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NOS Application Form
CFO application form for No - objection statement
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
EXCHANGE VISITORS PROGRAM COMMITTEE
Manila, Philippines
APPLICATION FOR STATEMENT OF “NO-OBJECTION” TO WAIVE THE TWO-YEAR
HOME-COUNTRY RESIDENCY REQUIREMENT FOR EXCHANGE VISITOR PROGRAM
(EVP) PARTICIPANTS
WAIVER REVIEW
FILE NO.
NOTE: PLEASE TYPE OR WRITE LEGIBLY. PLEASE DO NOT LEAVE ANY BLANKS OR QUESTIONS UNANSWERED.
WRITE N/A IF NOT APPLICABLE. USE ADDITIONAL PAPERS IF NECESSARY.
NAME
SEX
LAST
FIRST
MIDDLE
DATE OF BIRTH
PLACE OF BIRTH
DAY MON
YEAR
PASSPORT NO.
DATE OF ISSUE
CIVIL STATUS
NAME OF SPOUSE
PLACE OF ISSUE
MAIDEN NAME (If Married)
LAST
FIRST
CHILDREN (if any):
NAME
MIDDLE
DATE OF BIRTH
PLACE OF BIRTH
TEL. NO.
PHIL. ADRESS
US ADDRESS
IMMEDIATE RELATIVES IN THE PHILIPPINES:
NAME
ADDRESS
TEL. NO.
FAX NO.
RELATIONSHIP
TEL. NO./MOBILE
PREVIOUS EMPLOYER / COMPANY IN THE PHILIPPINES:
NAME
ADDRESS
EDUCATIONAL ATTAINMENT:
NAME OF SCHOOL
VOCATIONAL
COLLEGE
MA/M.S.
PH.D.
DATE RESIGNED /
END OF CONTRACT
DEGREE/PROGRAM
YEAR GRADUATED
HOW WAS YOUR PROGRAM FINANCED?
( ) GOVERNMENT FINANCED (Specify)
( ) FINANCED BY A PRIVATE/NON-GOVERNMENT ORGANIZATION (Specify)
( ) PERSONALLY FINANCED
DATE AND PLACE OF ENTRY IN THE US
LIST OF EXCHANGE VISITOR PROGRAM/S PARTICIPATED
PROGRAM NUMBER
INCLUSIVE DATES
REASONS FOR THE REQUEST FOR A "NO OBJECTION" OR WAIVER STATEMENT (Please enclose supporting documents)
I UNDERSTAND THAT ALL APPLICATIONS ARE DELIBERATED UPON BY MEMBERS OF THE EXCHANGE VISITOR PROGRAM (EVP)
COMMITTEE BASED ON A SET OF GUIDELINES. I AM AWARE THAT PAYMENT OF PROCESSING FEE AND SUBMISSION OF COMPLETE
DOCUMENTS DO NOT GUARANTEE THE APPROVAL OF THE WAIVER REQUEST.
I HEREBY DECLARE UNDER PENALTIES OF PERJURY THAT THE ANSWERS GIVEN ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF.
PLACE AND DATE COMPLETED
SIGNATURE OVER PRINTED NAME
APPLICANT'S PRESENT ADDRESS:
PERSONAL EMAIL ADDRESS:
BUSINESS EMAIL ADDRESS:
NOTE:
1. Application Form should be completed in three (3) copies.
2. This application form should be accompanied by supporting documents.
3. All foreign-issued documents submitted must be authenticated by the Philippine Embassy or Consulate that has
jurisdiction over the place where the issuing authority is located.
4. Documents issued in the Philippines must be original.
