This document summarizes a Peruvian citizen's visa application. It includes personal details like name, date of birth, address in Peru. It notes the applicant's Peruvian passport was issued in 2008 and expires in 2012. The purpose of travel is listed as "vacation and business" for 7 days. Funding is from personal resources. There is no record of previous visits to the US. Sections 29-31 of the supplemental form are blank, presumably meaning no additional visits, visa issuances, or refusals.

1. 11/30/2010
4041248 LIMA PERU LIMA
PERU 25 SEPTEMBER 2008 25 SEPTEMBER 2012
ALVARADO VASQUEZ
MARIA DEL ROSARIO
22 MAY 1964
PERU
LIMA PERU LIMA
ALEJANDRO IGLESIAS 352 DEPARTAMENTO 203
06432171 CHORRILLOS, LIMA LIMA 9
X PERU
2513635 4728052 998307101
4702620
X
AV. ESTEVAN CAMPODONICO 640 SANTA CATALINA LIMA
TOMYKO SPA INSTITUTO DE BELLEZA 13
ROSARIO2205@
COSMIATRA HOTMAIL.COM
16 NOVEMBER 2008
4041 COLLINS AVENUE, 7531 CANADA AVENUE
MIAMI, FLORIDA FL 33133
I1MZ2C4MLD
VACACIONES Y NEGOCIOS
7 DIAS
X
RECURSOS PROPIOS
11-2007

2. X X
19 OCTOBER 2007
LIMA
B2
X X
X X
X X
X
X
X
X
X
X
X
X
X
X

3. U.S. Department of State
SUPPLEMENT TO
NONIMMIGRANT VISA APPLICATION
PLEASE BE SURE TO SUBMIT THIS PAGE WITH THE REST OF YOUR APPLICATION
DO NOT MARK OR WRITE IN THIS SPACE
MARIA DEL ROSARIO ALVARADO VASQUEZ
Barcode Number: I1MZ2C4MLD
29. Additional Visits to the U.S.:
30. Additional Visa Issuances:
31. Additional Visa Refusals:
EVAF 02.02.10