#32
EMBASSY OF THE UNITED STATES RIYADH, SAUDI ARABIA CONSULATE GENERAL OF THE UNITED STATES JEDDAH, SAUDI ARABIA U.S. VISA EXPRESS PROGRAM NONIMMIGRANT VISAS ». SPRING 2001
AGENT MANUAL
TABLE OF CONTENTS I.
Eligible Applicants
4
II.
Loss of Agent Status
5
III. Lost or Stolen Passports
5
IV. Agent Codes
6
V.
7 8 9 10
Visa Application Documents Exit Re-entry samples Employment Letter Sample Table of required Documents
VI. Table of applicable visa fees
11
VII. Sample Saudi passports
12
VIII.Sample Visa Application (Form OF-156-page 1) (Form OF-156-page 2) (Form OF-156-page 1 Arabic) (Form OF-156—page 2 Arabic)
13 14 15 16
VIII. Computer Data Entry Instructions (Option l-"Basic" View) (Option 2-"More" Expanded View) Data Entry Fields
U.S Visa Express - Agent Manual Spring 2001
17-18 19 20 21
TABLE OF CONTENTS (continued) X.Processing Instructions Diskette Labeling Preparation for Embassy Drop off Drop-off and Pick-up Instructions XI. Sample Visa Documents (Form 1-20 page 1-2(F-1 Visa)) (Form 1-20 page 3-4(F-l Visa)) (Form IAP-66 (J-1 Visa)) (Sample Bank certification letter) (Sample Form 1-797) (Sample Medical documents) (Sample Medical Report) (Sample Government letter for medical cases)
22 23 24 25-26 27-28 29-31 32 33 34-35 36-38 39
XII. U.S. Visa Express Coordinator Information (Contact information at Embassy/Consulate) 40
U.S Visa Express - Agent Manual Spring 2001
LOSS OF AGENT STATUS It is mutually understood that agencies in the U.S. Visa Express program will maintain standards of high integrity and professionalism. Agency operations and practices will be under constant evaluation for high quality service standards. Failure by the agency to follow procedures and maintain a high quality of service may result in suspension or deletion from the approved list.
LOST OR STOLEN PASSPORTS Agents who lose passports containing any type of U.S. visa must report the loss to the U.S. Visa Express Program Coordinator within one week of the loss. Failure to do so will result in the loss of the privilege to process visa applications under the U.S. Visa Express program.
U.S Visa Express - Agent Manual Sorina 2001
-5-
U.S. VISA EXPRESS AGENT CODES The Agent Codes for the individual agents are as follows: T0001
ACE TRAVEL
AL SAHAM AL MUSAFER/EAGLE/FOUAD TRAVEL T0002 AL TAYYAR TRAVEL
T0003
ATTAR TRAVEL
T0004
FIFA/STAR TRAVEL
T0005
FURSAN TRAVEL
T0006
KANOO HOLIDAYS
T0007
MINHAL TRAVEL
T0008
SNAS/DHL/GREEN WINGS TRAVEL
T0009
UPS/EIRAD TRAVEL
TOO 10
U.S Visa Express - Agent Manual Sorina 2001
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VISA APPLICATION DOCUMENTS All visa applications must have the following documents: 1.
Passport (valid for at least 6 months after the conclusion of the planned stay in the United States) signed by the applicant.
2.
A recent passport size front view photograph attached to a completed Visa Application Form (OF-156) signed by the applicant and completed in English. (The travel agent must never sign for an applicant and should ensure that all questions are answered). The person who completes the OF-156 should sign in Block 35. **Please see sample OF-156. Travel Agency must stamp back side of OF-156.
3.
MRV processing fee of SAR 171 per applicant plus an applicable visa fees.
4.
Supporting Documentation
5.
For non-Saudis, Exit/Re-entry permit and letter of employment **Please see sample documents.
U.S Visa Express - Agent Manual Spring 2001
-7-
SAMPLES OF EXIT-REENTRY STAMPS
^^Prftfiffi^^^Si A1•' g^J^
MULTIPLE EXIT-REENTRY STAMP
SINGLE EXIT-REENTRY STAMP
Al-Tayya
AI-Tayyar Travel Group Co. Ltd.
The Consulate General Embassy of USA Riyadh, K.SA. Date: 27th March 2001 Dear Sir, We kindly request your good office to grant a visit visa to USA for Mr. iiOUXJOUOXJUXXXXXXX j wbo is working in our organization in the capacity of Accountant since June, 1999 and his contract is renewed automatically after two years. His withdraws a monthly salary of 3000 SAR along with three months salary as a housing allowance and 10% of bis basic salary as transport allowance. He is visiting United States for a pleasure trip for 5 days during his annual leave. He is an Egyptian national holding Egyptian passport no. 21193 issued at Cairo and valid until 10th of April 2006. We thank you in advance for your attention to the above, in the meantime please accept our sincere regards.
Sincerely Yours
amedy lations Mana
-9-
List of Required Documents per Visa Category Visa Cat. / Req. Doc.
OF156
Photo
MRV fee Comp. letter
F1/F2 Ml /M2
H1B /H2A /H2B /H3 /H4
/J2
Jl
I
LI /L2
Ol /O2 PI /P2 /P3 /Ql
Rl /R2
Bl /B2
C
V
V
V
V
V
V
V
A/
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
D
Note 1
V
V
V
V
V
Note 2 Exit/ Reent
V
>/
V
V
V
V
V
(NonSaudi s only)
V
1-20
V
1-797
V
V NoteS
1AP66
V
Invita -tion Letter Other
>/ V
V
NoteS
Note 4
,
Notes: 1. 2. 3. 4. 5.
No MRV fee if IAP-66 issued by US Government agency Bl for Saudi passport holders and B1/B2 for non-Saudis Or approved Blanket Petition Notification IRS tax exemption certification for the religious organization in the U.S. Statement or other document describing the need for transit visa
U. S Visa Express - Agent Manual Sonnet 2001
-10-
RECIPROCITY AND FEE SCHEDULE :/;^> ' :*;f
Country Code - :4<
ALGERIA ETHIOPIA INDIA JORDAN LEBANON OMAN SAUDI ARABIA
SUDAN SYRIA YEMEN
Visa Type
: . FEE
Validity (months)
(U.S. Dollars)
B1/B2
3/12
$10
SAR38
B1/B2
3
$20
SAR76
B1/B2
24
$20
SAR76
B1/B2
120
$75
SAR285
F1/F2
120
$75
SAR285
B1/B2
60
NONE
H1-H3/L1
60
S420
SAR1596
$30
SARI 14
B1/B2
60
::
FEE ,(Saudi Riyals)
NONE
Bl
24
$15
SAR57
B1/B2
24
$7
SAR27
F1/F2
24
NONE
NONE
H1-H3/L1
24
$800
SAR3040
H4-L2
24
$150
SAR570
C/D
24
NONE
B1/B2/C/D
3/12
$50
SARI 90
F1/F2
12
$50
SARI 90
B1/B2
24
$15
SAR57
F1/F2
24
$15
SAR57
B1/B2
12
$30
SARI 14
Fl/F*
12
$30
SARI 14
Egypt - Pakistan - Jordan have no visa fee for B1/B2 visas For all other countries please inquire with consular section
U.S Visa Express - Agent Manual Sorina 2001
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NONE
Sample of a Diplomatic f udi Passport
c.-'/?^''• .'>?••'•.. •.-'•'-:- r
i-i J-vPERSONS ACCOMPANYING BEARER 'O?™? ASSPORT
Sample of an Official-Special T udi Passport
T " vv "
Sample of a Regular Saudi Passport
^12-
'"'^ifcl r^i .'-^;-
PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM. DO NOT WRITE IN THIS SPACE
1. SURNAMES OH FAMILY NAMES (Exactly as in Passport)
B-l/B-2 MAX 2. FIRST NAME AND MIDDLE NAME (ExacUy as in Passport)
B-1 MAX
B-2 MAX
OTHER
MAX Visa Classification
3. OTHER NAMES (Maiden. Religious, Professional, Aliases)
MULT OR Number Applications
4. DATE OF BIRTH (Day, Month, Year)
8. PASSPORT NUMBER
MONTHS Validity
5. PLACE OF BIRTH City, Province
6. NATIONALITY
Country
7. SEX fj MALE
DATE PASSPORT ISSUE (Day, Month, Year)
LO. CHECKED ON
BY
ON
BY
DATE PASSPORT EXPIRES (Day, Month, Year)
9. HOME ADDRESS (Include apartment no., street, city, province and postal zone)
UNDER SEC.
214 (b)
221(g)
OTHER: 10. NAME AND STREET ADDRESS OF PRESENT EMPLOYER OR SCHOOL (Postal box number unacceptable)
11. HOME TELEPHONE NO.
INA
REFUSAL REVIEWED BY
12. BUSINESS TELEPHONE NO.
13. MARITAL STATUS | | Married | | Single | | Widowed [ | Divorced If married, give name and nationality of spouse
| | Separated
14. NAMES AND RELATIONSHIPS OF PERSONS TRAVELING WITH YOU (NOTE: A separate application must be made lor a visa lor each traveler, regardless of age.)
19. PRESENT OCCUPATION (H retired, state past occupation) 15. HAVE YOU EVER APPLIED FOR A US. NONIMMIGRANT VISA? n
N0
D YES
HAVE YOU EVER APPUED FOR A U.S. IMMIGRANT VISA?
20. WHO WILL FURNISH FINANCIAL SUPPORT, INCLUDING TICKETS?
Ll NO Ll YES
WHERE? WHEN?
21. AT WHAT ADDRESS WILL YOU STAY IN THE U.S.A.?
VISA WAS ISSUED Q
VISA WAS REFUSED Q
16. HAS YOUR US. VISA EVER BEEN CANCELED?
Dun
I I VF^ 22. WHAT IS THE PURPOSE OF YOUR TRIP?
WHERE? WHEN? BY WHOM? 17. Bearers of visitors may generally not work or study in the U.S. DO YOU INTEND TO WORK IN THE US.
Ll NO
[] YES
H YES, explain.
18. DO YOU INTEND TO STUDY IN THE U.S.?
23. WHEN DO YOU INTEND TO ARRIVE IN THE US -A.?
24. HOW LONG DO YOU PLAN TO STAY IN THE U.S-A.?
Q NO
Q YES
H YES, write name and address of school as it appears on form 1-20
25. HAVE YOU EVER BEEN IN THE U.S.A.? Q| NO
Q] YES
WHEN? FOR HOW LONG?
NONIMMIGRANT VISA APPLICATION OPTIONAL FORM 156 (Rev. 10-1999) PAGE 1 Department of State
COMPLETE ALL QUESTIONS ON REVERSE OF FORM
50156-109 PREVIO PREVIOUS EDITIONS OBSOLETE
NSN 7540-00-139-OO53
26. HAVE YOU OR ANYONE ACTING FOR YOU EVER INDICATED TO A U.S. CONSULAR OR IMMIGRATION EMPLOYEE A DESIRE TO IMMIGRATE TO THE U.S., OR HAVE YOU EVER ENTERED A U.S. VISA LOTTERY?
O NO
DYES
HAS ANYONE EVER FILED AN IMMIGRANT VISA PETITION ON YOUR BEHALF ? Q NO
QYES
HAS A LABOR CERTIFICATION FOR EMPLOYMENT IN THE U.S. EVER BEEN REQUESTED BY YOU OR ON YOUR BEHALF ?
D NO
DYES
27. ARE ANY OF THE FOLLOWING IN THE U.S., RESIDE IN THE U.S., OR HAVE U.S. LEGAL PERMANENT RESIDENCE ? (Circle YES or NO and indicate thai person's status in the U.S, i.e., studying, working, permanent resident, U.S. citizen, etc.) Husband/ Fiance/ YES NO YES NO YES NO*.0^' Wile YES
NO
Father/ cr
YES
NO
Son/
28. WHERE HAVE YOU LIVED FOR THE PAST FIVE YEARS ? DO NOT INCLUDE PLACES YOU HAVE VISITED FOR PERIODS OF SIX MONTHS OR LESS. Countries Cities Approximate Dates
29. IMPORTANT: ALL APPLICANTS MUST READ AND CHECK THE APPROPRIATE BOX FOR EACH ITEM. A visa may not be issued to persons who are within specific categories defined by law as inadmissible to the United States (except when a waiver is obtained in advance). Are any of the following applicable to you ? (•
Have you ever been afflicted with a communicable disease o! public health significance, a dangerous physical or mental disorder, or been a drug abuser or addict ? (212(aX1))
o
Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty or other similar legal action ? Have you ever lawfully distributed or sold a controlled substance (drug), or been a prostitute or procurer lor prostitutes? [212(aX2»
•
•
Do you seek to enter the United States to engage in export control violations, subversive or terrorist activities, or any other unlawful purpose ? Are you a member or representative of a terrorist organization as currently designated by the U.S. Secretary of State ? Have you ever participated in persecutions directed by the Nazi government of Germany; or have you ever participated in genocide ? [212(aX3)] Have you ever been refused admission to the U.S., or the subject of a deportation hearing, or sought to obtain or assist others to obtain a visa, entry into the U.S., or sought to obtain a visa or any U.S. immigration benefit by fraud or willful misrepresentation ? Have you attended a U.S. public elementary school on student (F) status, or a public secondary school without reimbursing the school after November 30, 1996? [212(aX6)]
D YES
D NO
YES
•D NO
LJ YES
D NO
D YES
D NO
D
•
Have you ever departed or remained outside the United States to avoid military service ? [212(a)<8)J
D YES
D NO
O
Have you ever violated the terms of a U.S. visa, or been unlawfully present in, or deported from, the United States ? [212(a)(9)J
D YES
D NO
C
Have you ever withheld custody of a U.S. citizen child outside the United States from z person granted legal custody by a US. court, voted in the United States in violation of any law or regulation, or renounced U.S. citizenship for the purpose of avoiding taxation ? (212(aX10)]
YES
D NO
A YES answer does not automatically signify ineligibility lor a visa, but if you answered YES to any of the above, or rf you have any question in this regard, a personal appearance at this office is recommended. H an appearance is not possible at this time, attach a statement of facts in your case of this application. 30. I certify that I have read and understood all the questions set forth in this application and the answers I have furnished on this form are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result in the permanent refusal of a visa or denial of entry into the United States. I understand that possession of a visa does not entitle the bearer to enter the United States of America upon arrival at port of entry if he or she is found inadmissible. DATE OF APPLICATION
( dd, mm, yyyy )
APPLICANTS SIGNATURE H this application has been prepared by a travel agency or another person on your behalf, the agent should indicate name and address of agency or person with appropriate signature of individual preparing form. SIGNATURE OF PERSON PREPARING FORM (H other than appHcsnt)
DO NOT WRITE IN THIS SPACE 37 mm x 37 mm I PHOTO
Glue photo here OPTIONAL FORM 1S6 (Rev. 10-1999) PAGE 2 Deoartment of State
-14-
AjJ_tJL*j VI ^LaD Li jtjj JualD I
(j^3\jlj*. ^ US L.UJ) ItiUfl f^.\jl i-illl - >
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(t-20)
-15-
^ t^~tl • i »j~
-16-
COMPUTER DATA ENTRY Program Instructions
1. Left Click on Start 2.
Select Programs, RDS Client
3.
Click on "File Administrator" icon
4.
Click on "Applicant" to access data entry window
5.
Click "Add" button for Basic View
6.
For Expanded View hit "More" button
7.
Enter data in required fields, hit "Add" button to go to next entry (max number of entries per diskette is 15)
8.
When finished, hit "Verify" button to make sure no errors are recorded
9.
Click the "Save" button
10. Click "Close" button
U.S Visa Express - Agent Manual Sorino 2001
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COMPUTER DATA ENTRY Program Instructions (continued) 11. Click the "Export" button 12. Choose "Yes" to format diskette 13. Select "Start" to format diskette 14 Click the "OK" then close the window. 15. If there has been a successful export to diskette, you will receive a box that says successful Click "ok". 16. Click "Close" button. 17. Exit the RDS Client Program.
U.S Visa Express - Agent Manual Spring 2001
-18-
COMPUTER DATA ENTRY DATA ENTRY SCREEN (Option One--"Basic")
HBB fie
Topio Hdp
*^'^_Jj^Uf_^i..*• ?*^a!>J!kiS?;'.j^'^j^Si^^-^S*-"--—.^~~-—A §3 Data Enby.-AOODD019 INEWf^_ Recoid|.l;[
1
Eno«(i);|
StalutiJHEW
:- Default valuei: — —.-^-.^.~ 1 POBrjSARB nationality: J S A R B V i s a Class: bljB2
:lmport
Close
r~ Oescriplion: I
Sunome Aias Surame
Paaport Gender' VcaDas: C387SS4
1
n:««jiJlBi/82
(»L SHAMARI
r
"
Given Harre ' ASg$ Given Narrie |AU MOHAMMAD
(23-DEC-1938 |SARB
Nat-.. |SARB "[Of
lTptJFJes.2
f.S Visa Express - Agent Manual Sorina 2001
DOB
-19-
COMPUTER DATA ENTRY DATA ENTRY SCREEN (Option Two--"More")
rJe /v
Prev
Close
Next
Rec. #: | 1 of 1 Surname: JAL SHAMARI Date of birth: J23-DEO1998-
Local National ID:
Passport: JC987654 Given Name: JALI MOHAMMAD Place of birth: |SARB
Alias Surname:
National^/ |SARB
IM—!
Alias Given Name:
1
U.S Visa Express - Agent Manual Spring 2001
-
Gender
-20-
Visa Class: J81/B2
DATA ENTRY FIELDS 1. PASSPORT NUMBER 2. SURNAME (FAMILY NAME) 3. GIVEN NAME AND MIDDLE INITIALS 4. DATE OF BIRTH (DOB) 5. PLACE OF BIRTH (FOB) 6. NATIONALITY (SARB FOR SAUDIS) 7. GENDER (MALE OR FEMALE) 8. VISA CLASS -BUSINESS/TOURISM -MEDICAL -TRANSIT -CREW -STUDY (FORM 1-20) -VOCATIONAL STUDY (I-20M) -TEMP. WORK (1-797) -MEDIA -EXCHANGE VISITOR (IAP-66) -INTRACOMPANY TRANSFEREES -OTHER TEMP. WORKERS (1-797) -RELIGIOUS U.S Visa Express - Agent Manual Snrinn ?00f
-21-
-B1/B2 -B1/B2 - Cl -D -F1/F2 -M1/M2 -H1B/H4 -I -J1/J2 -L1/L2 -0,P,Q -R1/R2
DISKETTE LABELING Each Diskette (with a maximum of 15 entries) must be properly labeled as per the following instructions: 1.
Mark RDS in Red Pen
2.
Submission Date
3.
Agency Name & Code
4.
Computer File Name
5.
Number of records in the file
6.
Contact person's name & phone number.
Example:
U.S Visa Express - Agent Manual
-22-
PREPARATION FOR DROP-OFF TO EMBASSY
For each batch (of 15 visa applications or less), the agent must assemble the following items: 1.
Data Entry Log Printout * (signed and stamped by responsible officer at travel agency).
2.
Diskette (with proper labeling).
3.
Envelope containing cash for MRV and visa application fees.
4.
Passports with OF-156 and supporting documents folded in passport book.
*Steps for printing the Data Entry Log: • • • • •
Right Go to Go to Go to Go to
click on Icon "My Computer" Explore "C" RDS Files, Right Click and Print the files.
SAMPLE OF THE DATA ENTRY LOG FILES
A0000003 12345,TEST ONE,TEST ONE,01JAN1980,SARB,SARB,M,B1/B2,,,,,,,,,, 12345,TEST TWO,TEST TWO,01JAN1990,SARB,SARB, F, B1/B2,,,,,,,,,, 98765,TEST THREE,TEST THREE,01JAN2000,SARB,SARB,M,B1/B2,,,,,,
U.S Visa Express - Agent Manual Spring 2001
-23-
INSTRUCTION FOR DROP-OFF AND PICK-UP AT EMBASSY
1.
Agency must send courier to the Embassy between 9:00 am and 10:00 am to drop off package containing new visa applications. The Data Entry Log will be reviewed, cash counted, and a cash receipt issued.
2.
Passports containing issued visas from the previous day will be returned at the same time.
3.
Turn around time for processing is "next day" (under normal circumstances).
4.
Embassy will accept drop-off on Saturday, Sunday, Monday, Tuesday and Wednesday.
5.
Pick-up is Saturday - Wednesday. (Passports submitted on Wednesday will be returned on Saturday).
6.
Same Day Service cannot be accommodated.
U.S Visa Express - Agent Manual Sor/no 2007
-24-
department of Justice ffl'gratkxi and Naturalization Service /ease Read Instructions on Page 2
Certificate of Eligibility for Nonimmigrant (F-1) Student Status - For Academic and Language Students
OMB No. 1115-0051 Page 1
This p»9e roust be completed and signed in the U.S. by a designated school official.
1.
FamSy Name (surname)
For Immigration Official Use
Fcst (given) name (do not enter middle name)
Country of birth
Date ft ^th (mo./day/year)
Country of citizenship
Admission number (Complete if known) Visa issuing post
Dale Visa issued
Scroo) (school district) name Tt»e University of
Toledo
Reinstated, extension granted to:
Scrcd official to be notified of student's arrival 'm U.S. (Name and Title) Peggy K. Hancock, Director
of
Immigration
Services
School address (include zip code) 2801 W.
Bancroft
St.
Toledo,
OH 43606-3390
Scncd code (including 3-digil suffix, if any) and approval date CLE
;14F
0330.000
approved en
2.2/21/1983
3. This certificate is issued to the student named above for 7. This school estimates the student's average exists for an academic term of
(Check and fill out as appropriate)
9
j_ [7] Initial attendance at this school. t_ fj Continued attendance at this school. c
Q School transfer. Transferred from
(up to 12) months to be:
a. Tuition and fees
$
11,432.00
b. Living expenses
$
6,878.00
c. Expenses of dependents
J
0.00 530.00
d. Other (specify):
<«_ [j Use by dependents for entering the United States. Other
Total
4. Level of education the student is pursuing or will pursue in the United States:
18,840.00
S
8. This school has information showing the following as the student's means of support, estimated for an academic term of
(creek onry one) a. Q Primary
e
b_ Q Secondary
f. [~| Doctorate
c_ Qj Associate
g
4 [7] Bachelor's
n.
r~| Master's
[
9
months (Use the same
number of months given in item T).
| Language training
a. Student's personal funds
0.00
b. Funds from this school
0.00
(specify type)
Q Other
c. Funds from another source
18,840.00
5. The student named above has been accepted for a fuO course of study at (specify type and source)
Ihb school, majoring in Comp. Science t Eng. Tech.
d. On-campus employment (if any)
The sfcjoent is expected to report to the school not later than (date) 05/K/2001 and complete studies not later than (dale) 12/31/2005
Total
The normal length of study is 4 - 5 years
%
0.00
18,840.00
9. Remarte: Student IDf:999-35-1109 Coats based on shared living.
6. p*] Engish proficiency is required: | | The student has the required English proficiency.
health insurance - $4BO.
[7] The student Is not yet proficient, English instructions will be given at
Orientation required - $25.
'Mandatory
TOEFL - $25 (if required) .
the school. [~~| Engish proficiency is not required because
under penalty of perjury that al formation provided above in lexis 1 through 8 was completed before I signed this form and is true apd correct I executed this review and evaluation h the United States by me or other officials at the school of the student's application. tmsuipts or other records of course* taken '. which were received it the school prior to the execution of tnts form: the school has determined that the above named student's qualifications meet al the student wS be required to pursue a fun ccuse of study as defined by B CFR 214.2(0(6); I am a designated official of the above named school
Colombo, International Admissions Counselor 03/01/2001 Name of school official (print or type) Dale Issued Title -X^T™"
t
TT
"' '
•
-
.
-
•
-
.
.
.
Toledo, OH Place Issued (city and state) n— n
..-
"_
SzuOert Certtficatiorr. I have read and agreed to comply with the terms and conditions of my admission and those of any extension of stay as specified on page 2. I certify that afl information fvtMOMJ on this form refers specifically to me and is true and correct to the best of my knowledge, I certify that I seek to enter or remain in the United States temporarily; and solely for •fte pjpose of pursuing a Ml course of study at the school named on Page 1 of this form. I ateo authorize the named school to release any information from my records which is needed toy ** 'NS pursuanWo 8 CFR 214_3
Name of student ^^rature ol parent of guaraian Irtucertfis uncer 18
Name ol parent/guardian (prinl Of type)
Address(aty) For official use onty Microfilm Index Nunber
B A-BA.20IO (Re
-25-
(State or province)
(Country)
(Date)
" Page 2 /(ty for.collecting the information on this and related student forms stained in 8 U.S.C. 1101 and 1184. The information solicited will be ii by the Department of State and the Immigration and Naturalization j'~vice to determine eligibility for the benefits requested. INSTRUCTIONS TO DESIGNATED SCHOOL OFFICIALS 1 Tie law provides severe penalties for knowingly and willfully fals ing or concealing a material fact, or using any false document it ic submission of this form. Designated school officials should consutt regulations pertaining to the issuance of Form 1-20 A-B at 8 CFR 2^.3 (K) before completing this form. Failure to comply with these regu ons may result in the withdrawal of the school approval for attend ce by foreign students by the Immigration and Naturalization Service (B CFR 214.4). 2 'SSUANCE OF FORM 1-20 A-B. Designated school officials may is e a Form 1-20 A-B to a student who fits into one of the following ; {jories, if the student has been accepted for full-time attendance at tie institution: a) a prospective F-1 nonimmigrant student; b) an F-1 T="sfer student; c) an F-1 student advancing to a higher educational e I at the same institution; d) an out of status student seeking reinstateT 1 The form may also be issued to the dependent spouse or child of in F-1 student for securing entry into the United States. ft^n issuing a Form 1-20 A-B, designated school officials should :i iplete the student's admission number whenever possible to !i jre proper data entry and record keeping, i. ENDORSEMENT OF PAGE 4 FOR REENTRY. Designated School >fc-ials may endorse page 4 of the Form 1-20 A-B for reentry if the stuk and/or the F-2 dependents is to leave the United Slates temporarily. D should be done only when the information on the Form 1-20 remains indianged. If there have been substantial changes in item 4,5.7, or 8. i DPW Form 1-20 A-B should be issued. !. EPORTING REQUIREMENT. Designated school official should it. _ys forward the top page of the Form 1-20 A-B to the INS data proces.ing center at P.O. Box 140. London, Kentucky 40741 for data entry :y~pt when the form is issued to an F-1 student for initial entry or reen0 ito the United States, or for reinstatement of student status. R uests for reinstatement should be sent to the Immigration and JaturaQzation Service district office having jurisdiction over the student's smeorary residence in this country.) 1 INS data processing center will return this top page to the issun ichool for disposal after data entry and microfilming. >. CERTIFICATION. Designated school officials should certify on the c"-fn part of page 1 of this form that the Form I-20 A-B is completed in ssued in accordance with the pertinent regulations. The designated c o( official should remove the carbon sheet from the completed and igned Form 1-20 A-B before forwarding it to the studenL i. ' "EMISSION RECORDS. Since the Immigration and Naturalization '•€ ce may request information concerning the student's immigration U -_s for various reasons, designated school officials should retain all vkJence which shows the scholastic ability and financial status on ft1'"-*! admission was based, until the school has reported the student's Ji nation of studies to the Immigration and Naturalization Service. INSTRUCTIONS TO STUDENTS udent Certification. You should read everything on this page careJl and be sure that you understand-the terms and conditions concenv HJ your admission and stay in the United States as a nonimmigrant stuent before you sign the student certification on the bottom part of page e law provides severe penalties for knowingly and willfully falsify> >r concealing a material fact, or using any false document in the ubmlsslon of this form. '- ADMISSION. A nonimmigrant student may be admitted for duration of t: s. This means that you are authorized to stay in the United States for i< ntire length of time during which you are enrolled as a full-time stu-
dent in an educational program and any period of authorized practical training plus sixty days. While in the United States, you must maintain a valid foreign passport unless you are exempt from passport requirements. You may continue from one educational level to another, such as progressing from high school to a bachelor's program or a bachelor's program to a master's program, etc.. simply by invoking the procedures for school transfers. 3. SCHOOL For initial admission, you must attend the school specified on your visa. If you have a Form 1-20 A-B from more than one school, it is important to have the name of the school you intend to attend specified on your visa by presenting a Form 1-20 A-B from that school to the visa issuing consular officer. Failure to attend the specified school will result in the loss of your student status and subject you to deportation. 4. REENTRY. A nonimmigrant student may be readmitted after a temporary absence of five months or less from the United States, if the student is otherwise admissible. You may be readmitted by presenting a valid foreign passport, a valid visa, and either a new Form 1-20 A-B or page 4 of the Form 1-20 A-B (the 1-20 ID Copy) property endorsed for reentry if the information on the 1-20 form is current 5. TRANSFER. A nonimmigrant student is permitted to transfer to a different school provided the transfer procedure is followed. To transfer schools, you should first notify the school you are attending of the intent to transfer, then obtain a Form 1-20 A-B from the school you intend to attend. Transfer will be effected only if you return the Form 1-20 A-B to the designated school official within 15 days of beginning attendance at the new school. The designated school official will then report the transfer to the Immigration and Naturalization Service. 6. EXTENSION OF STAY. If you cannot complete the educational program after having been in student status for longer than the anticipated length of the program plus a grace period in a single educational level, or for more than eight consecutive years, you must apply for extension of stay. An application for extension of stay on a Form I-538 should be filed with the Immigration and Naturalization Service district office having jurisdiction over your school at least 125 days but no more than 60 days before the expiration of your authorized stay. 7. EMPLOYMENT. As an F-1 student, you are not permitted to work offcampus or to engage in business without specific employment authorization. After your first year in F-1 student status, you may apply for employment authorization on Form 1-538 based on financial needs arising after receiving student status, or the need to obtain practical training. 8. Notice of Address. If you move, you must submit a notice within 10 days of the change of address to the Immigration and Naturalization Service. (Form AR-11 is available at any INS office.) 9. Arrival/Departure. When you leave the United States, you must surrender your Form I-94 Departure Record. Please see the back side of Form I-94 for detailed instructions. You do not have to turn in the I-94 if you are visiting Canada, Mexico, or adjacent islands other than Cuba for less than 30 days. 10. Financial Support You must demonstrate that you are financially able to support yourself for the entire period of stay in the United States while pursuing a full course of study. You are required to attach documentary evidence of means of support. 11. Authorization to Release Information by School. To comply with requests from the United States Immigration & Naturalization Service for information concerning your immigration status, you are required to give authorization to the named school to release such'information from your records. The school will provide the Service your name, country of birth, current address, and any other information on a regular basis or upon request. 12. Penalty. To maintain your nonimmigrant student status, you must be enrolled as a full-time student at the school you are authorized to attend. You may engage in employment only when you have received permission to work. Failure to comply with these regulations will resutt in the loss of your student status and subject you to deportation.
'ublic Reporting Burden. Reporting burden for this collection of information is estimated to average 30 minutes per e onse. If you have comments regarding the accuracy of this estimate, or suggestions for simplifying this form, you s write to both the U.S. Department of Justice, Immigration and Naturalization Service (Room 5304). Washington, >-U, 20536; and to the Office of Management and Budget, Paperwork Reduction Project: OMB No. 1115-0051; Vashington, D.C. 20503. _, —ZD—
j. Department of Justice
Certificate of Eligibility for Nonimmigrant (F-1) Student Status - For Academic and Language Students
/nmigration and Naturalization Service Please Read Instructions on Page 2
OMB No. 1115-0051 Page 3
This page must be completed and signed in the U.S. by a designated school official.
1.
Family Name (surname)
For Immigration Official Use
First (given) name (do not enter middle name) V
Country of birth
Date of birth (mojday/year)
Country of citizenship
Admission number (Complete if known) Visa issuing post
Date Visa issued
School (school district) name The University
of
Toledo
Reinstated, extension granted to:
School official to be notified of student's arrival in U.S. (Name and Title) Peggy K. Hancock,
Director
of
Immigration Services
School address (include zip code) 2801
W.
Bancroft St.
Toledo,
OH 43606-3390
School code (including 3-digit suffix, if any) and approvs! date CLE
214F
0330.000
approvedon
12/21/1983
3. This certificate is issued to the student named above for 7. This school estimates the student's average costs for an academic term of
(Check and fill out as appropriate)
9
a ts\l attendance at this school. b. j
11,432.00 6,878.00
0.00
c. Expenses of dependents
Transferred from
530.00
d. Other (specify):
d [ [ Use by dependents for entering the United States,
Total
e. Q Other A. Level of education the student is pursuing or will pursue in the United States:
18,840.00
$
8. This school has information showing the following as the student's means of support estimated for an academic term of
(check only one)
e. Q Master's
b. |~"| Secondary
J. Q Doctorate g. [ h.
9
months (Use the same
number of months given in item 7).
a. Q Primary
4 7 Bachelor's
$
b. Living expenses
c_ | [ School transfer.
c. [~1 Associate
(up to 12) months to be:
a. Tuition and fees
| Continued attendance at this school.
| Language training
a. Student's personal funds
J
0.00
b. Funds from this school
S
0.00
S
18,840.00
$
0.00
(specify type)
Other
c. Funds from another source 5. The student named above has been accepted for a full course of study at (specify type and source)
this school, majoring in Comp . Science t Eng . Tech .
d. Orvcampus employment (if any)
The student is expected to report to the school not later than (dale) 05/14/2001 and complete studies not later than (date) 12/31/2005 4>
Total
TTie normal length of study is 4 - 5 years
J
18,840.00
9. Remarks: Student 11)1:999-35-1109 Costa based on shared living.
6. [7] English proficiency is required: (~| The student has the required English proficiency.
health insurance - $480.
r/| The student is not yet proficient, English instructions will be given at
Orientation required - $25.
'Mandatory
TOEFL - $25 (if required) .
the school. English proficiency is not required because
1JJ__Scl»ol Certification: I jwtfy under penalty of perjury that al nfomwtion provided above in Hems 1 through 8 was completed before I signed this form and 'a true and correct; I executed this 9 United/States kfter review and evaluation in the United States by me or other officials of the school of the students application, transcripts or other records of course* taken I of taarfcial rcsponstoaty. which were received at the school prior to the execution of this form: the school has determined that the above named student's ouaSfications meet al s for edfnission lovjfe scjioor, the student win be reouired to pursue • h* course of study as defined by B cm 21«(rx6); I am a ctesionaled official rt the above ramed school
03/01/2001 Toledo, OH Colombo, Int.Qrnati.onal Admissions Counselor Place Issued (aty and stale) Date Issued Name of school official (pnnt or type) Title 11. Student CertiTcaliorc I have read and agreed to comply with the terms and conditions of my admission and (hose of any extension of slay as specified on page 2. I certify that all Wotmation provided on this form refers specifically to me and is true and corred to the best of my knowledge. I certify that I seek to enter or remain in the United States temporarily, and solely for the purpose of pursuing a fun course of study at the school named on Page 1 of this form. I also authorize the named school to release any information from my records which is needed by the INS pursuant to 8 CFR 214.3(g) to determine my nonimmigrant status.
Signature of student ingnature ol parent or guardian il student is under 18 form L2O A-an-2OK) (Rev O4-27-M)N
Date
Name of student Nam* o< parent guardian (prmt or type)
Addressjaty) For official use only McraTitm Index Number
(Slate or provnce)
(CounUy)
(Date)
Page (^3 MORE INFORMATION CONCERNING YOUR F-1 NONIMMIGRANT STUDENT STATUS AND THE RELATING IMMIGRATION PROCEDURES, PLEASE
WHEN PROPERLY ENDORSED, MAY BE USED FOR ENTRY OF THE SPOUSE AND CHILDREN OF AN F-1 STUDENT FOLLOWING TO JOIN THE STUDENT
••r-r 'ftrmrf a ttie student and/or the F-2 dependents (EACH CERTIFICATION SIGNATURE IS VALID FOR ONLY ONE YEAR.)
i^natune-a jBagnaled School Offiaal
Name of School Official (port or type)
Title
Date
>«
UJTP-* .j&gnated School Offtoal
Name of School Official (onnt or type)
Tale
Date
ir
i*e=s ^signaled School Official
Name of School Official (print or type)
Trtte
Dale
.^rwiur^rs .-signaled School Official
Name of School Official (pnnt or type)
Title
Date
ionaUx»r>3i je-gnaied School Offioal
Name o( Scnool Official (prnt or type)
TKte
Dale
and children of the F-1 student who are seeking entry/reentry to the U.S. 1; e -Sri* (caps)
ti
first
Date of birth
fit =sdoyment Authorization and other Records
-25-
Country of birth
Relationship to the F-1 student
ASSURE THAT IMPRESSIONS ON
APPROVED OMB 3116-000« EXP. 01/31/2OOO 'Estimated Burden Hours: ISmins. (S«e page 4).
ALL COPIES ARE CLEAR .
J HOT STWL£ THtS FOflM
United States Information Agency
_
EXCHANGE VISITOR PROGRAM SERVICES, GC/V CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS MOHAMMEO (F4HIkXJUME OF EXCHANGE VISITOR!
f )M°'<
(FjX:rttAME)
p 2 0 2 3 5 0S
THE PURPOSE OF THJS FORM IS TO; /^ X\ ( ) "^egin « new program ( ) Acccxnpan«»d by
(MIDDLE NAME) SAUDI ARABIA 2 ( ) Extend an orv^oing prDgram.
(Mo.)
(Doj)
ffr.)
fC.v'
(Ox/wry)
SAUDI ARABIA
SA i
zen of on ADI A
(Cotimr;] L
1 >"hosp position in that country rs
(Counfry)
3 ( ) Translci to a diflwent program.
i ategalpermanent resident of (Codf)
OA
4 ( ) Replace a tost IAP-66 toon; amend a previous IAP-65 lorn.
. .,
(Code)
EmptO)fee of private business
314 S { ) Permit visitor's immediate tamtty ( members) to erflef U.S. separai&ry.
(Fos. Code) AfBmco Training S*rvic®e Company address
9009 W. Loop South
6 ( } Reinstatement recast to USIA.
Houston, Texas 77096 r\i QI i \\^j
rill
be spo
i '. on tH t^f wt^i v iw& j \w/*sJi i ipa i ijr , ^ w ^ ^
r
r
* i , L_I_/\^^J K_>WULI i, i i\/o ji^/t i, i *»^w
*4
tn nanjppafP in Pw-harvje VtfiTn«- PTfVIr!»m W O «
> < v >s\j
oo 10
»-'
» -'
.
'. whirh k
v program of Aramco Trail ducation, social science...(TRC); management, business, commerce...(TRD); health related occupations (TRE); aviation (TRF); tne sciences, engineering, architecture...(TRG); construction and building trades (TRH); and law (TRJ) for a period up to eighteen months in the interest of international exchange.
is form covers the period from t it i i rto i i i i t i Exchange Visitors are permrrted to travel abroad & maintain status (e.g. obtain (Ho.) (DcrjrJ (Yr.f (Ho.) (Dor) (Yr.) a new visa) under duration of the program as indicated by the dates on this torm.
« category of this visitor is 1 ( ) Student, 2V-) Trainee, 3 ( )Teachef,4{ ) Professor, 5 ( ) International Visitor, 6 ( ) Alien Physician, 7 ( ) Govemmt Visitor, 6 ( ) ResejQJh^choUr, 9 ( ) Short-Term Scholar, 10 ( ) Specialist, 11 ( ) Camp Counselor. The specific field of study, research, training or professional activity is verbally described as: Petrography analysis, sem, e-ray diffraction & forensic engr. {Sobj/RekJ Code) 12 (. ) Summer Travel/Work ring trie period covered bv this torm. the total estimated financial support firyU.S-1) Jis.to be provided to the exchange visitor bv: ^— . OU,UvU.uU a. T") The Program Sponsor in Item 2 above $ s Program Sponsor has i
I
I
has not I I
(check one) received funding tor international exchange from one or more U.S. Government
'jncyfies) to support this exchange visitor. If any U.S. Government AgencyOes) provided funding, indicate the Agencyfies) by code below.
Financial support from organizations other Than the sponsor will be provided bv one or more of the following: >
( ) U.S. Government Agency(ies):
>
( ) International Organizations):
(Agency Code). $
d.
( ) The Exchange Visitor's Government
e.
( ) The binattonal Commission of the visitor's Country
I
( ) Al other organizations providing support
(Intt Org. Code). .
$
; b2.
(Agency Code),
; c2
(Infl. Org. Code). *
$
(If necessary, use above spaces for funding by multiple U.S. Agencies or InH Organizations)
$ $ J
fc. ( ) Personal funds
$
USM/MS USE OR CERTIFICATION BY RESPONSIBLE i TCERTrWTAW-nrTCATONCOFYOfTHIS I 1M HAS BEEN PROVIDED TO USIA (INCLUDE DATE).
RESPONSIBLE OFFICER
TYRONE R. VOGEL
7.. (Home of Official Preparing Form) {Title) Aramco training Services Co., 9009 W. Loop South. Houston, TX 77096 (Address
cf.RtsporuJbir.Qfficfror~AhrfT>alt-R.O.)
n of Responsible Officer orAlunalt Rf>.) EUHMAIIT EMX»tS£M€NT OF COKSULAfl OR MHIGAATION OFFICER REGARDING CHON 712 f«) OF THE IMMIGRATION AND MATKXALTTY ACT PI M~4M AS AMENDED -.1 —VERSE SIDE rn-H !(.)).
8.
(Dae)
j
STATEMENT OF RESPONSIBLE OFFICER FOR RELEASING SPONSOR (FOR TRANSFE^OF PROGRAM)
Dale_
.sport-
.. Transfer of this exchange visitor from program No.
_to the program specified in hem (2) is necessary of
sored by.
highly desirable and is 'm conformity with the objectives of the Mutual Educational and Cultural A. ( B. (
)y ) Ow
t ftrwnng
Exchange Ad of 1961.
(Sifruuurt cj Rrsponttblr Officer or AUtrjuut K.O.) <
11-971
-29-
(Dalt)
ASSURE THAT IMPRESSIONS ON
-:
1 -
_.,
United States Information Agency EXCHANGE VISITOR PROGRAM SERVICES, GC/V CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS
'-
-
[FAU-Of-HAME OF EXCHANGE yjSrrOR)
-: (*/3.j
APPROVED OMB 3116-OO08 EXP. C1/31/20OO 'Estimated Burden Hours: ISmins. (See peoe *).
ALL COPIES ARE CLEAR
O NOT STAPLE THIS FORM
•>•
(Day)
(FIRST NAME)
(MIDDLE VAME)
'
(Yr.)
THE PURPOSE OF THIS FORM IS TO: f {- UB*o«n • o«w prograrnf1 ) Accompai>«d by ._ immediatetemSymerrtbws.
1
2 ( ) Ext»nd an oo^oing program.
1
SAUO! ARABIA
.
(dry)
(Country)
SAUO! ARABIA •itijan rt fnt*m . rvADii
*,«*
F 9 H9 ^ R 0 Q *" " ^ " ^
SA. i
(Country)
3 ( ) Transisf to a diflersnt program.
i B legal permannnt ipsklant nf
^^
(Code) 4 ( ) Replace « lost IAP-66 torm; amend a previous IAP-65 torm.
Employe* of private business
314 5 ( J Permrt vishof*s knmecSato tamify ( membefj) to ffotorU.S. s*pafa:eiy.
(/>oi CoAJ Aramcc Training S«rvic*» Company i,
fiOof&SS
^^VS& VAJ
* rs^sr\^ rf^i
6 ( ) RetrtstBiement r*q<j«3t to USIA.
Houston, Texas 77096 wiH be sponsored hy
, ,„ tn parlJranatf* in Fxrhan/j* Vic'rfX ProOr^lT' No 1
;-*
'-1
'. which is still valid and is nHirtalty rH*
A program of Arsmco Tratnino Services Company to bring to th« Unh*<3 States qualified foreign trairi«>e£ in the fields of education, social sc>ence...(TRC); msnspement. business. cofnm«rct...(TRD); h*»tth nelaled ocxupatlons (TRE); eviarHon (TRF); the sciences, engineerine, srchitecturB...(TRG); construction and biakJing trade* (TRH); and Isw (TRJ) for e period up to eigtiieen months in the interest of intemetkxial exchange.
Tiis form covers the period from
i
i i
(Mo.)
(Day)
i i
i to i
ftr.)
i i
I I
i Exchange Visitors are permitted to travel abroad & maintain status (e.g. obtain
(Mo.) (Day) (Yr.)
i new visa) under duration of the program as indicated-by Ihe dates on this form.
rhe category of this visitor is 1 ( ) Student, 3"f> ) Train**, 3 ( ) Te»ch«r, 4 ( ) Prpf^gsor, 5/'( ) International Visitor, 6 ( ) Alien Physician, 7 ( ) Govemiwnt .Vlsftof, 8 ( ) Rei^ajcb.Scholar, 9 ( ' ) Short-Term Scholar, 10 ( ) Sptciatet, 1 tt;) Camp Counselor. The specific field of study, research, training
x professional activity is
verbally described as:
Petrography arwryws. s«m, e-ray diffraction & for*ns4C enor.
(Subj/Field Code)
X
*j~ 12 ( ) Summer Travel/Work
Hiring the period covered bvthis form, the total estimated financial support fin US Si is to be provided to the exchange visitor by. a. 'f- ) The Program Sponsor in Item 2 above "Tws Program Sponsor has
I
I
hasnol/T_|
$____!
~"
(check one) received funding lor international exchange from one or more U.S. Government
flencyfies) to support this exchange visitor. It any U.S. Government Agency(ies) provided landing, indicate the Agency(ies) by code betow. Financial support from organizations other than the sponsor will be provider] bv'one'or more of the following: b1. ( ) US. Government AQencyfies):
(Agency Code), $_I
I. ( ) international Oroanization(s):
(Int. Org. Code).
„
( ) The Exchange Visitor's Government
e.
( ) The binational Commission of the visitor's Country
.
.._:
(Infl. Org. Code). $_ (If necessary, use above spaces for funding by multiple U.S. Agencies or Infl. Organizations)
$.
7..
RESPONS1BLE OFFICER
TYRONE R. VOGEt (Namt of Official Preparing Form)
(Tlllf)
Aramco Training Services Co., 9009 W. Loop South. Houston, TX 77096 (Addrta tf RrSfOasiHr Officer or Altrraale K.O.)
(Telephone No.)
'
(Sipuaun of Resfentible Officer or Alternate Rf>.) r ENOORSeMEKT OF CONSULAR OR IMMIGRATION OFFICER REGARDING CCTKM MJ («l or THE IVMK:RATK>N ANO HATiONAijrr ACT pt M^M AS AMENDED *E RtVERSI SlO€ ITEM 1(.».
8.
f'
A. ( ) 0ovwTvrwnl tnandng matt* B. | ) Pw EMtwn kst a
Exchange Act of 1961.
) Pt. 94 484
ITtU STATES MFOttUTIOM tCtHCT (VSU) RE3EKVU THC KICKI TO MAJU TNI FMAl DCTtRullUTION. (1-97)
_to the program specified in item <2) is necessary or
highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
) a not
C. (
^spon-
.. Transfer ol this exchange visitor from program No..
Dale
( I it tubfwa b*Md on;
(Date)
STATEMENT OF RESPONSIBLE OFFICER FOR RELEASING SPONSOR (FOR TRANSFER OF PROGRAM)
sored by. (
$_
$.
( ) Personal funds
USIAJWS USE OR CERTIFICATION BY RESPONSIBLE OFFICER THAT A IWIIFICATION COPY OF THIS ORM HAS BEEN PROVIDED TO USIA (mo.UDE DATE).
; c2.
$
'
.
(Agency Code).
$.
( ) AH other organizations providing support .
$
'
; b2.
'Signature of JtelponsMi Officer fr Alternate HO.)
Copy 3 - To be retained by Exchange Visitor
(Dale)
PAGE 3
INSTRUCTIONS FOR AND CERTIFICATION BY THE ALIEN BENEFICIARY NAMED ON PAGE 1 OF THIS FORM: Read and complete this page prior to presentation to a United Stales Consular or Immigration OHicial. 7. I understand that the following conditions are applicable to exchange visitors: (a)
TWO-YEAR HOME-COUNTRY PHYSICAL PRESENCE REQUIREMENT (SECTION 212(E) OF THE IMMIGRA JION AND NATIONALITY ACT AND PL 94484, AS AMENDED): Exchange visitors and their dependents may be subject to the two-year home-country physical presence requirement RULE: Exchange vistas whose programs are financed in whole or in pan, directly or indirectly by either their government or by the U.S. Government, are required to reside in their home-country for two years following completion ol their program before they are eligible lor immigrant status, temporary worker (H) status, or intracompany transleree (1) status. Likewise, it exchange visitors are acquiring a skill which is in short supply in their home country (these skills appear on the "Exchange Visitor Skills List") they win be subject to the same two-yeai home-country residence requirement. The requirement also is applicable to alien physicians entering the U.S. to receive graduate medical education or training. The United States Inlormation Agency (USIA) reserves the right to make the final determinalion. NOTE: MARRIAGE TO A U.S. CITIZEN OR LEGAL PERMANENT RESIDENT. OR BIRTH OF A CHILD IN THE U.S., DOES NOT REMOVE THIS REQUIREMENT.
ft>)
Extension of Stay/Program Transfers; A completed Form IAP-66 is required in order to apply lor a program extension or program transfer, and must be obtained from or with the assistance of the sponsor.
(c)
Limitation of Stay: STUDENTS • as long as they pursue a full course ol study towards a degree, or H engaged lull-time in a non-degree program, up to 24 months. Students lor whom the sponsor recommends academic training may be permitted lo remain lor an additional period of up to 18 months after receiving their degree or certificate; posl-doctora! academic trainino may be approved by the sponsor for a period not to exceed 36 months; secondary students up to 1 academic year. TRAINEES • 18 months; FLIGHT TRAINEES • 24 months; TEACHERS, PROFESSORS, and RESEARCH SCHOLARS - 3 years; SHORT-TERM SCHOLARS • 6 months: SPECIALISTS-1 year. INTERNATIONAL VISITORS -1 year, ALIEN PHYSICIANS- the time typically required to complete the medical specialty - involved.but limited lo 7 years with the possibility ol extension if approved by the Director of the U.S. Inlormation Agency; GOVERNMENT VIStTOR - up to 18 months; CAMP COUNSELOR- up to 4 months; SUMMER TRAVEL/WORK - up lo 4 months.
(d)
' Documentation Required tor Admission/Reaclmission as an Exchange Visitor. To be eligible for admission/readmission to the U.S.. an exchange visitor must present the following at the port of entry: (1) a valid nonimmigrant visa, unless exempt from nonimmigrant visa requirements; (2) a passport valid lor 6 months beyond the anticipated period of admission, unless exempt from passport requirements; (3) a properly executed Form IAP-66. Copies 1 and 2 ol Form IAP-66 must be surrendered to a U.S. Immigration Officer upon arrival in the U.S. Copy 3 must be retained by the exchange visitor lor re-entries within the period o( previously authorized slay.
(e)
Change ol Status: Exchange visitors are expected to leave the U.S. upon completing their program objective. Exchange visitors who are subject to the two-year home-country physical presence requirement are not eligible to change their status while in the U.S. to any other nonimmigrant category except, rl applicable, that ol official or employee ol a foreign government (A) or an international organization (G) or member ol the family or attendant o( either ol these types of officials or employees. "
(1)
Insurance: Exchange visitors are required to have medical insurance 'm effect lor themselves and any accompanying spouse and dependents on J visas during the duration of their exchange program. At a minimum, insurance coverage shall indude: (1) medical benefits of at least U.S. $50.000 per person per accident or illness: (2) repatriation ol remains in the amount ol U.S. S7.500; and (3)_expenses associated with medical evacuation in the amount of U.S. $10.000. A policy secured lo fulfill the insurance requirements shall not have a dedudib|e that.ejicefids U.S. S500 per accident or illness, and must meet other standards specilied in the Exchange Visitor Program regulations, 22 CFR Part 514.141 Fo'f tfealls, consult your program's Responsible Officer (see item 7 on the front side ol this form).
2. EXCHANGE VISITOR CERTIFICATION: I have read and understand the foregoing, including the Two-Year Home-Country Physical Presence Requirement, and agree to comply wrth the Exchange Visitor Program regulations, as amended (22 CFR Part 514). I certify that all the information on the Form IAP-66 is true and correct to the best of my knowledge. I agree that I will maintain compliance with the insurance regulations as specified in 22 CFR 514.14, including maintaining health insurance coverage for myself and my J-2 dependents throughout my J-1 program. I understand that it is my responsibility to maintain my exchange visitor status. For the purposes of 20 U.S.C. 1232g and 22 CFR 514, I authorize the USIA-designated sponsor and any educational institution named on the Form IAP-66 to release information to USIA relating to compliance with Exchange Visitor Program regulations.
(Signature of Applicant)
(Place)
(Date)
VALIDATION BY RESPONSIBLE OFFICER (Maximum validation period is one year*) NOTICE TO ALL EXCHANGE VISITORS
'EXCEPT: Maximum validation period is up to six months for Short-term Scholars and four months for Camp Counselors and Summer Travel/Work.
To facilitate your readmission to the United States after a visit in another country other than a contiguous territory or adjacent islands, you should have the Responsible Officer of your sponsoring organization indicate on this copy ol the Form IAP-66 that you continue to be in good standing.
(1) Exchange Visitor is in good standing to .
Signature ol Responsible Officer
The signature of the Responsible Officer or the Alternate Responsible Officer on this copy is valid for up to one year or until the end date in item 3 on the front side of this Form, or to the validation date authorized by the Responsible Officer, whichever occurs sooner.
(2) Exchange Visitor is in good standing to
Signature of Responsible Officer
Date
(3) Exchange Visitor is in good standing to
Signature ol Responsible Officer IAP-66 (1-97)
Date
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Date
AL-RAJHI BANKING & INVESTMENT CORP. ucS joint Stock Corp. - Capital S.R. 1500.000.000
JUI
C.R. No. 96
REF.NO. 002/2001 DATE. 17.04.2001
TO WHOM IT MAY CONCERN
WE. ALRAJHI BANKING AND INVESTMENT CORPORATION ANAK BR.NO.393 HEREBY CERTIFY THAT. IS HAVING AN ACCOUNT WITH US. ' ACCOUNT NO.2755/O.THE BALANCE OF HIS ACCOUNT IS EQUAL MORE THAN 30000 THIRTY THOUSAND U.S.DCLLAR. THIS CERTIFICATE OF BALANCE IS ISSUED ACCORDING TO THE REQUEST OF OUR CUSTOMERWITHOUT ANY LIABILITY TO OUR PART.
RAJ^A>HQNG AND INVESTMENT CORP. bo/A
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J.S. Department of Justice Immigration and Naturalization Service
Notice of Action ef^a&r^fgi^^S^^^^^^ajsaf^,
CASETYPH 1129 PETITION FOR A NONIMMIGRANT WORKER
RKTJ1T MAIBF.R
WAC-01-072-52334 PRIORITY DATE
PETITIONER
Januarv 9, 2001 NOTICE DATF.
March IS, 2C01
NATIONAL SEMICONDUCTOR CORP PACE 1 Of 1
MONICA PATEL. " .. ' FRAGOMEN DEL REY BERNSEN &. LOEWY P RE; . : .2804 MISSION COLLEGE BLVD 2ND FFL SANTA CLARA CA 95054
Notice Type: Approval Notice Class: H1B1 ' Valid from 02/16/2001 to 12/30/2003
The above petition and extension cf stay have been approvedThe .status of the named foreign worker f s) in t.hi s classification is valid as indicated above. The foreign worker (s>* can work for the petitioner, tut only as derailed in Lr.e iWt-J cior. cur. tor trie period dUL.iorix.ed. Any chai.oe'-rii^-ninic-yTOevu. L^^ulic;- a new ^ci_iLj.c:i. ii.ic.i: t_iil^ ti».pi.oru-.tric authorization stems from the filing of this petition.. \Sfc£^£.tC_*employment authorization document-.*! ion is not required. Please contact the -If.S with any questions about *;ax w
The petitioner should keep the upper portion of this notice. . The;'"tower portion should be giver, to the worker. He or she should keep the right part with his or her Fortr. I • ?4, Afrival'Departure Record. This should be turr.ed in with the 1-94 vhen departing the U.S. The l e f t part is for his or her records. A person granted an extension of stay who leaves the C.S. must nox-mally obtain a new visa before returning'^^Tbet^left part can be used in applying for the new visa. If a ' v i s a " i s not required, he or-she should present it, along witnAany other required documentation, when applying for reer.try ii: n: this tnis nev- classir classification ication at a port of or entry oS'-pre-flaJgbt or,» -pre- ingot inspection inspect station. The petitioner may also f i l e Fora I - E 2 1 . ApolicBlion for Action on an Approved Applicatiqn"of petition, -..-itn thi o f f i c e to request that we n o t i f y £ consulate, port ct encry. or pre-f light .inspection o£-f.ice^T;:-iihiv> approval. CO
'
TJiiS r
I
.
A
.
MDR MAY IT
2E ' U3ET 1H PIACS^J
Please see the additional information on the back. You will be notified separately about any other cases you filed. IMMIGRATION-'& NATURALIZATION SERVICE ' . .CALIFORNIA SERVICE CENTER Pi O'. BOX.30111-' . . .-li^OTKA NJ.^JE1.;" CA. 92^0*7-0111. Customer Service Telephone: (949) 831 8427 F6rmI797A (Rev. 09/07/93)N :-..EASE TSAR OFF FORM J-9J PRlhTTED 3ELCW. AND STAPtE TO ORIGINAL i-WJ AVAILABLE
Detach This Half for Personal Records WAC-01-072-52334 I-94# 662192530 08
NAME CLASS KIBI VALID FROM 02/16/2001 UNTIL 12/30/2003
i 662192530 08
I 'Receipt Number wAc-bi-o?2-52334 ; Immigration and ! Naturalization Service i 1-94 . . Departure Record
PETITIONER: NATIONAL SEMICONDUCTOR CO 2900 SEMICONDUCTOR DR SANTA CLARA CA 95052
Petitioner: NATIONAL SEMI »6. Daw o' Bioh
09/18/1975 17. Country ol Citizenship
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SAUDI ARABIA
Kainbo\ x (Children's Hospital March 16.2001
VIA FACSIMDL.F. 2022 M.H.
MD
Medicnl Services Section Royal Embassy of Saudi Arabia Armed Forces Office .1001 30th Street, NW Washington, DC 20007 Re:
Patient Appointment
Dear Dr.
.:
Pursuant to your request, we have reviewed the medical report of the referenced patient, and have scheduled the following appointment: Patient Appt. Time Place Physician Dcpt.
: April 19,2001 : 9:00 a.m. : Center for International Delations - Mather Pavilion 1154 : Department of Poiiatric Cardiology
I will await your confirmation with the patient's arrival information. Please have the patient bring any past medical reports, x-rays, of pathology slides -with them. 1 may be reached at 21 6/844-5657 or by fax at 216^844-7535. it" you have any questions. Sincerely yours.
Manage*, Patient Services Center for International Relations
1 1 i !>? tucKi .Wow
'.."V.-Und , Ohio fJ. \6
•,r7'ni\llir^tai-efCJr:tiinJ.
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tix
Pr^Mxry
AffiH»:c
WcJfrif
Rficrrr
SAUDI ARABIAN OIL COMPANY (SAUDI ARAMCO)
Social Insurance & Retirement Affairs Division Room 212, West Park-3, Dhahran 31311, Saudi Arabia Phone: 874-S438 • Fax: 874-8598 April 1, 2001
Employ #
..
His Excellency The Consul General United States Embassy Riyadh Your Excellency: The above mentioned patient is a Saudi Aramco employee No # 242210 scheduled to depart from Dammam to Houston ,USA on April 8 ,2001 for medical treatment. Patient will be travelling with his brother Mr Turki M. M. All costs related to medical, living and lodging expenses will be borne by Saudi Aramco. Patient & escort will hold round-trip air rickets prior to their departure. Your assistance in granting the necessary USA visa is highly appreciated. Very truly yours, , Administrator SOC. INS. & RET. AFFAIRS DFV.
V
AAA/
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\: Employee
SAUDI ARAMCO SURGICAL SERVICES DIVISION RMA-420,BOX76 DHAHRAN 31311, SAUDI ARABIA STEL: 8_77-8i37/8/9, FAX: 877-3695
March B, 2001 MEDICAL SUAfMAR Y
£242210. MR 40-92-47 Date Admitted: Date Discharged:
1/6/01 2/27/01
Chief Complaint/Present Illness: Massive burns 50% total body surface area. This 43 year old male employee was involved in a fire explosion while filing up a gasoline tanker. This patient suffered deep bums to face, neck, both hands and the lower extremities. The explosion occurred in a n open space with no other associated injuries. The patient arrived to our emergency room in less than one hour post trauma. His past history was negative. Functional inquiry revealed that he is a smoker of one packet a day for many years. His family history is non'Contributory except that he is an non'Sickler, he Is not G6PD deficient. The patient has no allergies. Physical Examination: Examination on admission revealed a young male, distressed with what appears to be deep thermal burns to the face including the lips, nostrils, eyelids opacification of the corneas of about Irnrq in a transverse streak fashion. The areas of scalp and neck were all involved. Other burned areas involved the fingers on the left side, the entire hand vblar and dorsal aspect on the right side. There was also relatively superficial bums involving the lower extremities from the ankle all the way to th^. inguinal area bilaterally. Genitalia was spared. Examination of the chest revealed good air entry and there was no evidence of bums over the chest or abdomen. Heart sounds normal, no murmurs. Abdomen is soft, protuberant and no palpable masses or palpable organs. Laboratory Data: Initial investigations included CBC, electrolytes, BUN, creatinine were all wirhin normal limits. Chest X-ray was negative. Hospital Course: Two large bore IV's were started and the resuscitation commenced utilizing the Parkland formula 4cc/kg/perccntage body surface area bum. Due to the involvement of the face and the anticipating edema he was intubated, central line was placed. The first 24 hour resuscitation went on smoothly and a satisfactory urine output and vital signs stable. The wounds were cared for. -36-
Initially lie -was taken to the Hubbard taken on arrival. His wounds were debrided, disinfected and covered with Sulfra Tulle dressing. His face was covered with Bacitracin including the ears and the scalp after staving. He continued to Lave daily Hubbard tank dcbridemcnt change. Conservative wound care to Ida burned face laid neck. "Heven days post idirdMlon, ic WB« necessary to proceed with, first ttsgc dckridtaent. Bothhauii were debridcd, coverage to th* right hand wfts done. Trftchcostoraywaip«Fo£m4d« the sime time. Of ilgnlficaftce; tnifeUHy lw required tsdurotorny of tight hand tnd oU diglta. Due to &e lUperScial nature of the bum of lower cXDrefflides, tn escharotomy w*s not ncccjstry for them. Surgically nc required four operative trips where the burned areas were covered in stages. From first week he remained febrile throughout until he was completely covered. He was on antibiotics intravenously with specific type according to culture and sensitivities. He was followed closely by the physiotherapy service from the second day post admission and by the dietary service. Nutritional support was supplemented by total paxcnteral nutrition initially. He could riot handle NG tube feedings. He was seen Initially by the Ophthalmology Sfctvke and followed by thtffl eleidVr Ths e^ieiifei el Us comew corrected nicely *nd they Were eosapltcely goni by tKe 6c&3ha wdilc pois id^lien. Tk* s&eK«ostorny tube wu removed on Febniary 3.2001 almost one month post admission. Gradually, his condition improved he was mobilizing nicely. On discharge, all his wounds have been closed nicely, but a small area kept on breaking down over the scalp area. Despite the aggressive early physiotherapy, the patient continued to have restrictive hand movement Cpndition on Pischaigg: He was discharged home with the following problems that require further close monitoring and out-patient therapy; 1) 2) 3)
Early Ectropion of the lower eyelids and tearing but this was not complicated with any conjunctivitis. The restrictive movements of his hands. The narrowing of the oral aperture. He has started wearing a special splint to open the oral commissures. He was measured for special job garments.
Recommendations: 1) 2)
He as been given a follow-up in the out-patient clinic in one week's time, Out-patient medications:' Atarak25mgq<jhpm Moistural cream to the scars Viscotear for the eyes qhs
3)
He is to resume normal diet as the same diet as he was taking two weeks before he was discharged.
Actlvity. He was advised to work his hands and to try and put his fingers in the normal range of movement and to use his hands as much as he can and to continue to apply the oral commissure splint as needed. Discharge Diagnosis;
Massive burns 50% over body surface area with no significant inhalation injury.
-37-
Operations/Procedure:
1) 2) 3) 4)
Complications: _ _ . •
1/7/01, he underwent a tracheostomy and right hand coverage. On 1/23/01, he had left hand coverage in addition to forehead an eyelid, thick split thickness skin graft coverage. On 1/31/01, he had the ears and the open areas around the ankles covered. On 2/13/01, open areas over the scalp were covered.
Bilateral Ectropion Ankylosis of right hand and less of the left hand. Narrowing of die oral aperture. Facial scarring which is difficult to predict its extent at this stage. Frequent skin breakage of healed scilp With small area, of scalp necrosis over occiput.
This patient is being referred for second opinion and further management.
Plastic fa Reconstructive Surgeon ABJ/dQW/242210 mr
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:£,.
March 28, 2001
Consul Embassy of the United States of America Riyadh, Saudi Arabia
Dear Sir / Madam, I am writing to request your kind consideration to the visa application of Ms. Reem Black and her father, Mr. John Black. Ms. Black will be undergoing medical treatment in the United Staes under the sponsorship of the Medical Services Section, Armed Forces Office of the Royal Embassy of Saudi Arabia. Your assistance in this matter will be greatly appreciated. Thanking you in anticipation. Sincerely,
Joe Smith Director, Medical Services Section
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U.S. VISA EXPRESS COORDINATOR AT U.S. EMBASSY/US CONSULATE CONTACT INFORMATION Riyadh Nonimmigrant Visa Section: Elizabeth Colton, Ph.D. Vice Consul NJV Section Chief Phone: 01-488-3800 ext. 1116 or 1129 Fax: 01-488-7275 Jeddah NonimmigrantJVisa Section: Shayna Steinger Vice Consul NIV Section Phone: 02-667-0080 ext. 4267 Fax: 02-669-3078
U. S Visa Express - Agent Manual Sorino 2001
fXA (liw i KA VMVCUUKIKK COMPANIES FOR EXPEDITING' VISA APPLICATIONS: AC£ TRAVEL A L S A H A M At, MUSAFKR/ EACLK/ TOUAI) T R A V E L A L T A V Y A K TRAVEL ATTAR TRAVEL F!FA> STAR TRAVEL Ft'RSAN TRAVEL KANOO HOLIDAYS MINHALTRAVEL SNAS/ DHL/CREEN WINGS TRAVEL UPSC EIRAD TRAVEL
MV.V
Tex..-t