INTERVIEW WAIVER FORM

 Renewal of Visa (B1/B2) for applicants of 60 years of age, or older:

I AM 72 YEARS OLD

 I am renewing my B1/B2 visa;

YES

 I am a Pakistani Citizen applying with a Pakistani Passport;

YES

 My last U.S. visa was “multiple” entry (it should read as “M”);

YES

 I am applying for the same U.S. visa class;

YES

 My U.S. visa is still valid, or I am applying within 48 months of my previous visa's

expiration date;

YES, IT IS STILL VALID

 I am applying from the same U.S. Embassy/Consulate, from which my last U.S. Visa was
issued;

YES

 My most recent prior application in this category resulted in an issued U.S. visa;

YES

 My previous visa has never been revoked, lost, or stolen;

YES

 My name, date of birth, nationality, and place of birth are the same on both applications
(current and previous);

YES

 On my previous visit to the United States, I complied with all immigration laws and
regulations;

YES

HABIBULLAH KHAN PASSPORT NO.: BU4114542

CONFIRMATION NO.: AA00ASLD71