ip LIVINGSTON NJ 07039 20. Travel Plans Departure Date (mmrddiyyyy) Return Date (minickliyyyy) Countries to be visited 05/25/2016 05/29/2016 ApanmenhUnit ATTORNEY FRANCE STOP! YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE II III !III III II DS-82 08-2013 Page 2 of 2 EFTA