hone Number Relationship 20. Travel Plans Departure Date (mmiddryyyy) Return Date (min/cid yyyy) Countries to be visited 10/20/2016 10/25/2016 Apartment Unit ATTORNEY CANADA STOP! YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE 1111111 DS-82 08-2013 Page 2 of 2 EFTA00298137