Ds-260

DS-260
IV Application

October 2019

SENSITIVE BUT UNCLASSIFIED

Bureau of Consular Affairs
Consular Systems and Technology

Sign In Page
CEAC IV App (Version 1.4)
Deployed to production on October 12th 2019
Version Changes:


Addition of new question and fields for additional phone numbers on the Address and Phone page.



Addition of new question and fields for additional email addresses on the Address and Phone page.



Addition of new question and fields for Social Media providers not listed in dropdown on the Address and Phone page.



Addition of screen displaying current Social Media provider options on the Address and Phone page.



Addition of new question and fields for travel history on W/E/T Additional Page.



Addition of Terrorist Activity question on Security and Background Page.



Addition of Deportation question on Security and Background Page.



Addition of FBI fingerprinting system paragraph to Sign and Submit page.



Addition of Medical Examination paragraph to Sign and Submit page.



Addition of electronic pamphlet for applicants from countries where female genital mutilation/cutting (FGM/C) is prevalent to Sign
and Submit page.



Clarification for electronic signature language to Sign and Submit page.



Removal of bolded headings in the Confidentiality Statement, text remains unchanged otherwise.

Note: The overall classification of this document is SENSITIVE BUT UNCLASSIFIED.

CEAC IV Form DS-260
SENSITIVE BUT UNCLASSIFIED

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Sign In Page

CEAC IV Form DS-260
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Sign In Page

CEAC IV Form DS-260
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Sign In Page

CEAC IV Form DS-260
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Summary Information Page
Example of a piVot case Summary page.

CEAC IV Form DS-260
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Getting Started Page – Immigration Visa and Alien
Registration Application

CEAC IV Form DS-260
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Personal Information 1 Page
Displayed for all applicants. Answered ‘No’ to the question “Have you ever used other names (i.e., maiden,
religious, professional, alias, etc.)?”.

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Personal Information 1 Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Have you ever used other names (i.e., maiden,
religious, professional, aliases, etc.)?’.

CEAC IV Form DS-260
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CEAC IV Form DS-260
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Personal Information 2 Page
Displayed for all applicants. Answered “Passport” for “Document Type”. Answered ‘No’ to the question
‘Do you hold or have you held any nationality other than the one you have indicated above?’.

CEAC IV Form DS-260
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Personal Information 2 Page
Displayed for all applicants. Answered “Other Travel Document” for “Document Type”’. Answered ‘Yes’ to
the questions ‘Do you hold or have you held any nationality other than the one indicated in question above
on nationality?’ and ‘answer “No” to the question “ Do you hold a passport for the other nationality above?’.

CEAC IV Form DS-260
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Personal Information 2 Page
Displayed for all applicants. Answered “Other Travel Document” for “Document Type”. Answered ‘Yes’ to
the questions ‘Do you hold or have you held any nationality other than the one indicated in question above
on nationality?’ and ‘Do you hold a passport for the other nationality above?’.

CEAC IV Form DS-260
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Personal Information 2 Page

CEAC IV Form DS-260
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Present and Previous Address Information Page
Displayed for all applicants. All questions answered ‘No’. Please note sections added for Additional
Telephone and Email Address. Additional field for Social Media and Other Social Media.

CEAC IV Form DS-260
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Present and Previous Address Information Page
Displayed for all applicants. All questions answered ‘Yes’. Please note sections added for Additional
Telephone and Email Address. Additional field for Social Media and Other Social Media.

Page Continued

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Page Continued

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Mailing and Permanent Address Page
Displayed for all applicants who do not list “United States of America” as their Present Address
Country/Region. All questions answered ‘Yes’.

CEAC IV Form DS-260
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Mailing and Permanent Address Page
Displayed for all applicants who do not list “United States of America” as their Present Address
Country/Region.. All questions answered ‘No’.

CEAC IV Form DS-260
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Mailing and Permanent Address
Displayed for all applicants who list “United States of America” as their Present Address Country/Region. .
All questions answered ‘Yes’.

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CEAC IV Form DS-260
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Mailing and Permanent Address Page
Displayed for all applicants who list “United States of America” as their Present Address
Country/Region. Answered ‘No’ to the question ‘Is this address where you want your Permanent
Residence Card (Green Card) mailed?’.

CEAC IV Form DS-260
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CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants.

CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants. Answers to all questions are “Yes”.

CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants. Answers to all questions are “No”.

CEAC IV Form DS-260
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Family Information: Parents Page
Displayed
for all
applicants. Answered
‘Yes’
to
“Is your
father/mother still living?”
and answered ‘No’ to the
question “If your mother’s
address the same as your
father’s?”

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Family Information: Parents Page
Displayed for all applicants. Answered ‘Do Not Know’ to the questions ‘Surname’ and ‘Given Name’.

CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Answered ‘No’ to the question ‘Is
your spouse immigrating to the U.S. with you?’.

CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Answered ‘Yes’ to the question ‘Is
your spouse immigrating to the U.S. with you?’.

CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Selected ‘Same as Present
Address’ and ‘Not Employed’ for ‘Occupation’.

CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Selected ‘Other (Specify Address)’
for ‘Spouse’s Address’ and ‘Other’ for ‘Occupation’.

CEAC IV Form DS-260
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Family Information: Previous Spouse Page

Family Information: Previous Spouse Page
Displayed for all applicants. Answered ‘No’ to the question ‘Do you have any previous spouses?’.
Displayed for all applicants. Answered ‘Yes’ to the question ‘Do you have any previous spouses?’.
Answered ‘Other’ to the question ‘How was your marriage terminated?’.

-260
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CEAC IV Form DS

Displayed for all applicants. Answered ‘No’ to the question ‘Do you have any children?’.

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Displayed for all applicants. Answered ‘Yes’ to all questions.

CEAC IV Form DS-260
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CEAC IV Form DS-260
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Displayed for all applicants. Answered ‘Yes’ to the question ‘Do you have any children?’. Answered ‘No’ to the
question ‘Is this child immigrating to the U.S. with you?’.

CEAC IV Form DS-260
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Previous U.S. Travel Information Page
Displayed for all applicants. All questions are answered ‘No’.

CEAC IV Form DS-260
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Previous U.S. Travel Information Page
Displayed for all applicants that answer ‘Yes.’

CEAC IV Form DS
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Present Work/Education/Training Information Page
Displayed for all applicants over the age of 14

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants over the age of 14. Primary Occupation and ‘In which occupation do you intend to work in
the U.S.?’ is ‘Agriculture’, ‘Business’, ‘Communications’, ‘Computer Science’, ‘Culinary/Food Services’, ‘Education’,
‘Engineering’, ‘Government’, ‘Homemaker’, ‘Legal Profession’, ‘Medical/Health’, ‘Military’, ‘Natural Science’, ‘Physical
Sciences’, ‘Religious Vocation’, ‘Research’, ‘Social Science’, or ‘Student’. Answer to ‘Do you have other
occupations?’ is ‘No’.

Displayed for all applicants over the age of 14. Primary Occupation and ‘In which occupation do you intend to work in
the U.S.?’ is ‘Agriculture’, ‘Business’, ‘Communications’, ‘Computer Science’, ‘Culinary/Food Services’, ‘Education’,

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
‘Engineering’, ‘Government’, ‘Homemaker’, ‘Legal Profession’, ‘Medical/Health’, ‘Military’, ‘Natural Science’, ‘Physical
Sciences’, ‘Religious Vocation’, ‘Research’, ‘Social Science’, or ‘Student’. Answer to ‘Do you have other
occupations?’ is ‘Yes’ and ‘Other Occupation’ is not ‘Other’ or ‘Homemaker’.

Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is
CEAC IV Form DS-260
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Present Work/Education/Training Information Page
‘Agriculture’, ‘Business’, ‘Communications’, ‘Computer Science’, ‘Culinary/Food Services’, ‘Education’, ‘Engineering’,
‘Government’, ‘Homemaker’, ‘Legal Profession’, ‘Medical/Health’, ‘Military’, ‘Natural Science’, ‘Physical Sciences’,
‘Religious Vocation’, ‘Research’, ‘Social Science’, or ‘Student’. Answer to ‘Do you have other occupations?’ is ‘Yes’
and ‘Other Occupation’ is ‘Homemaker’.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants over the age of 14. . Primary Occupation and ‘In which occupation do you intend to work in
the U.S.?’ is ‘Other’.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is ‘Not
Employed’.

Displayed for all applicants over the age of 14. Primary Occupation and ‘In which occupation do you intend to work in
the U.S.?’ is ‘Homemaker’ or ‘Retired’.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page

Displayed for all applicants over the age of 14. Primary Occupation and ‘In which occupation do you intend to work in
the U.S.?’ is ‘Homemaker’ or ‘Retired’.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed only for Diversity Visa (DV)
principal applicants when Primary
Occupation is not
“HOMEMAKER”,
“NOT EMPLOYED” or “STUDENT”.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed only for Diversity Visa (DV) principal
applicants when Primary Occupation is not
“HOMEMAKER”, “NOT EMPLOYED” or
“STUDENT”. Answer to “Do you have other
occupations?” is “Yes”.

CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed only for Diversity Visa (DV) principal
applicants when Primary Occupation is not
“HOMEMAKER”, “NOT EMPLOYED” or
“STUDENT”.
Answer to “Do you have
other
occupations?” is
“Yes”. Other Occupation is “OTHER”.

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Previous Work/Education/Training Information Page
Displayed for all applicants who meet one of the following criteria:
•The applicant is male and age is between 14 and 60
•The applicant is over the age of 14 and is from Burma, China, Cuba, India, Iran, North Korea, Pakistan, Saudi
Arabia,
Sudan, Syria, or Stateless
•The applicant is retired, not employed, or is a homemaker
•The applicant is a principal applicant and is applying for any of the following visa classes: E11, E12, E13, E21, E31,
E32, EW3, SD1, SR1, SE1, C51, T51, SI1, SQ1, SF1, SG1, SH1, SJ1, SK1, SN1, R51, and I51, DV-1.
The answer to both questions is ‘No’.

Displayed for all applicants who meet one of the following criteria:

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Previous Work/Education/Training Information Page
•The applicant is male and age is between 14 and 60
•The applicant is over the age of 14 and is from
Burma, China, Cuba, India, Iran, North Korea,
Pakistan, Saudi Arabia, Sudan, Syria, or Stateless
•The applicant is retired, not employed, or is a
homemaker
•The applicant is a principal applicant and is applying
for any of the following visa classes: E11, E12, E13,
E21, E31, E32, EW3, SD1, SR1, SE1, C51, T51, SI1,
SQ1, SF1, SG1, SH1, SJ1, SK1, SN1, R51, and I51,
DV-1.
Answer to both questions is ‘Yes’.

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Previous Work/Education/Training Information Page
Displayed for all applicants who selected ‘Afghanistan’ for ‘Nationality’ and is over the age of 14. The answer to

both questions is ‘Yes’.
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Previous Work/Education/Training Information Page
Displayed for all applicants who selected ‘Iraq’ for ‘Nationality’ and is over the age of 14. . The answer to both

CEAC IV Form DS-260
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Previous Work/Education/Training Information Page

questions is ‘Yes’.
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Previous Work/Education/Training Information Page
Displayed for all DV principal applicants who answer “Yes” to the first question and “No” to the other questions on the
page.

CEAC IV Form DS-260
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Previous Work/Education/Training Information Page

CEAC IV Form DS-260
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Previous Work/Education/Training Information Page
Displayed for all DV principal applicants who answer “Yes” to all questions on the page.

CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who are 14 years or older. The answer to the question is unanswered. No
additional questions are triggered if answered ‘No’.

Displayed for all applicants who are 14 years or older. The answer to the question is ‘Yes’.

CEAC IV Form DS-260
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Additional Work/Education/Training Information Page

CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who selected ‘Iraq’ for ‘Nationality’ or ‘Other Nationality, is 14 years or older, and
is Male. Answers to questions are ‘No’.

Displayed for all applicants who meet one of the following two criteria:
•The applicant is Male and age is between 14 and 60 and Nationality (or Other Nationality) is NOT
AFGHANISTAN, BURMA, CHINA, CUBA, INDIA, IRAQ, IRAN, NORTH KOREA, PAKISTAN, SAUDI
ARABIA, SUDAN, SYRIA, OR STATELESS
•The applicant is 14 years or older and Nationality (or Other Nationality) is AFGHANISTAN, BURMA, CHINA,
CUBA, INDIA, IRAN, NORTH KOREA, PAKISTAN, SAUDI ARABIA, SUDAN, SYRIA, OR STATELESS.
•The applicant is 14 years or older, Nationality is IRAQ, and is Female.
Answers to questions are ‘No’.

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Additional Work/Education/Training Information Page

Displayed for all applicants who meet one of the following two criteria: •The applicant is Male and age is
between 14 and 60 and Nationality (or Other Nationality) is NOT
AFGHANISTAN, BURMA, CHINA,
CUBA, INDIA, IRAQ, IRAN, NORTH
KOREA, PAKISTAN, SAUDI ARABIA, SUDAN, SYRIA, OR STATELESS
•The applicant is 14 years or older and
Nationality (or Other Nationality) is
AFGHANISTAN, BURMA, CHINA,
CUBA, INDIA, IRAQ, IRAN, NORTH KOREA, PAKISTAN, SAUDI ARABIA, SUDAN, SYRIA, OR
STATELESS.
Answers to questions are ‘Yes’. Part 1

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Additional Work/Education/Training Information Page

Part 2

CEAC IV Form DS-260
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Additional Work/Education/Training Information Page

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Additional Work/Education/Training Information Page
Displayed for all applicants who meet one of the following two criteria:
between 14 and 60 and Nationality (or Other Nationality) is
NOT AFGHANISTAN,
BURMA, CHINA, CUBA,
INDIA, IRAQ, IRAN,
NORTH KOREA,
PAKISTAN, SAUDI
ARABIA, SUDAN,
SYRIA, OR STATELESS
•The applicant is 14 years or older and Nationality (or Other
Nationality) is
AFGHANISTAN,
BURMA, CHINA, CUBA,
INDIA, IRAQ, IRAN,
NORTH KOREA,
PAKISTAN, SAUDI ARABIA, SUDAN, SYRIA, OR STATELESS.

•The applicant is Male and age is

‘Iraq’ is selected for
‘Name of Country/Region’. Answers to questions are ‘No’ except for ‘Have you ever served in the military?’.
‘Name of
Country/Region’ is ‘Iraq’.

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Additional Work/Education/Training Information Page

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Petitioner Information Page
Displayed for all applicants.

Displayed for all applicants. Answered ‘Father’ to ‘Petitioner is my’. The same questions display if ‘Mother’, ‘Brother’,
‘Sister’, ‘Spouse’, ‘Child’, ‘Stepfather’, ‘Stepmother’, ‘Uncle’, ‘Aunt’, ‘Grandparent’, or ‘In-law’ is selected.

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Petitioner Information Page

Displayed for all applicants. Answered ‘Employer’ to the question ‘Petitioner is my’. The same questions display if
‘Prospective Employer’ is selected. If ‘Other’ is selected, an additional ‘Specify Other’ box is displayed.
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Petitioner Information Page

Displayed for all applicants. Answered ‘Self’ to the question ‘Petitioner is my’.

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Petitioner Information Page

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Security and Background: Medical and Health
Information Page
Displayed for all applicants. Answers to questions are ‘No’.

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CEAC IV Form DS-260
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Security and Background: Medical and Health
Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.

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Security and Background: Criminal Information Page
Displayed for all applicants. Answers to questions are ‘No’.

CEAC IV Form DS-260
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Security and Background: Criminal Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.

CEAC IV Form DS-260
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Security and Background: Security Information 1 Page
Displayed for all applicants. Answers to questions are ‘No’.

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CEAC IV Form DS-260
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Security and Background: Security Information 1 Page
Displayed for all applicants. Answers to questions are ‘Yes’.

CEAC IV Form DS-260
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Security and Background: Security Information 2 Page
Displayed for all applicants. Answers to questions are ‘No’.

CEAC IV Form DS-260
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Security and Background: Security Information 2 Page
Displayed for all applicants. Answers to questions are ‘Yes’.

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants who answered "No" to "Have you ever been to the U.S.?" on the Previous U.S.
Travel page.

.

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants who answered "No" to "Have you ever been to the U.S.?" on the Previous U.S. Travel
page. Displayed when you answer ‘Yes’.

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants who answered ‘Yes’ to ‘Have you ever been to the U.S.?’ on the Previous U.S.
Travel Page. Answers to questions are ‘No’.

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants who answered ‘Yes’ to ‘Have you ever been to the U.S.?’ on the Previous
U.S. Travel page. Answers to questions are ‘Yes’.
Part 1:

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page

CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 2 Page
Displayed for all applicants who answered ‘Yes’ to ‘Have you ever been to the U.S.?’ on the Previous U.S.
Travel page. Answers to questions are ‘No’.

Security and Background: Immigration Law Violation
Displayed for all applicants who answered ‘Yes’ to ‘Have you ever been to the U.S.?’ on the Previous U.S.
Travel page. Answers to questions are ‘Yes’.

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CEAC IV Form DS-260
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Security and Background: Miscellaneous Information 1
Page
Displayed for all applicants. Answers to questions are ‘No’.

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Security and Background: Miscellaneous Information 1
Page
Displayed for all applicants. Answers to questions are ‘Yes’.

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Security and Background: Miscellaneous Information 2
Page
Displayed for all applicants. Answers to questions are ‘No’.

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Security and Background: Miscellaneous Information 2
Page
Displayed for all applicants. Answers to questions are ‘Yes’.

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CEAC IV Form DS-260
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Social Security Number Information Page
Displayed for all applicants. Answers to questions are ‘No’.

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Social Security Number Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.

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Social Security Number Information Page
Displayed for all applicants. Answers to the first three questions are ‘Yes’ with the last question answered ‘No’.

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Sign and Submit Page
Displayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.

CEAC IV Form DS-260
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Sign and Submit Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this
application?’.

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CEAC IV Form DS-260
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Sign and Submit Page
Displayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.
If you are from Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Cote d’Ivoire, Democratic
Republic of the Congo, Djibouti, Egypt, Eritrea, Ethiopia, Gambia, Ghana, Guinea, Guinea-Bissau, Iraq, Kenya,
Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo, Uganda,
Yemen then you will have an extra box on your Sign and Submit page. Applicants must certify they reviewed the
FGM/C government fact sheet, given they are from a FGM/C prevalent country/region.

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CEAC IV Form DS-260
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Sign and Submit Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this application?’.
If you are from Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Cote d’Ivoire, Democratic
Republic of the Congo, Djibouti, Egypt, Eritrea, Ethiopia, Gambia, Ghana, Guinea, Guinea-Bissau, Iraq, Kenya,
Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo, Uganda,
Yemen then you will have an extra box on your Sign and Submit page. Applicants must certify they reviewed the
FGM/C government fact sheet, given they are from a FGM/C prevalent country/region.

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CEAC IV Form DS-260
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Confirmation Page
Displayed for applicants when the case is at NVC.

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CEAC IV Form DS-260
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Confirmation Page
Displayed for applicants when the case is at Post Displayed for DV applicants when

the case is at KCC

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Confirmation Page

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Confirmation Page
Displayed for DV applicants when the case is at Post

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Copyright Page – Immigrant Visa and Alien
Registration Application

CEAC IV Form DS-260
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Disclaimer Page – Immigrant Visa and Alien
Registration Application

CEAC IV Form DS-260
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Paperwork Reduction Act Page – Immigrant Visa
and Alien Registration Application

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