DSP-122

1. NAME (Last Name) (First Name) (Middle Name)

Name и First Name - надеюсь понятно. Я заполнял в английской транскрипции без отчества, в письме-заявке наDV было во французской с отчеством.

Middle Name - если есть второе имя, то пишите здесь, можно указать отчество, я в этой графе отчество не указывал, на визах все равно написали с отчеством.

2. RANK ORDER NUMBER (case number on envelope)

Ваш номер, типа, 2001EU00012345

3. CURRENT MAILING ADDRESS (Address at which you receive your mail. Give any change of mailing address here.)

Telephone Number (Optional):

Адрес, куда хотите получить приглашение на интервью, не обязательно тот, что Вы указали в письме-заявке. Укажите домашний телефон. Весь, типа, +1 202 1234567

4. NAME OF UNITED STATES IMMIGRANT VISA ISSUING CONSULAR OFFICE TO WHICH YOUR VISA APPLICATION SHOULD BE SENT. Ordinarily, thiswillbethe immigrantvisaissuingconsular officenearestyourplace ofresidence. Ifyou donotknowwhich office, listthecity andcountryofyour currentresidenceabroad, orthecity andcountryofyour lastpreviousresidenceoutside theUnitedStates.

Здесь, если точно Вам не известно, город, область и страна, где сейчас живете. Пригласят в ближайший Консулат. Я писал - MOSCOW, RUSSIA.

5. NATIVE COUNTRY AND ALTERNATE FOREIGN STATE CHARGEABILITY

"NativeCountry" generallyrefers toyourcountryof birth. UnderSection202(b) oftheImmigration andNationalityAct, however, youmay alsoclaimthecountry ofbirthofyour spouse. Inaddition, youmayclaim thecountryofbirth ofeitherofyour parentsifyouwere borninacountry inwhichneitherparent wasanativeor residentatthetime ofbirth. Ifyou makesuchaclaim, listyourclaimednative countryhere.

надеюсь понятно, Я писал - RUSSIA

6. EDUCATION
 

a. Iama highschoolgraduate.	Yes	No	YearofGraduation____
b. Ihavethe equivalentofahigh schooleducation.	Yes	No

Тут ставим галочки, если закончили среднюю школу, то в пункте а., если что-то другое, в b., и количество лет обучения.

c. Checkhighestlevel ofeducationcompleted.
 

HighSchool, NoDegree	HighSchoolDiploma	VocationalSchool	Other_____________
College, NoDegree	UniversityDegree	AdvancedDegree

Тут ставим галочки на максимально соответствующем Вам образовании, т.е. если закончили институт, то UniversityDegree, если еще учитесь, то College, NoDegreeи т.д.

d. Namesandaddresses ofallschools, colleges, anduniversities attended (include tradeandvocationalschools):

здесь перечисляем учебные заведения, начиная со школы, если меняли учебное заведение, укажите то, которое выдало Вам диплом.
 

NAME AND EDUCATIONAL INSTITUTION	FROM (Month/Year)-TO(Month/Year)	DEGREE(S) OR CERTIFICATE(S) RECEIVED
Zadrishenskaia High School # 3,  Semisalupinsky Somethingelse Institute (University)	09/1980-06/1990     09/1990-02/1995	diploma     diploma

7. WORK EXPERIENCE

a. Withinthelast 5years, Ihave hadatleasttwo yearsofworkexperience inanoccupationwhich requiresatleasttwo yearsoftrainingor experience:

YesNo

Если есть два года стажа ( я так понимаю к бизнесменам не относится), то Yes

b. Occupation - Givea jobtitleanddescribe indetailthespecific typeofworkperformed intheoccupationreferred toin7a.(Examples of acceptable entries are "physicist, registered nurse, or tool and die maker." Entries such as scientific researcher, hospital worker, manager or assistant are not acceptable).

Здесь пишем специальность с расшифровкой, т.е. если Вы сварщик, то пишите: Large-diameter Pipes Welder, ну или что-то в этом роде

c. Name(s) andaddress(es) ofemployer(s) duringpastfive yearsinaboveoccupation andinclusivedatesemployed byeach:

Здесь перечисляем места работы по указанной выше специальности за последние пять лет
 

NAME OF EMPLOYER	ADDRESS	FORM(Month/Year) - TO(Month/Year)
Podlovsky Condom Works State Duma	Podlovsk, Moskowskaya obl., Russia Moscow, Russia	03/1995-06/1997     09/1997-Current

 

SIGNED STATEMENT

I certifythatonlyone applicationwasorhas beensubmittedbyme oronmybehalf forthisimmigrantvisa registration. Ifurthercertify thatIhaveread andunderstandallthe questionssetforthabove andthattheanswers Ihavefurnishedon thisformaretrue andcorrecttothe bestofmyknowledge andbelief. Iunderstand thatanyfalseor misleadingstatementmayresult intherefusalof avisaordenial ofentryintothe UnitedStates.

SignatureofApplicantПодпись Date дата

Дальше  ни в коем случае ничего не пишите
DO NOT WRITE IN THIS SPACE - FOR OFFICIAL USE ONLY

Occupation Code:

*Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching

existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. Send comments on the

accuracy of this estimate of the burden an recommendations for reducing it to: Department of State (OIS/RA/DIR) Washington, D.C. 20520-0264,

and to the Office of information and Regulatory Affairs, Office of Management and Budget, Paperwork Reduction Project (1405-0098), Washington,

D.C. 20503.
 
 

OF-230 PART I

APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION

PART I – BIOGRAPHIC DATA

INSTRUCTIONS: Complete one copy of this form for yourself and each member of your family, regardless of age, who will immigrate with you.

Please print or type your answer to all questions. Questions that are Not Applicable should be so marked. If there is insufficient room on the

form, answer on a separate sheet using the same numbers as appear on the form. Attach the sheet to this form.

WARNING: Any false statement or concealment of a material fact may result in your permanent expulsion from the United States.

This form (OF-230 PART I) is Part I of two parts which, together with Optional Form OF-230 PART II, constitute the complete Application for

Immigrant Visa and Alien Registration.

1. FAMILY NAME FIRST NAME MIDDLE NAME

Name и First Name - надеюсь понятно. Я заполнял в английской транскрипции без отчества, в письме-заявке наDV было во французской с отчеством.

2. OTHER NAMES USED OR BY WHICH KNOWN (If married woman, give maiden name)

Bо французской транскрипции c отчеством, в форме для жены еще и девичью фамилию. Так заполнял я. Если имя и фамилия простые, то N/A, а для жены maiden name: Surnane, Name

3. FULL NAME IN NATIVE ALPHABET (If Roman letters not used)

ФИО по русски, узбекски и т.д. , т.е. у кого кириллический, армянский или арабский алфавит. К прибалтам  не относится.

4. DATEOFBIRTH

(Day) (Month) (Year)

день месяц год рождения

5. AGE

100

6. PLACEOFBIRTH

(CityorTown) (Province) (Country)

Dobrishevo, Smolenskaya obl., Russia

7. NATIONALITY(if dual national, give both)

Гражданство, если двойное - укажите оба, например - Uzbekistan/Russia

8. GENDER

MALE

FEMALE

пол

9. MARITALSTATUS

Single(Never married) Married WidowedDivorcedSeparated

Includingmypresentmarriage, Ihavebeenmarried times.

Ставите галочку напротив вашего нынешнего семейного положения, и пишите сколько раз состояли в браке, включая нынешний.

10. MARKSOFIDENTIFICATION

Пишите N/A. Скорее всего у вас этого нет.

Что это такое точно никто не знает. Я склоняюсь к мнению, что это особые приметы.

11. PRESENTADDRESS (CityorTown) (Province) (Country)

Telephonenumber: HomeOffice

Адрес и телефоны, где вы физически находитесь, может отличаться от того, что Вы дали в DSP-122.

12. NAME OF SPOUSE (Maiden or family name) (First name) (Middle name)
Surname, Name
Date and place of birth of spouse:DOB:01.31.1971 POB: Ustzajopinsk, Golodnaia obl, Ukraine

Address of spouse (If different from your own):

Spouse’s occupation: teacher
Здесь все про супругу/а, если таковой не имеется, то N/A
Адрес указать, ели отличен от адреса в п.11

13. LIST NAME, DATE AND PLACE OF BIRTH, AND ADDRESSES OF ALL CHILDREN

NAME DATE AND PLACE OF BIRTH ADDRESS (If different from your own)
Здесь про детей, если  не имеется, то N/A. Адрес указать, ели отличен от адреса в п.11
______________________________ _______________________________________ __________________________________________________
Surname, Name                      11.22.1999                  Berezniki, Permskaia obl., Russia
______________________________ _______________________________________ __________________________________________________

______________________________ _______________________________________ __________________________________________________

______________________________ _______________________________________ __________________________________________________

______________________________ _______________________________________ __________________________________________________

______________________________ _______________________________________ __________________________________________________

______________________________ _______________________________________ __________________________________________________

14A. PERSON(S) NAMED IN 12 AND 13 WHO WILL ACCOMPANY ME TO THE UNITED STATES NOW.
Здесь перечисляете супругов и детей, которые поедут с вами одновременно, если нет, то N/A

14B. PERSON(S) NAMED IN 12 AND 13 WHO WILL FOLLOW ME TO THE UNITED STATES AT A LATER DATE.
Здесь перечисляете супругов и детей, которые приедут позже, если нет, то N/A

15. NAME OF FATHER, DATE AND PLACE OF BIRTH, AND ADDRESS (If deceased, so state and give year of death)
Surnane, Name  DOB:01.01.1900 POB: Munich, Bauern, Germany
Address: 1, Lenin starasse, Ap.100, Munich, Bauern, Germany (Если умер, то вместо адреса пишите DECACED 01.01.1950)

16. MAIDEN NAME OF MOTHER, DATE AND PLACE OF BIRTH, AND ADDRESS (If deceased, so state and give year of death)
MaidenSurname, Name  DOB:06.12.1910 POB: London, England, GB
Address: 1, Lenin starasse, Ap.100, Munich, Bauern, Germany (Если умерла, то вместо адреса пишите DECACED 01.01.1950)

17. LIST BELOW ALL EMPLOYMENT FOR THE LAST TEN YEARS
EMPLOYER                                               LOCATION                                                           JOB TITLE                                                          FROM/TO
________________________________ ______________________________________ ______________________________________ __________________
Podlovsky Condom Works    Podlovsk, Moskowskaya obl.,     4nd rank Welder                                03/1995-06/1997
                                                    Russia
________________________________ ______________________________________ ______________________________________ __________________
Ну и так далее за последние 10 лет
________________________________ ______________________________________ ______________________________________ __________________
________________________________ ______________________________________ ______________________________________ __________________
________________________________ ______________________________________ ______________________________________ __________________
In what occupation do you intend to work in the United States?_ _______________________________________________________________________
18. LIST BELOW ALL EDUCATIONAL INSTITUTIONS ATTENDED
SCHOOL AND LOCATION                                                                                 FROM/TO                     COURSE OF STUDY                     DEGREE OR DIPLOMA
__________________________________________________________ ___________________ ___________________________ _____________________
Zadrishenskaia High School # 3,  Zadrishensk,        09/1980-06/1990 High School                    Diploma
Lubaia obl.,Russia
__________________________________________________________ ___________________ ___________________________ _____________________
Semisalupinsky Somethingelse Institute                     09/1990-02/1995 Heromantia                    Diploma
(University), Semisalupinsk, Komi, Russia
__________________________________________________________ ___________________ ___________________________ _____________________
__________________________________________________________ ___________________ ___________________________ _____________________
__________________________________________________________ ___________________ ___________________________ _____________________
Languages spoken or read: __English, Russian, Ukrainian_________________________________________________________
Professional associations of which you are a member: ___Programmer_________________________________________________________________
19. MILITARY SERVICE: Yes No
Здесь ничем помочь не могу, с детства испытываю идиосинкрозию к оружию, по этой причине от службы в Красной Армии был освобожден нафиг.
Branch: _________________________________________ Dates of Service: _______________________________________________________________
Rank/Position: __________________________________ Military Speciality/Occupation: ____________________________________________________
20. LIST BELOW ALL PLACES YOU HAVE LIVED FOR AT LEAST SIX MONTHS SINCE REACHING THE AGE OF 16. BEGIN WITH YOUR
PRESENT RESIDENCE.
CITY OR TOWN PROVINCE COUNTRY FROM/TO
Zadrishensk,                             Lubaia obl.,                            Russia                                          09/1980-06/1990
__________________________________ ____________________________ ____________________________________ ___________________________
Semisalupinsk,                         Komi,                                         Russia                                        09/1990-02/1995
__________________________________ ____________________________ ____________________________________ ___________________________
__________________________________ ____________________________ ____________________________________ ___________________________
__________________________________ ____________________________ ____________________________________ ___________________________
__________________________________ ____________________________ ____________________________________ ___________________________
21. LIST DATES OF ALL PREVIOUS VISITS TO OR RESIDENCE IN THE UNITED STATES. (If never, so state) GIVE TYPE OF VISA
STATUS, IF KNOWN. GIVE “A” NUMBER, IF ANY.
FROM/TO LOCATION VISA TYPE OR “A” NO. (If known)
 Если посещали, укажите, если нет, то N/A
____________________________ _________________________________ ________________________________ _______________________________
____________________________ _________________________________ ________________________________ _______________________________
____________________________ _________________________________ ________________________________ _______________________________
____________________________ _________________________________ ________________________________ _______________________________
SIGNATURE OF APPLICANT         Подпись                    DATE MM.DD.YYYY
NOTE: Return this completed form immediately to the consular office address on the covering letter. This form will become part of your immigrant
visa and your visa application cannot be processed until this form is complete.
*Public reporting burden for this collection of information is estimated to average 1 hour per response, including time required for searching existing data
sources, gathering the necessary data, providing the information required, and reviewing the final collection. Send comments on the accuracy of this estimate
of the burden and recommendations for reducing it to: Department of State (OIS/RA/DR) Washington, D.C. 20520-0264, and to the Office of Information and
Regulatory Affairs, Office of Management and Budget, Paperwork Reduction Project (1405-0015), Washington, D.C. 20503.
 

OF-230 PART II
НЕ ПОДПИСЫВАЙТЕ ЭТУ ФОРМУ
APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION
PART II – SWORN STATEMENT
INSTRUCTIONS: Complete one copy of this form for yourself and each member of your family, regardless of age, who will immigrate with you.
Please print or type your answer to all questions. Questions that are Not Applicable should be so marked. If there is insufficient room on the
form, answer on a separate sheet using the same numbers as appear on the form. Attach the sheet to this form. DO NOT SIGN this form until
instructed to do so by the consular officer. The fee for filing this application is listed under tariff item No. 20. The fee should be paid in United
States dollars or local currency equivalent, or by bank draft, when you appear before the consular officer.
WARNING: Any false statement or concealment of a material fact may result in your permanent expulsion from the United States.
Even though you should be admitted to the United States, a fraudulent entry could be grounds for your prosecution and/or
deportation.
This form (OF-230 PART II) is a continuation of Form OF-230 PART I, which together, constitute the complete Application for Immigrant Visa and
Alien Registration.
22. FAMILY NAME FIRST NAME MIDDLE NAME
23. OTHER NAMES USED OR BY WHICH KNOWN (If married woman, give maiden name)
24. FULL NAME IN NATIVE ALPHABET (If Roman letters not used)
пп22-24 заполнить так же, как пп1-3 из предидущей формы

25. PERMANENT ADDRESS IN THE UNITED STATES
(Street address including zip code)
Telephone number:
Эту графу заполняют только те, кто находится в США, остальные N/A

26. PERSON YOU INTEND TO JOIN AT YOUR PERMANENT ADDRESS
IN THE UNITED STATES (Name, address, and relationship)
Telephone number:
я писал N/A, потом можно указать на интервью или в аэропорту прибытия

27. NAME AND ADDRESS OF SPONSORING PERSON OR EMPLOYER
Telephone number:
у меня N/A

28. United States laws governing the issuance of visas require each applicant to state whether or not he or she is a member of any class of individuals excluded
from admission into the United States. The excludable classes are described below in general terms. You should read carefully the following list and answer
YES or NO to each category. The answers you give will assist the consular officer to reach a decision on your eligibility to receive a visa.
EXCEPT AS OTHERWISE PROVIDED BY LAW, ALIENS WITHIN THE FOLLOWING
CLASSIFICATIONS ARE INELIGIBLE TO RECEIVE A VISA.
DO ANY OF THE FOLLOWING CLASSES APPLY TO YOU?
a. An alien who has a communicable disease of public health significance; who has failed to present documentation of having received
vaccinations in accordance with U.S. law; who has or has had a physical or mental disorder that poses or is likely to pose a threat to
the safety or welfare of the alien or others; or who is a drug abuser or addict. [212(a)(1)]
b. An alien convicted of, or who admits having committed a crime involving moral turpitude or violation of any law relating to a controlled
substance; who has been convicted of 2 or more offenses for which the aggregate sentences were 5 years or more; who is coming to
the United States to engage in prostitution or commercialized vice or who has engaged in prostitution or procuring within the past 10
years; who is or has been an illicit trafficker in any controlled substance; or who has committed a serious criminal offense in the
United States and who has asserted immunity from prosecution. [212(a)(2)]
c. An alien who seeks to enter the United States to engage in espionage, sabotage, export control violations, terrorist activities,
overthrow of the Government of the United States or other unlawful activity; who is a member of or affiliated with the Communist or
other totalitarian party; who participated in Nazi persecutions or genocide; or who has engaged in genocide. Are you a member or
representative of a terrorist organization as currently designated by the U.S. Secretary of State? [212(a)(3)]
d. An alien who is likely to become a public charge [212(a)(4)]
e. An alien who seeks to enter for the purpose of performing skilled or unskilled labor who has not been certified by the Secretary of
Labor; who is a graduate of a foreign medical school seeking to perform medical services who has not passed the NBME exam or its
equivalent; or a health care worker seeking to perform such work without a certificate from the CGFNS or from an equivalent
approved independent credentialing organization. [212(a)(5)]
f. An alien who failed to attend a hearing on deportation or inadmissibility within the last 5 years; who seeks or has sought a visa, entry
into the United States, or any immigration benefit by fraud or misrepresentation; who knowingly assisted any other alien to enter or try
to enter the United States in violation of the law; who, after November 30, 1996, attended on student (F) visa status a U.S. public
elementary school or who attended a U.S. public secondary school without reimbursing the school; or who is subject to a civil penalty
under INA 274C. [212(a)(6)]
g. An alien who is permanently ineligible to U.S. citizenship; or who departed the United States to evade military service in time of war.
[212(a)(8)]
Yes No
Yes No
Yes No
Yes No
Yes No
Not Applicable
Yes No
Yes No
*Public reporting burden for this collection of information is estimated to average 24 hours per response, including time
required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing
the final collection. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to:
Department of State (OIS/RA/DR) Washington, D.C. 20520 0264, and to the Office of Information and Regulatory Affairs,
Office of Management and Budget, Paperwork Reduction Project (1405-0015), Washington, D.C. 20503.?PAGE 2
h. An alien previously ordered removed within 5 years or ordered removed a second time within 20 years; who was previously unlawfully
present and ordered removed within 10 years or ordered removed a second time within 20 years; who was convicted of an aggravated
felony and ordered removed; who was previously unlawfully present in the United States for more than 180 days but less than one year
who voluntarily departed within the last 3 years; or who was unlawfully present for more than one year or an aggregate of one year
within the last 10 years. [212(a)(9)]
i. An alien who is coming to the United States to practice polygamy; who withholds custody of a U.S. citizen child outside the United
States from a person granted legal custody by a U.S. court; who has voted in the United States in violation of any law or regulation; or
who renounced U.S. citizenship to avoid taxation. [212(a)(10)]
j. An alien who is a former exchange visitor who has not fulfilled the 2-year foreign residence requirement. [212(e)]
k. An alien physically present in the United States within 90 days who was not maintaining lawful nonimmigrant status at the time of
departure. [212(o)]
l. An alien determined by the Attorney General to have knowingly made a frivolous application for asylum. [208(d)(6)]
Yes No
Yes No
Yes No
Yes No
Yes No
Здесь вопросы которые требуют прямого ответа. У большинства все ответы NO

29. HAVE YOU EVER BEEN CHARGED, ARRESTED OR CONVICTED OF ANY OFFENSE OR CRIME?
(If answer is Yes, please explain) Yes No
Если да, напишите за что.

30. HAVE YOU EVER BEEN REFUSED ADMISSION TO THE UNITED STATES AT A PORT-OF-ENTRY?
(If answer is Yes, please explain) Yes No
Если да, напишите за что.

31. HAVE YOU EVER APPLIED FOR A SOCIAL SECURITY NUMBER?
Yes. Give Number: ____________________________ No
Если SSN уже имеете - пометьте YES и укажите номер. Если не имеете пометьте NO

Do you want a Social Security Card issued to you? Yes No
Если предидущий ответ NO, то пометьте YES

32. WERE YOU ASSISTED IN COMPLETING THIS APPLICATION? Yes No
(If answer is Yes, give name and address of person assisting you, indicating whether relative, friend, travel agent, attorney, or other)
Здесь можете указать мое гордое имя:))  В форме для своей дочери я именно так и поступил.

33. THE FOLLOWING DOCUMENTS ARE SUBMITTED IN SUPPORT OF THIS APPLICATION:
Passport Military record Evidence of own assets
Birth Certificate Police Certificate Affidavit of support
Marriage Certificate Medical records Offer of employment
Death Certificate Photographs Educational records
Divorce decree Birth Certificates of all children who will not Other (describe)
be immigrating at this time. (List those for
whom birth certificates are not available.)
Здесь я отметил доки, которые планировал взять на интервью. Если не сможете добыть како-то документ, здесь его лучше не метить.
 

НЕ ПОДПИСЫВАЙТЕ ЭТУ ФОРМУ
И НИЧЕГО НЕ ПИШИТЕ ДАЛЬШЕ
DO NOT WRITE BELOW THE FOLLOWING LINE
The consular officer will assist you in answering items 34 and 35.
34. I claim to be exempt from ineligibility to receive a visa and exclusion under item ____________________ in Part 28 for the following reasons:
212(a)(5) Beneficiary of a Waiver under:
Not Applicable 212(a)(3)(D)(ii) 212(e) 212(h)
Not Required 212(a)(3)(D)(iii) 212(g)(1) 212(i)
Attached 212(a)(3)(D)(iv) 212(g)(2)
35. I claim to be:
A Family-Sponsored Immigrant I derive foreign state chargeability Preference: _
An Employment Based-Immigrant under Sec. 202(b) through my ________ Numerical limitation: _________________
A Diversity Immigrant (foreign state)
A Special Category (Specify) _____________________________________
(Returning resident, Hong Kong, Tibetan, Private Legislation, etc.)
I understand that I am required to surrender my visa to the United States Immigration Officer at the place where I apply to enter the United States, and that the possession of a visa does
not entitle me to enter the United States if at that time I am found to be inadmissible under the immigration laws.
I understand that any willfully false or misleading statement or willful concealment of a material fact made by me herein may subject me to permanent exclusion from the United States
and, if I am admitted to the United States, may subject me to criminal prosecution and/or deportation.
I, the undersigned applicant for a United States immigrant visa, do solemnly swear (or affirm) that all statements which appear in this application, consisting of Optional Forms 230 PART
I and 230 PART II combined, have been made by me, including the answers to items 1 through 35 inclusive, and that they are true and complete to the best of my knowledge and belief. I
do further swear (or affirm) that, if admitted into the United States, I will not engage in activities which would be prejudicial to the public interest, or endanger the welfare, safety, or security
of the United States; in activities which would be prohibited by the laws of the United States relating to espionage, sabotage, public disorder, or in other activities subversive to the national
security; in any activity a purpose of which is the opposition to or the control, or overthrow of, the Government of the United States, by force, violence, or other unconstitutional means.
I understand that completion of this form by persons required by law to register with the Selective Service System (males 18 through 25 years of age) constitutes such registration in
accordance with the Military Selective Service Act.
I understand all the foregoing statements, having asked for and obtained an explanation on every point which was not clear to me.
The relationship claimed in items 12 and 13 verified by
documentation submitted to consular officer except as noted: ___________________________________________________________
(Signature of Applicant)
Subscribed and sworn to before me this _____________ day of __________________, 19_________ at: __________________________________________________
____________________________________________________________
(Consular Officer)
TARIFF ITEM NO. 20 .
THIS FORM MAY BE OBTAINED GRATIS AT CONSULAR OFFICES OF THE UNITED STATES OF AMERICA
НЕ ПОДПИСЫВАЙТЕ ЭТУ ФОРМУ