USA140

| |Antelope Canyon|Bryce Canyon| Grand Canyon South Rim

ULTIMATE GRAND CANYON

Antelope Canyon

8 DAYS5NIGHTS

53,988.-

08.00 . S

10.55 CI 834 15.25 16.50 CI 006 ***

. Los Angeles International Airport) 5 Los Angeles) L.A.)

2 Beverly Hills)

Beverly Hillbillies Santa Monica

Anaheim

HOLIDAY INN BUENA PARK

OUTLET Horseshoe bend

Antelope Canyon South rim

The Hollywood Walk of Fame

OUTLET

Barstow) TANGER BARSTOW FACTORY OUTLET Polo Ralph Lauren, Coach, Ray Ban, Tommy Hilfiger,

GAP, Guess, American Eagle Outfitters, Timberland, Banana Republic, Calvin Klein, Samsonite

St. George Utah

TRU BY HILTON ST. GEORGE

Horseshoe bend

Bryce Canyon National Park) Utah)

Hoodoos) Horseshoe bend Colorado River)

300

(Page) Arizona

Glen Canyon Lake Powell

Horseshoe bend

Antelope Canyon Sandstone)

HYATT PLACE PAGE

Antelope Canyon South rim

Antelope Canyon Sandstone)

Grand CanyonSouth rim

,

Las Vegas) Sin City)

Strip

EXCALIBUR

The Strip

Ontario Mills DKNY,Polo Ralph Lauren, Coach, Tommy Hilfiger, GAP, Guess, American Eagle Outfitters, Oakley Vault, Timberland, Banana Republic,

Anaheim Disneyland Park)

HOLIDAY INN BUENA PARK

The Hollywood Walk of Fame-

The Hollywood Walk of Fame Hollywood Boulevard ,

Tom Cruise, Nicolas Cage, Bruce Willis, Jacky Chan, Robin Williams, Bee Gees, Charlie Chaplin, Michael Jackson, Johnny Depp, Frank Sinatra, Keanu Reeves, Elvis Presley, Mickey Mouse, The Simpson Theatre)

(DolbyTheatre)

CI 005

http://th.wikipedia.org/w/index.php?title=%E0%B8%97%E0%B8%B2%E0%B8%87%E0%B9%80%E0%B8%97%E0%B9%89%E0%B8%B2&action=edit&redlink=1

***

21.30

CI 837

ULTIMATE GRAND CANYON

Antelope Canyon

8 DAYS5NIGHTS CI

22-29 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

18-25 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

10-17 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

24-31 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

07-14 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

21-28 53,988.- 53,988.- 53,988.- 38,900.- 8,900.-

06-13 54,988.- 54,988.- 54,988.- 39,900.- 9,900.-

20-27 54,988.- 54,988.- 54,988.- 39,900.- 9,900.-

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Nonimmigrant Visa Application DS-160

DS-160

Personal Information 1

1. Surname / ________________________________

2. Given names / _______________________________

3. Full name in Native Alphabet / __________________________ 4. Have you ever used other names ( i.e., maiden, religious, professional, alias, etc.)

:_________________________________

:____________________________________

5. Sex /

Male / Female /

6. Marital Status /

Single /

Married / Civil Partner /

Unmarried Partner /

Divorced / Dissolved Partnership /

Widowed / Surviving Civil Partner /

7. Date of Birth / DD/MM/YYYY) _______________________________________

8. City of Birth / ________________________________________

9. State / Province of Birth / _______________________________

10. Country of Birth / ________________________________________

Personal Information 2

1. Nationality / _______________________________________________

2. Do you hold or have held a nationality other than the one you have indicated above?

: ________________________

: ________________________

3. National Identification Number / __________________________

4. U.S.Social Security Number /

______________________________________________________________

5. U.S. Taxpayer Id Number /

______________________________________________________________

Address and Phone Information

1. Street Address / ____________________________________________________

_______________________________________________________________________

____________________________________ Postal zone/:______________

2. Country / _______________________________________________________

3. Is your Mailing Address the same as your Home Address ? /

____________________________________________________

____________________________________________________

____________________________________________________

4 Home Phone Number / _________________________________________

5. Work Phone Number / ______________________________________

6. Work Fax Number / _________________________________________

7. Mobile / Cell Phone Number / __________________________________

8. Email Address / ________________________________________________

9. Social media / ( )

Face Book / ________________________________________________

Instagram / ________________________________________________

Twitter / ________________________________________________

______________________________________________________

Passport Information

1. Passport Number / ________________________

2. Passport Book Number /

___________________________________________

3. Country / Authority that Issued Passport

______________________________________________________________

4. Where was the passport issued? ____________________

Issuance Date / (DD/MM/YYYY) _______/_______/_________

Expiration Date / (DD/MM/YYYY) _____/______/_______

5. Have you ever lost a passport or had one stolen?

Yes / * No /

Passport Number ______________________________

/ Explain ________________________________________

Travel Information

1. Purpose of trip to U.S./ _______________________________________________________________

2. Intended Date of Arrival in U.S./

(DD/MM/YYYY) ______/______/______

3. Intended Length of stay in U.S. /

__________________Day(s)

4. Address where you will stay in U.S./

Street Address / _______________________________________________

City / _______________________________________________________

State / ________________________________________________________

Zip Code / _____________________________________________

5. Person/Entity paying for your trip? / _______________________________________________________________

:_________________________________________________

Address of person / company paying for trip //

:

____________________________________________________________________________

____________________________________________________________________________

Telephone number / :

________________________________________________

Relationship to you / :

____________________________________

Previous U.S.Travel Information

1. ?

Yes/ No/

Date arrived / :_________________________

Length of stay / ___________________Day(s)/

Do you or did you ever hold a U.S. Driver’s license? /?

Driver’s license number/

:_______________________________________________

State of Driver’s license/

:________________________________________________

2. Have you ever been issued a U.S. Visa ? /

* Yes/ No/

Date last visa was issued/ :________________________________

Visa Number ______________________________________________

Have you been ten-printed ? / U.S. ?

Yes / No /

Has your U.S. Visa ever been lost or stolen ? / U.S. ?

Yes / No /

Enter year visa was lost or stolen ( ) : ______________

Explain / ______________________________________

Has your U.S. visa everbeen cancelled or revoked ? / ? Yes / No /

Explain /

_________________________________________________________

3. Yes / No /

______________________________________________________________

______________________________________________________________

Family Information : Relatives

1. /

Surnames / __________________________________________

Given Names / __________________________________________

Date of Birth / _______________________________________

Is your father in the U.S.?

Yes / No /

U.S.Citizen U.S.Legal permanent resident

Nonimmigrant Other/ I don’t

know___________________________

/

Surnames / ________________________________________

Given Names / _________________________________________

Date of Birth / _______________________________________

Is your mother in the U.S.?

Yes / No /

:

U.S.Citizen U.S.Legal permanent resident

Nonimmigrant Other/ I don’t

know___________________________

2. Do you have any immediate relatives not including parents in the United State (Means fiance / fiancée, spouse (husband/wift), chills (son/daughter), or sibling (brother/sister)?

Yes / No /

/

Surname / _____________________________________________

Given Names / _____________________________________________

Relationship to you / ____________________________

___________________________________________________________

____________________________________________________________

3. Do you have any other relatives in the United States

Yes / No /

/ ___________________________________________________________

____________________________________________________________

Spouse Information

1. / ________________________________

2. / _________________________________

3. / __________________________

4. _____________________________________

5. s Place of Birth / _________________________________

6. _____________________________________

______________________________________________________________

______________________________________________________________

____________________________

__________________________________

_________________________________

( ) _________________________

( )_________________________

_________________________________

Present Work/ Education/ Training / Information

1. Primary Occupation / ________________________________________

2. Present Employer or School Name / ____________________

__________________________________________________________

Street Address / _____________________________________________

City / _____________________________________________________

State / ________________________________________________

Zip Code / _____________________________________________

Country / _________________________________________________

Telephone/ _____________________________________________

Employment Date From ( ) ____________________________

Monthly Salary in Local Currence ( if employed ) / ___________________________

3. Briefly describe your duties /

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Previous Work / Education / Training Information

Provide your employment information for the last five years, if applicable.

1. Were you previously employed? ? Yes / No /

Employer / Employment information

Employer Name/

_________________________________________________

Employer Address /

___________________________________________________________________________

___________________________________________________________________________

________________________

Telephone/

______________________________________________________

2. Job Title/ _____________________________________________________________

3. Employment Date From ( )

____________________________________

4. Employment Date To ( ) ______________________________________

5. Briefly describe your duties / ___________________________________

_______________________________________________________________

6. Have you attended any educational institutions other than elementary schools ?

?

Yes / No /

If yes, provide the following information on all educational institutions you have attended, not including

elementary schools/

Name of Institution/ _____________________________________________________

Address/ _____________________________________________________

_______________________________________________________________

_______________________________________________________________

Course of Study/

__________________________________________________

Date of Attendance From ( )

___________________________________________

Date of Attendance To/ ( )

______________________________________________

Additional Work / Education / Training Information

1. Have you traveled to any countries within the last five years ?

Yes /* No /

** If yes please provide a List of Countries Visited /

__________________________________________________________________________________

__________________________________________________________________________________

________________

2.Have you ever served in the military ?

Yes / No /

If yes please provide the following information /

Name of Country/ ____________________________________________

Branch of Service/ , ____________________________________________

Rank / Position ______________________________________________

Military Specialty/ _______________________________________