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

Link to an amendment published at 79 FR 60317, October 6, 2014.

Please amend the Department of State records for Exchange-Visitor

Program Number

1. Change the name of the Program Sponsor

from the above to

 

2. Change the address of the Program Sponsor

From:

 

 

 

To:

 

 

 

 

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.