Manila / Washington / DC / Baltimore / ABBREVIATE CITY / /
Country
United States / /
Facility
Annex Building / /
IndustryTerm
law enforcement / food stamps / passport applications / citizenship law / /
Organization
SECTION TO BE COMPLETED BY CONSULAR OFFICE / OR AS DEPENDENT OF SUCH PERSON / American Embassy / office of Management and Budget / Federal government / Immigration and Naturalization Service / U.S. Embassy / WITH QUALIFYING INTERNATIONAL ORGANIZATION / Department of Health and Human Services / BRANCH OF SERVICE / Department of Justice / Internal Revenue Service / U.S. SOCIAL SECURITY ADMINISTRATION / U.S. DEPARTMENT OF STATE / Medicare / /
Person
EVA NTI EVC PRA / DON DO / /
Position
OFFICIAL RELATIONSHIP / Congressional representative / CONSULAR OFFICER / Prime Minister / U.S. consul / private U.S. citizen / Secretary / consul / designated military official / U.S. consular officer / /
ATTENTION DS-2029 and SSN APPLICATION FOR SOCIAL SECURITY NUMBER CARD (page 3 of this form package)