hip LIVINGSTON NJ O7O39 20. Travel Plans Departure Date (mmiddiWyy) Return Dale (nenrcid/yyyy) Countries to be visited 05/25/2016 05/29/2016 Apanment,Unit ATTORNEY FRANCE STOP! YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE 1111111 DS-82 08-2013 Page 2 of 2 EFTA0029610