Edit Personal Information
Name Provided: SHANTHA KUMARI, SHANTHA KUMARI
Full Name in Native Alphabet: DOES NOT APPLY
Other Names Used: NO
Telecode Name Used: NO
Sex: FEMALE
Marital Status: MARRIED
Date of Birth: 24 JUNE 1961
Country/Region of Birth: BENGALURU, KARNATAKA, INDIA
Country/Region of Origin (Nationality): INDIA
Do you hold or have you held any
nationality other than the one NO
indicated above on nationality?
Are you a permanent resident of a
country/region other than your
NO
country/region of origin (nationality)
above?
National Identification Number: DOES NOT APPLY
U.S. Social Security Number: DOES NOT APPLY
U.S. Taxpayer ID Number: DOES NOT APPLY
Edit Address and Phone Information
174,179 M S HOMES ,2ND A CROSS RK
Home Address:
GARDEN
NEW BEL ROAD
City: BENGALURU
State/Province: KARNATAKA
Postal Zone/ZIP Code: 560054
Country/Region: INDIA
Same Mailing Address? YES
Primary Phone Number: 9901646130
Secondary Phone Number: DOES NOT APPLY
Work Phone Number: DOES NOT APPLY
Have you used additional phone
NO
numbers in the last five years?
Email Address: mgovindaraju.174@[Link]
Have you used additional email
NO
addresses in the last five years?
Do you have a social media presence?
Social Media Provider/Platform (1): None
Social Media Identifier:
Have you used additional social media
NO
platforms in the last five years?
Edit Passport/Travel Document Information
Passport/Travel Document Type: REGULAR
Passport/Travel Document Number: Z7398573
Passport Book Number: DOES NOT APPLY
Country/Authority that Issued INDIA
Passport/Travel Document:
City where issued: BENGALURU
State/Province where issued: KARNATAKA
Country/Region where issued: INDIA
Issuance Date: 01 FEBRUARY 2024
Expiration Date: 31 JANUARY 2034
Have you ever lost a passport or had
NO
one stolen?
Edit Travel Information
The List of Purposes of Trip to the U.S.
TEMP. BUSINESS OR PLEASURE
Purpose of Trip to the U.S. (1):
VISITOR (B)
BUSINESS OR TOURISM
Specify:
(TEMPORARY VISITOR) (B1/B2)
Have you made specific travel plans? NO
Intended Date of Arrival: 15 AUGUST 2026
Intended Length of Stay in U.S.: 15 DAY(S)
Address where you will stay in the U.S.: 4221 CANADIAN RIVER DR
PROSPER
TEXAS, TEXAS 75078
Person/Entity Paying for Your Trip: SELF
Edit Travel Companions Information
Other Persons Traveling with You: YES
Are you traveling as part of a group or
NO
organization?
Persons Traveling with You:
MUNIVENKATAPPA , GOVINDA
Name (1):
RAJU
Relationship to You: SPOUSE
Edit Previous U.S. Travel Information
Have you ever been in the U.S.? NO
Have you ever been issued a U.S. visa? NO
Have you ever been refused a U.S. Visa,
or been refused admission to the
United States, or withdrawn your YES
application for admission at the port of
entry?
NO PROOF OF COMING BACK TO IND
Explain:
IA
Has anyone ever filed an immigrant
petition on your behalf with the United
NO
States Citizenship and Immigration
Services?
Edit U.S. Point of Contact Information
Contact Person Name in the U.S.: SEKHAR, RAJA
Organization Name in the U.S.: DO NOT KNOW
Relationship to You: RELATIVE
U.S. Contact Address: 4221 CANADIAN RIVER DR
PROSPER
TEXAS, TEXAS 75078
Phone Number: +14694766210
Email Address: rajasekhar90@[Link]
Edit Family Information: Relatives
Father's Surnames: DO NOT KNOW
Father's Given Names: RAMACHANDRAPPA
Father's Date of Birth: DO NOT KNOW
Is your father in the U.S.? NO
Mother's Surnames: DO NOT KNOW
Mother's Given Names: SUBBALAKSHMAMMA
Mother's Date of Birth: DO NOT KNOW
Is your mother in the U.S.? NO
Do you have any immediate relatives,
NO
not including parents in the U.S.?
Do you have any other relatives in the
NO
United States?
Edit Family Information: Spouse
Spouse's Full Name: MUNIVENKATAPPA, GOVINDA RAJU
Spouse's Date of Birth: 01 FEBRUARY 1952
Spouse's Country/Region of Origin INDIA
(Nationality):
Spouse's City of Birth: BENGALURU
Spouse's Country/Region of Birth: INDIA
Spouse’s Address: SAME AS MAILING ADDRESS
Edit Present Work Information
Primary Occupation: HOMEMAKER
Edit Previous Work Information
Were you previously employed? NO
Have you attended any educational
institutions at a secondary level or NO
above?
Edit Additional Information
Do you belong to a clan or tribe? NO
Provide a List of Languages You Speak:
Language Name (1): KANNADA
Language Name (2): ENGLISH
Language Name (3): HINDI
Language Name (4): TAMIL
Have you traveled to any
countries/regions within the last five YES
years?
Provide a List of Countries/Regions Visited
Country/Region(1): SRI LANKA
Country/Region(2): KOREA, REPUBLIC OF (SOUTH)
Country/Region(3): MALAYSIA
Country/Region(4): THAILAND
Have you belonged to, contributed to,
or worked for any professional, social, NO
or charitable organization?
Do you have any specialized skills or
training, such as firearms, explosives,
NO
nuclear, biological, or chemical
experience?
Have you ever served in the military? NO
Have you ever served in, been a
member of, or been involved with a
paramilitary unit, vigilante unit, rebel NO
group, guerrilla group, or insurgent
organization?
Edit Part 1
Do you have a communicable disease of public health significance?
(Communicable diseases of public significance include chancroid,
gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma
NO
venereum, infectious stage syphilis, active tuberculosis, and other
diseases as determined by the Department of Health and Human
Services.)
Do you have a mental or physical disorder that poses or is likely to pose a
NO
threat to the safety or welfare of yourself or others?
Are you or have you ever been a drug abuser or addict? NO
Edit Part 2
Have you ever been arrested or convicted for any offense or crime, even
NO
though subject of a pardon, amnesty, or other similar action?
Have you ever violated, or engaged in a conspiracy to violate, any law
NO
relating to controlled substances?
Are you coming to the United States to engage in prostitution or unlawful
commercialized vice or have you been engaged in prostitution or NO
procuring prostitutes within the past 10 years?
Have you ever been involved in, or do you seek to engage in, money
NO
laundering?
Have you ever committed or conspired to commit a human trafficking
NO
offense in the United States or outside the United States?
Are you the spouse, son, or daughter of an individual who has committed
or conspired to commit a human trafficking offense in the United States
NO
or outside the United States and have you within the last five years,
knowingly benefited from the trafficking activities?
Have you knowingly aided, abetted, assisted or colluded with an
individual who has committed or conspired to commit a severe human NO
trafficking offense in the United States or outside the United States?
Edit Part 3
Do you seek to engage in espionage, sabotage, export control violations,
NO
or any other illegal activity while in the United States?
Do you seek to engage in terrorist activities while in the United States or
NO
have you ever engaged in terrorist activities?
Have you ever or do you intend to provide financial assistance or other
NO
support to terrorists or terrorist organizations?
Are you a member or representative of a terrorist organization? NO
Are you the spouse, son, or daughter of an individual who has engaged in NO
terrorist activity, including providing financial assistance or other support
to terrorists or terrorist organizations, in the last five years?
Have you ever ordered, incited, committed, assisted, or otherwise
NO
participated in genocide?
Have you ever committed, ordered, incited, assisted, or otherwise
NO
participated in torture?
Have you committed, ordered, incited, assisted, or otherwise
participated in extrajudicial killings, political killings, or other acts of NO
violence?
Have you ever engaged in the recruitment or the use of the child
NO
soldiers?
Have you, while serving as a government official, been responsible for or
directly carried out, at any time, particularly severe violations of religious NO
freedom?
Have you ever been directly involved in the establishment or
enforcement of the population controls forcing a woman to undergo an
NO
abortion against her free choice or a man or a woman to undergo
sterilization against his or her free will?
Have you ever been directly involved in the coercive transplantation of
NO
human organs or bodily tissue?
Edit Part 4
Have you ever sought to obtain or assist others to obtain a visa, entry
into the United States, or any other United States immigration benefit by NO
fraud or willful misrepresentation or other unlawful means?
Have you ever been removed or deported from any country? NO
Edit Part 5
Have you ever withheld custody of a U.S. citizen child outside the United
NO
States from a person granted legal custody by a U.S. court?
Have you voted in the United States in violation of any law or regulation? NO
Have you ever renounced United States citizenship for the purpose of
NO
avoiding taxation?