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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. Visa Application Documents 7


Exit Re-entry samples 8
Employment Letter Sample 9
Table of required Documents 10

VI. Table of applicable visa fees 11

VII. Sample Saudi passports 12

VIII.Sample Visa Application


(Form OF-156-page 1) 13
(Form OF-156-page 2) 14
(Form OF-156-page 1 Arabic) 15
(Form OF-156—page 2 Arabic) 16

VIII. Computer Data Entry


Instructions 17-18
(Option l-"Basic" View) 19
(Option 2-"More" Expanded View) 20
Data Entry Fields 21

U.S Visa Express - Agent Manual


Spring 2001
TABLE OF CONTENTS (continued)

X.Processing Instructions
Diskette Labeling 22
Preparation for Embassy Drop off 23
Drop-off and Pick-up Instructions 24

XI. Sample Visa Documents


(Form 1-20 page 1-2(F-1 Visa)) 25-26
(Form 1-20 page 3-4(F-l Visa)) 27-28
(Form IAP-66 (J-1 Visa)) 29-31
(Sample Bank certification letter) 32
(Sample Form 1-797) 33
(Sample Medical documents) 34-35
(Sample Medical Report) 36-38
(Sample Government letter
for medical cases) 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 -5-


Sorina 2001
U.S. VISA EXPRESS AGENT CODES

The Agent Codes for the individual agents are as


follows:

ACE TRAVEL T0001

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 -6-


Sorina 2001
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 -7-


Spring 2001
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 Ol
Cat. F1/F2 H1B /O2
/ Bl C D Ml /H2A Jl I LI PI Rl
Req. /B2 /M2 /H2B /J2 /L2 /P2 /R2
Doc. /H3 /P3
/H4 /Ql

OF- V V V V V V V A/ V V
156

Photo V V V V V V V V V V

MRV V V V V V V V V V V
fee Note 1

Comp.
letter V V V V V
Note 2
Exit/
Reent V >/ V V V V V
(Non-
Saudi
s
only)

1-20 V

1-797 V V V
NoteS
1AP-
66 V
Invita
-tion >/
Letter

Other V V
NoteS , Note 4

Notes:
1. No MRV fee if IAP-66 issued by US Government agency
2. Bl for Saudi passport holders and B1/B2 for non-Saudis
3. Or approved Blanket Petition Notification
4. IRS tax exemption certification for the religious organization in the U.S.
5. Statement or other document describing the need for transit visa

U. S Visa Express - Agent Manual -10-


Sonnet 2001
RECIPROCITY AND FEE SCHEDULE

:/;^> ' Country Visa Type Validity : . FEE :: FEE ,-


:*;f Code - :4< (months) (U.S. Dollars) (Saudi Riyals)

ALGERIA B1/B2 3/12 $10 SAR38


ETHIOPIA B1/B2 3 $20 SAR76
B1/B2 24 $20 SAR76
INDIA B1/B2 120 $75 SAR285
F1/F2 120 $75 SAR285
JORDAN B1/B2 60 NONE NONE
H1-H3/L1 60 S420 SAR1596
LEBANON B1/B2 60 $30 SARI 14
OMAN Bl 24 $15 SAR57
SAUDI B1/B2 24 $7 SAR27
ARABIA F1/F2 24 NONE NONE
H1-H3/L1 24 $800 SAR3040
H4-L2 24 $150 SAR570
C/D 24 NONE NONE
SUDAN B1/B2/C/D 3/12 $50 SARI 90
F1/F2 12 $50 SARI 90
SYRIA B1/B2 24 $15 SAR57
F1/F2 24 $15 SAR57
YEMEN 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 -11-


Sorina 2001
Sample of a Diplomatic
f udi Passport

c.-'/?^''• .'>?••'•.. •.-'•'-:- r

i-i J-v-
PERSONS ACCOMPANYING
BEARER 'O?™? ASSPORT
Sample of an Official-Special
T udi Passport T " vv " '"'^ifcl
r^i .'-^;-

Sample of a Regular Saudi


Passport

^12-
PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM.
1. SURNAMES OH FAMILY NAMES (Exactly as in Passport) DO NOT WRITE IN THIS SPACE

B-l/B-2 MAX B-1 MAX B-2 MAX

2. FIRST NAME AND MIDDLE NAME (ExacUy as in Passport)


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 DATE PASSPORT ISSUE LO. CHECKED


City, Province Country (Day, Month, Year)
ON BY

6. NATIONALITY 7. SEX DATE PASSPORT EXPIRES


fj MALE (Day, Month, Year)
ON BY

9. HOME ADDRESS (Include apartment no., street, city, province and


UNDER SEC. 214 (b) 221(g)
postal zone)

OTHER: INA

10. NAME AND STREET ADDRESS OF PRESENT EMPLOYER OR SCHOOL REFUSAL REVIEWED BY
(Postal box number unacceptable)

11. HOME TELEPHONE NO. 12. BUSINESS TELEPHONE NO.

13. MARITAL STATUS


| | Married | | Single | | Widowed [ | Divorced | | Separated
If married, give name and nationality of spouse

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
WHERE? TRIP?
WHEN?
BY WHOM? 23. WHEN DO YOU INTEND TO ARRIVE IN
THE US -A.?
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. 24. HOW LONG DO YOU PLAN TO STAY
IN THE U.S-A.?

18. DO YOU INTEND TO STUDY IN THE U.S.? Q NO Q YES 25. HAVE YOU EVER BEEN IN THE U.S.A.?
H YES, write name and address of school as it appears on form 1-20 Q| NO Q] YES
WHEN?
FOR HOW LONG?

COMPLETE ALL QUESTIONS ON


NONIMMIGRANT VISA APPLICATION REVERSE OF FORM
OPTIONAL FORM 156 (Rev. 10-1999) PAGE 1 50156-109 NSN 7540-00-139-OO53
Department of State PREVIO
PREVIOUS EDITIONS OBSOLETE
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
Father/ Son/
YES NO cr YES NO

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)) D YES D NO

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 D YES •D NO
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 LJ YES D NO
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 D YES D NO
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)]

• Have you ever departed or remained outside the United States to avoid military service ? D YES D NO
[212(a)<8)J

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 YES D NO
any law or regulation, or renounced U.S. citizenship for the purpose of avoiding taxation ?
(212(aX10)]
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 -14-
Deoartment of State
AjJ_tJL*j VI ^LaD Li jtjj JualD I

(j^3\jlj*. ^ US L.UJ) ItiUfl f^.\jl i-illl - >

.T
i . t^ fu.1 1 j^bj fu.1. j: IjJJI JxSU) J>ii »U-i .T

.A

.0

j»JLc

•Cr-
.TT

.U

.Tt

5 ^"..I«^"TI; iti^^i.
fUL, • Y •

Y •

(t-20) lit

-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 -17-


Sorino 2001
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 -18-


Spring 2001
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^-
:- Default valuei: — —.-^-.^.~
_ Recoid|.l;[ 1 Eno«(i);| StalutiJHEW 1 POBrjSARB nationality: J S A R B V i s a Class: bljB2

:lmport Close
r~
Oescriplion: I

Paaport Sunome Given Harre DOB Nat-..


Gender' VcaDas: Aias Surame ' ASg$ Given Narrie
C387SS4 (»L SHAMARI |AU MOHAMMAD (23-DEC-1938 |SARB |SARB
"
1 n:««jiJlBi/82 r "[Of

lTptJFJes.2

f.S Visa Express - Agent Manual -19-


Sorina 2001
COMPUTER DATA ENTRY

DATA ENTRY SCREEN


(Option Two--"More")

rJe /v Prev Next Close

Rec. #: Passport: Local National ID:


| 1 of 1 JC987654
Surname: Given Name:
JAL SHAMARI JALI MOHAMMAD
Date of birth: Place of birth: National^/ Gender Visa Class:
J23-DEO1998- |SARB |SARB - IM—! J81/B2
Alias Surname: Alias Given Name:

U.S Visa Express - Agent Manual -20-


Spring 2001
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 -B1/B2
-MEDICAL -B1/B2
-TRANSIT - Cl
-CREW -D
-STUDY (FORM 1-20) -F1/F2
-VOCATIONAL STUDY (I-20M) -M1/M2
-TEMP. WORK (1-797) -H1B/H4
-MEDIA -I
-EXCHANGE VISITOR (IAP-66) -J1/J2
-INTRACOMPANY TRANSFEREES -L1/L2
-OTHER TEMP. WORKERS (1-797) -0,P,Q
-RELIGIOUS -R1/R2

U.S Visa Express - Agent Manual -21-


Snrinn ?00f
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 click on Icon "My Computer"


• Go to Explore
• Go to "C"
• Go to RDS
• Go to 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 -23-


Spring 2001
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 -24-


Sor/no 2007
department of Justice Certificate of Eligibility for Nonimmigrant (F-1) Student OMB No. 1115-0051
ffl'gratkxi and Naturalization Service Status - For Academic and Language Students
/ease Read Instructions on Page 2 Page 1

This p»9e roust be completed and signed in the U.S. by a designated school official.

FamSy Name (surname)


1. 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


(Check and fill out as appropriate) 7. This school estimates the student's average exists for an academic term of

j_ [7] Initial attendance at this school. 9 (up to 12) months to be:


a. Tuition and fees $ 11,432.00
t_ fj Continued attendance at this school.
b. Living expenses $ 6,878.00
c Q School transfer.
c. Expenses of dependents J 0.00
Transferred from
<«_ [j Use by dependents for entering the United States. d. Other (specify): 530.00

Other Total S 18,840.00

4. Level of education the student is pursuing or will pursue in the United States: 8. This school has information showing the following as the student's means of
(creek onry one) support, estimated for an academic term of 9 months (Use the same
number of months given in item T).
a. Q Primary e r~| Master's

b_ Q Secondary f. [~| Doctorate a. Student's personal funds 0.00


b. Funds from this school 0.00
c_ Qj Associate g [ | Language training
(specify type)
4 [7] Bachelor's n. 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) 0.00
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 % 18,840.00
The normal length of study is 4 - 5 years 9. Remarte: Student IDf:999-35-1109
6. p*] Engish proficiency is required: Coats based on shared living. 'Mandatory
| | 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.
the school. TOEFL - $25 (if required) .
[~~| 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 Toledo, OH


Name of school official (print or type) Title Dale Issued Place Issued (city and state)
-X^T™" t TT "' ' • - . - • - . . . 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<g) to determine my nonimmigrant status.

Name of student

^^rature ol parent of guaraian Name ol parent/guardian (prinl Of type) Address(aty) (State or province) (Country) (Date)
Irtucertfis uncer 18
For official use onty
Microfilm Index Nunber
B A-BA.20IO (Re

-25-
" Page 2
/(ty for.collecting the information on this and related student forms dent in an educational program and any period of authorized practical
stained in 8 U.S.C. 1101 and 1184. The information solicited will be training plus sixty days. While in the United States, you must main-
ii by the Department of State and the Immigration and Naturalization tain a valid foreign passport unless you are exempt from passport
j'~vice to determine eligibility for the benefits requested. requirements.
You may continue from one educational level to another, such as prog-
INSTRUCTIONS TO DESIGNATED SCHOOL OFFICIALS ressing from high school to a bachelor's program or a bachelor's pro-
gram to a master's program, etc.. simply by invoking the procedures for
1 Tie law provides severe penalties for knowingly and willfully fal- school transfers.
s ing or concealing a material fact, or using any false document
3. SCHOOL For initial admission, you must attend the school specified
it ic submission of this form. Designated school officials should con-
on your visa. If you have a Form 1-20 A-B from more than one school,
sutt regulations pertaining to the issuance of Form 1-20 A-B at 8 CFR
it is important to have the name of the school you intend to attend
2^.3 (K) before completing this form. Failure to comply with these reg-
specified on your visa by presenting a Form 1-20 A-B from that school to
u ons may result in the withdrawal of the school approval for atten-
the visa issuing consular officer. Failure to attend the specified school will
d ce by foreign students by the Immigration and Naturalization Service
result in the loss of your student status and subject you to deportation.
(B CFR 214.4).
4. REENTRY. A nonimmigrant student may be readmitted after a tem-
2 'SSUANCE OF FORM 1-20 A-B. Designated school officials may
porary absence of five months or less from the United States, if the stu-
is e a Form 1-20 A-B to a student who fits into one of the following
dent is otherwise admissible. You may be readmitted by presenting a
; {jories, if the student has been accepted for full-time attendance at
valid foreign passport, a valid visa, and either a new Form 1-20 A-B or
tie institution: a) a prospective F-1 nonimmigrant student; b) an F-1
page 4 of the Form 1-20 A-B (the 1-20 ID Copy) property endorsed for
T="sfer student; c) an F-1 student advancing to a higher educational
reentry if the information on the 1-20 form is current
e I at the same institution; d) an out of status student seeking reinstate-
T 1 The form may also be issued to the dependent spouse or child of 5. TRANSFER. A nonimmigrant student is permitted to transfer to a dif-
in F-1 student for securing entry into the United States. ferent school provided the transfer procedure is followed. To transfer
schools, you should first notify the school you are attending of the intent
ft^n issuing a Form 1-20 A-B, designated school officials should
to transfer, then obtain a Form 1-20 A-B from the school you intend to
:i iplete the student's admission number whenever possible to
attend. Transfer will be effected only if you return the Form 1-20 A-B to
!i jre proper data entry and record keeping,
the designated school official within 15 days of beginning attendance at
i. ENDORSEMENT OF PAGE 4 FOR REENTRY. Designated School the new school. The designated school official will then report the trans-
>fc-ials may endorse page 4 of the Form 1-20 A-B for reentry if the stu- fer to the Immigration and Naturalization Service.
k and/or the F-2 dependents is to leave the United Slates temporarily.
6. EXTENSION OF STAY. If you cannot complete the educational pro-
D should be done only when the information on the Form 1-20 remains
gram after having been in student status for longer than the anticipated
indianged. If there have been substantial changes in item 4,5.7, or 8.
length of the program plus a grace period in a single educational level,
i DPW Form 1-20 A-B should be issued.
or for more than eight consecutive years, you must apply for extension
!. EPORTING REQUIREMENT. Designated school official should of stay. An application for extension of stay on a Form I-538 should be
it. _ys forward the top page of the Form 1-20 A-B to the INS data proces- filed with the Immigration and Naturalization Service district office hav-
.ing center at P.O. Box 140. London, Kentucky 40741 for data entry ing jurisdiction over your school at least 125 days but no more than 60
:y~pt when the form is issued to an F-1 student for initial entry or reen- days before the expiration of your authorized stay.
0 ito the United States, or for reinstatement of student status.
7. EMPLOYMENT. As an F-1 student, you are not permitted to work off-
R uests for reinstatement should be sent to the Immigration and
campus or to engage in business without specific employment authori-
JaturaQzation Service district office having jurisdiction over the student's
zation. After your first year in F-1 student status, you may apply for
smeorary residence in this country.)
employment authorization on Form 1-538 based on financial needs aris-
1 INS data processing center will return this top page to the issu- ing after receiving student status, or the need to obtain practical training.
n ichool for disposal after data entry and microfilming.
8. Notice of Address. If you move, you must submit a notice within 10
>. CERTIFICATION. Designated school officials should certify on the days of the change of address to the Immigration and Naturalization Ser-
c"-fn part of page 1 of this form that the Form I-20 A-B is completed vice. (Form AR-11 is available at any INS office.)
in ssued in accordance with the pertinent regulations. The designated
9. Arrival/Departure. When you leave the United States, you must sur-
c o( official should remove the carbon sheet from the completed and
render your Form I-94 Departure Record. Please see the back side of
igned Form 1-20 A-B before forwarding it to the studenL
Form I-94 for detailed instructions. You do not have to turn in the I-94 if
i. ' "EMISSION RECORDS. Since the Immigration and Naturalization you are visiting Canada, Mexico, or adjacent islands other than Cuba for
'•€ ce may request information concerning the student's immigration less than 30 days.
U -_s for various reasons, designated school officials should retain all
10. Financial Support You must demonstrate that you are financially
vkJence which shows the scholastic ability and financial status on
able to support yourself for the entire period of stay in the United States
ft1'"-*! admission was based, until the school has reported the student's
while pursuing a full course of study. You are required to attach
Ji nation of studies to the Immigration and Naturalization Service.
documentary evidence of means of support.
11. Authorization to Release Information by School. To comply with
INSTRUCTIONS TO STUDENTS requests from the United States Immigration & Naturalization Service for
udent Certification. You should read everything on this page care- information concerning your immigration status, you are required to give
Jl and be sure that you understand-the terms and conditions concenv authorization to the named school to release such'information from your
HJ your admission and stay in the United States as a nonimmigrant stu- records. The school will provide the Service your name, country of birth,
ent before you sign the student certification on the bottom part of page current address, and any other information on a regular basis or upon
e law provides severe penalties for knowingly and willfully falsify- request.
> >r concealing a material fact, or using any false document in the 12. Penalty. To maintain your nonimmigrant student status, you must be
ubmlsslon of this form. enrolled as a full-time student at the school you are authorized to attend.
'- ADMISSION. A nonimmigrant student may be admitted for duration of You may engage in employment only when you have received permis-
t: s. This means that you are authorized to stay in the United States for sion to work. Failure to comply with these regulations will resutt in the
i< ntire length of time during which you are enrolled as a full-time stu- 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 OMB No. 1115-0051
/nmigration and Naturalization Service Status - For Academic and Language Students
Please Read Instructions on Page 2 Page 3
This page must be completed and signed in the U.S. by a designated school official.

Family Name (surname)


1. For Immigration Official Use

First (given) name (do not enter middle name)

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


(Check and fill out as appropriate) 7. This school estimates the student's average costs for an academic term of

a ts\l attendance at this school. 9 (up to 12) months to be:


a. Tuition and fees $ 11,432.00
b. j | Continued attendance at this school.
b. Living expenses 6,878.00
c_ | [ School transfer.
c. Expenses of dependents 0.00
Transferred from
d. Other (specify): 530.00
d [ [ Use by dependents for entering the United States,

e. Q Other Total $ 18,840.00

A. Level of education the student is pursuing or will pursue in the United States: 8. This school has information showing the following as the student's means of
(check only one) support estimated for an academic term of 9 months (Use the same
number of months given in item 7).
a. Q Primary e. Q Master's
a. Student's personal funds J 0.00
b. |~"| Secondary J. Q Doctorate
b. Funds from this school S 0.00
c. [~1 Associate g. [ | Language training
(specify type)
4 7 Bachelor's h. Other
c. Funds from another source S 18,840.00
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) $ 0.00
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 Total J 18,840.00

4> TTie normal length of study is 4 - 5 years 9. Remarks: Student 11)1:999-35-1109


6. [7] English proficiency is required: Costa based on shared living. 'Mandatory
(~| 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.
the school. TOEFL - $25 (if required) .
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

Colombo, Int.Qrnati.onal Admissions Counselor 03/01/2001 Toledo, OH


Name of school official (pnnt or type) Title Date Issued Place Issued (aty and stale)

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 Name of student Date

ingnature ol parent or guardian Nam* o< parent guardian (prmt or type) Addressjaty) (Slate or provnce) (CounUy) (Date)
il student is under 18
For official use only
McraTitm Index Number
form L2O A-an-2OK) (Rev O4-27-M)N
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) first Date of birth Country of birth Relationship to the F-1 student

ti fit =sdoyment Authorization and other Records

-25-
ASSURE THAT IMPRESSIONS ON APPROVED OMB 3116-000« EXP. 01/31/2OOO
J HOT STWL£ THtS FOflM ALL COPIES ARE CLEAR . 'Estimated Burden Hours: ISmins. (S«e page 4).

United States Information Agency _


EXCHANGE VISITOR PROGRAM SERVICES, GC/V p 2 0 2 3 5 0S
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS

MOHAMMEO f )M°'< THE PURPOSE OF THJS FORM IS TO;


/^ X\ ( ) "^egin « new program ( ) Acccxnpan«»d by

(F4HIkXJUME OF EXCHANGE VISITOR! (FjX:rttAME) (MIDDLE NAME)


SAUDI ARABIA
2 ( ) Extend an orv^oing prDgram.
(Mo.) (Doj) ffr.) fC.v' (Ox/wry)
SAUDI ARABIA SA
3 ( ) Translci to a diflwent program.
zen of i i ategalpermanent resident of
on ADI A (Cotimr;] OA (Codf)
4 ( ) Replace a tost IAP-66 toon;
L 1 >"hosp position in that country rs . .,
(Counfry) (Code) amend a previous IAP-65 lorn.
EmptO)fee of private business 314
S { ) Permit visitor's immediate tamtty
(Fos. Code)
AfBmco Training S*rvic®e Company ( members) to erflef U.S. separai&ry.

address 9009 W. Loop South


6 ( } Reinstatement recast to USIA.
Houston, Texas 77096

r\i QI i \\^j i '. on tH t^f wt^i v iw& j \w/*sJi i ipa i ijr , ^ w ^ ^ * i , L_I_/\^^J K_>WULI i, i i\/o ji^/t i, i *»^w > < v >s\j

rill be spo r r *4 oo 10
tn nanjppafP in Pw-harvje VtfiTn«- PTfVIr!»m W O « »-' » -' . '. whirh k <rttll valtH anrf fcc offirialry ftesrrib^ as fnllnws-
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 ( ) Govem-
mt 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 has not I I (check one) received funding tor international exchange from one or more U.S. Government
i '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): (Agency Code). $ ; b2. (Agency Code), $
> ( ) International Organizations): (Intt Org. Code). $ ; c2 (Infl. Org. Code). *
d. ( ) The Exchange Visitor's Government . $ (If necessary, use above spaces
for funding by multiple U.S.
e. ( ) The binattonal Commission of the visitor's Country $
Agencies or InH Organizations)
I ( ) Al other organizations providing support J
fc. ( ) Personal funds $

USM/MS USE OR CERTIFICATION BY RESPONSIBLE TYRONE R. VOGEL RESPONSIBLE OFFICER


i TCERTrWTAW-nrTCATONCOFYOfTHIS 7..
I 1M HAS BEEN PROVIDED TO USIA (INCLUDE DATE). (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>.) j (Dae)


EUHMAIIT EMX»tS£M€NT OF COKSULAfl OR MHIGAATION OFFICER REGARDING 8. STATEMENT OF RESPONSIBLE OFFICER FOR RELEASING
CHON 712 f«) OF THE IMMIGRATION AND MATKXALTTY ACT PI M~4M AS AMENDED
-.1 —VERSE SIDE rn-H !(.)). SPONSOR (FOR TRANSFE^OF PROGRAM)

Dale_ .. Transfer of this exchange visitor from program No. .sport-


sored by. _to the program specified in hem (2) is necessary of
highly desirable and is 'm conformity with the objectives of the Mutual Educational and Cultural
A. ( )y t ftrwnng
B. ( ) Ow Exchange Ad of 1961.

(Sifruuurt cj Rrsponttblr Officer or AUtrjuut K.O.) (Dalt)

< 11-971 -29-


ASSURE THAT IMPRESSIONS ON APPROVED OMB 3116-OO08 EXP. C1/31/20OO
O NOT STAPLE THIS FORM ALL COPIES ARE CLEAR 'Estimated Burden Hours: ISmins. (See peoe *).

-: 1 United States Information Agency


- EXCHANGE VISITOR PROGRAM SERVICES, GC/V F 9 H9 ^ R 0 Q
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS *" " ^ " ^
_., '- - *,«* THE PURPOSE OF THIS FORM IS TO:
f {- UB*o«n • o«w prograrnf1 ) Accompai>«d by
[FAU-Of-HAME OF EXCHANGE yjSrrOR) (FIRST NAME) (MIDDLE VAME) ._ immediatetemSymerrtbws. 1
-: •>• ' SAUO! ARABIA
2 ( ) Ext»nd an oo^oing program. 1
(*/3.j (Day) (Yr.) . (dry) (Country)
SAUO! ARABIA SA. 3 ( ) Transisf to a diflersnt program.
•itijan rt i i B legal permannnt ipsklant nf
fnt*m . rvADii (Country) ^^ (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
(/>oi CoAJ
( membefj) to ffotorU.S. s*pafa:eiy.
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*<u-riKAfl B< follows-
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 i i i to i i i I I i Exchange Visitors are permitted to travel abroad & maintain status (e.g. obtain
(Mo.) (Day) ftr.) (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 ( ) Govem-
iwnt .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 ; b2. (Agency Code). $_
I. ( ) international Oroanization(s): (Int. Org. Code). $ ; c2. (Infl. Org. Code). $_
„ ( ) The Exchange Visitor's Government . .._: $ (If necessary, use above spaces
for funding by multiple U.S.
e. ( ) The binational Commission of the visitor's Country $.
Agencies or Infl. Organizations)
( ) AH other organizations providing support ' $.
. ( ) Personal funds $.

USIAJWS USE OR CERTIFICATION BY RESPONSIBLE TYRONE R. VOGEt RESPONS1BLE OFFICER


OFFICER THAT A IWIIFICATION COPY OF THIS 7..
ORM HAS BEEN PROVIDED TO USIA (mo.UDE DATE). (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>.) f' (Date)
r ENOORSeMEKT OF CONSULAR OR IMMIGRATION OFFICER REGARDING 8. STATEMENT OF RESPONSIBLE OFFICER FOR RELEASING
CCTKM MJ («l or THE IVMK:RATK>N ANO HATiONAijrr ACT pt M^M AS AMENDED
*E RtVERSI SlO€ ITEM 1(.». SPONSOR (FOR TRANSFER OF PROGRAM)

Dale .. Transfer ol this exchange visitor from program No.. ^spon-


sored by. _to the program specified in item <2) is necessary or
( ) a not highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
( I it tubfwa b*Md on; A. ( ) 0ovwTvrwnl tnandng matt*
B. | ) Pw EMtwn kst a Exchange Act of 1961.
C. ( ) Pt. 94 484

'Signature of JtelponsMi Officer fr Alternate HO.) (Dale)


ITtU STATES MFOttUTIOM tCtHCT (VSU) RE3EKVU THC KICKI TO MAJU TNI FMAl DCTtRullUTION.

(1-97) PAGE 3
Copy 3 - To be retained by Exchange Visitor
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
To facilitate your readmission to the United States and Summer Travel/Work.
after a visit in another country other than a
contiguous territory or adjacent islands,
you should have the Responsible Officer (1) Exchange Visitor is in good standing to .
of your sponsoring organization indicate
on this copy ol the Form IAP-66 that you
continue to be in good standing. Signature ol Responsible Officer Date

The signature of the Responsible Officer (2) Exchange Visitor is in good standing to
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 Signature of Responsible Officer Date
this Form, or to the validation date
authorized by the Responsible Officer,
(3) Exchange Visitor is in good standing to
whichever occurs sooner.

Signature ol Responsible Officer Date

IAP-66 (1-97) -31-


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

-32-
J.S. Department of Justice
Immigration and Naturalization Service Notice of Action

ef^a&r^fgi^^S^^^^^^ajsaf^,

RKTJ1T MAIBF.R CASETYPH 1129


WAC-01-072-52334
PETITION FOR A NONIMMIGRANT WORKER
PRIORITY DATE PETITIONER
Januarv 9, 2001
NATIONAL SEMICONDUCTOR CORP
NOTICE DATF. PACE
March IS, 2C01 1 Of 1

MONICA PATEL. " .. ' Notice Type: Approval Notice


FRAGOMEN DEL REY BERNSEN &. LOEWY P Class: H1B1 '
RE; . : Valid from 02/16/2001 to 12/30/2003
.2804 MISSION COLLEGE BLVD 2ND FFL
SANTA CLARA CA 95054

The above petition and extension cf stay have been approved- The .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 i 662192530 08


WAC-01-072-52334 I 'Receipt Number wAc-bi-o?2-52334
I-94# 662192530 08 ; Immigration and
NAME ! Naturalization Service
CLASS KIBI i 1-94 .
VALID FROM 02/16/2001 UNTIL 12/30/2003 . Departure Record Petitioner: NATIONAL SEMI
PETITIONER: NATIONAL SEMICONDUCTOR CO
2900 SEMICONDUCTOR DR »6. Daw o' Bioh
SANTA CLARA CA 95052 09/18/1975
17. Country ol Citizenship

-33-" 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. : April 19,2001
Time : 9:00 a.m.
Place : Center for International Delations - Mather Pavilion 1154
Physician
Dcpt. : 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


•<Z^l'-Anr.';Jio^i:Klvp3rjirf(}>,r7'ni\llir^tai-efCJr:tiinJ. tix Pr^Mxry AffiH»:c WcJfrif Rficrrr

-34-
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.

AAA/ V \: Employee

-35-
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: 1/6/01


Date Discharged: 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) Early Ectropion of the lower eyelids and tearing but this was not complicated
with any conjunctivitis.
2) The restrictive movements of his hands.
3) 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) He as been given a follow-up in the out-patient clinic in one week's time,


2) 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) 1/7/01, he underwent a tracheostomy and right hand
coverage.
2) On 1/23/01, he had left hand coverage in addition to
forehead an eyelid, thick split thickness skin graft
coverage.
3) On 1/31/01, he had the ears and the open areas around the
ankles covered.
4) On 2/13/01, open areas over the scalp were covered.

Complications:
_ _ 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 <O 92 47

-38-
:£,.

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

-39-
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