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22 C.F.R. Appendix C to Part 62—Update of Information on Exchange-Visitor Program Sponsor

Title 22 - Foreign Relations

Title 22: Foreign Relations
PART 62—EXCHANGE VISITOR PROGRAM
Subpart H—Fees

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Appendix C to Part 62—Update of Information on Exchange-Visitor Program Sponsor

Please amend the Department of State records for Exchange-Visitor

Program Number____________________

assigned to ________ as follows:

(Name of institution/organization)

1. Change the name of the Program Sponsor

from the above to____________________
____________________

2. Change the address of the Program Sponsor

From:____________________
____________________
____________________
____________________

(city)    (state)    (zip)

To:

____________________
____________________
____________________
____________________

(city)    (state)    (zip)

3. (  ) Change the telephone number from ____ to ____

  (  ) Change the fax number from ____ to ____

4. (  ) Change the name of the Responsible Officer of the above program from ____ to ____

5. a. Delete the following Alternate Responsible Officer:

____________________
____________________
____________________
____________________

5. b. Add the following Alternate Responsible Officer:

____________________
____________________
____________________
____________________

(Citizenship is required for all Responsible and Alternate Responsible Officers-See Reverse)

6. (  ) Send ___ (indicate number) IAP–66 forms. (PLEASE ALLOW FOUR TO SIX WEEKS FOR RESPONSE AND REMEMBER TO SUBMIT THE ANNUAL REPORT)

7. (  ) Send ___ copies of this form.

8. (  ) Send ___ copies of Codes for Educational and Cultural Exchange.

9. ( ) Cancel the above named Exchange Visitor Program.

____________________

(Signature of Responsible or Alternate Responsible Officer)

____________________

(Date)

____________________

(Title of Signing Officer)

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