyoueverwithheldcustodyofaU.S.citizenchildoutsidetheU.S.fromapersongrantedlegalcustodyby aU.S.court? HaveyouvotedintheUnitedStatesinviolationofanylaworregulation? HaveyoueverrenouncedUnitedStatescitizenshipforthepurposeofavoidingtaxation? AdditionalPointofContactInformation Listatleasttwocontacts(OneEmbassycontact,andoneIraqicontact)whocanverifytheinformationthat youhaveprovidedonthisapplication.FortheIraqicontact,donotlistimmediatefamilymembersorother relatives. Contact#1 EnterCulturalAffairsYouthExchangesSpecialistforfirstcontact information o Surnames Enter:Chiriac o Givennames Enter:Natalia o StreetAddress Enter:U.S.EmbassyBaghdad,AlKindiStreet,InternationalZone o City Enter:Baghdad o State/Province Leaveitblank o Zip 09870 o Country Iraq o TelephoneNumber 07704433171 ChiriacNV@state.gov o EmailAddress Contact#2 EnterIraqicontactforsecondcontactinformation(donotlist immediatefamilymembersorotherrelatives) o Surnames o Givennames o StreetAddress Postalofficeboxnumbersareunacceptable.MUSTatleastprovide city,country,phone o City o State/Province o Zip o Country Page8of9

o o

TelephoneNumber EmailAddress

6.SEVISInformation
SEVIS EnterSEVISID DoyouintendtostudyintheU.S.? OnDS2019formorgiventoyouinanemail. SelectNO

Note:ProvideProgramCodewhenaskedbytheapplication.YouwillbeprovidedwiththeProgramCodebyemail. 7.UploadPhoto
Ifyouhaveaphoto,goaheadandfollowuploadinstructions; Ifyoudonthaveadigitalphotothatmeetstherequirements,youcanbypassthisstep.Youwillstillneedtobrowse andsubmitanimage(youcanuseany.jpgfile),eventhoughitisnotthephotoyouwilluse.Youwillreceiveanerror message,andthatisokay.AnacceptablephotowillbetakenatthetimeofthevisainterviewbyConsularSectionstaff.

8.VerifyInformation
Makesureyouverifyallinformationandeditasnecessary.Inorderforchangesmadefromthereviewpagetosave,use thebuttonsatthebottomofeachpagetonavigate,notthebrowser'sback/forwardbuttons.

9.SignandSubmit
SignandSubmit Didanyoneassistyouinfillingoutthisapplication? IfYES,providethefollowinginformationon thepreparer: o Surnames o Givennames o OrganizationNames o Address o StreetAddress o City o State/Province o Zip o Country o Relationshiptoyou ESignature ClickSignandSubmitApplication Enteryourpassportnumber Enterthecodeyouseeonthescreen

9.PrintConfirmationPage
1. Printconfirmationpageandbringtointerview.Bringonlytheconfirmationpage,notthewholedocument! 2. Sendtheelectronicversionoftheconfirmationpagetoyourlocalcoordinator.
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