Transcription of VisaScreen® Expedited Review Service
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Purpose for this Expedited Service n Request for Evidence n Employment offer n Expiring visa or license application n Transition from student visa to an employment visaVisaScreen Expedited Review Servicefor applicants who have a Request for Evidence, offer for employment, pending expiration of visa or license application, or are transitioning from a student visa to an employment visa3600 Market Street, Suite 400, Philadelphia, PA 19104-2651 USA +1 (215) 222 8454 CGFNS ID numberLeave blank if not known Month Day YearYour nameFirst (given) name Middle name Last (surname/family) name Name before marriageYour birth date312 Your signatureAll information that CGFNS received as part of my application for the VisaScreen Expedited Review Service , now or in the past, from me or from a third party on my behalf, is true and complete. I also certify that all documents that have been submitted to CGFNS for any purpose have not been falsified, altered or tampered with by any person.
Purpose for this expedited service n Request for Evidence n Employment offer n Expiring visa or license application n Transition from student visa to an employment visa
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