This document MUST be

typed in ALL CAPS

back to DC authentication page

THIS IS NOT RECOMMENDED FOR MOBILE....
sample g-1 below: effective 11/17

your name

City, State
PP number

must be usa number

If you are a homemaker than the answer is NONE in two boxes below pertaining to employer
section two is BLANK
check any of these boxes that pertain as well as use the "other" section for home study,immigration, CCCWA letter, etc.

must be usa number

full address

employer name

City, CHINA     if not matched put BEIJING, CHINA
DESTINATION:

THIS IS THE SAME NUMBER OF ORIGINAL DOCUMENTS YOU HAVE -  YOU HAVE ONE COPY OF EACH - - SO IF YOU HAVE 5 DOCUMENTS YOU HAVE 5 COPIES ETC.....

FOR CRIS' INFORMATION PLEASE TEXT ME AT 410-596-8250

YOU MUST SIGN TWO PLACES!!!

YOU ARE APPLICANT

CRIS SIGNS HERE
YOU SIGN HERE
YOU SIGN HERE
DATES CAN BE HANDWRITTEN
EXPRESS ONLY FOR MEDICAL EXPEDITE
ANY QUESTIONS PLEASE CALL KELLY AT 410-596-8250 EASTERN TIME.

© 2016 Ladybugs N Love    All rights reserved