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Ed by all applicants for visas to enter the United States as the fianc e or fianc of a U.S. citizen in order that a determination may be made as to visa eligibility. This form, together with Form DS-156, Nonimmigrant Visa Application, completed in duplicate, constitutes the complete application for a "K" Fianc (e) Nonimmigrant Visa authorized under Section 222(c) of the Immigration and Nationality Act. 1. FAMILY NAME FIRST NAME MIDDLE NAME 2. DATE OF BIRTH (mm-dd-yyyy) 3. PLACE OF BIRTH (Ci.

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