Transcription of APPLICATION FOR NO OBJECTION CERTIFICATE: FORM-G
1 EMBASSY OF THE PEOPLE S REPUBLIC OF BANGLADESH 3510, International Drive, NW Washington, DC 20008 Tel: (202) 244-0183 Fax: (202) 244-5366 APPLICATION FOR NO OBJECTION certificate : FORM-G Full Name (in block letters): _____ Your Father s Name: _____ Your Mother s Name: _____ Present address in Bangladesh: _____ _____ Passport No: _____ Date of Issue :_____ Issued by: _____ Place of Issue: _____ Occupation in Bangladesh before coming to USA (nature of employment, address of employers etc.: _____ _____ Education/Technical Qualifications: (a) In Bangladesh: _____ (b) Acquired in USA: _____ (c) Acquired in Any Other Country: _____ (d) Field of Specialization: _____ Did you come to USA privately: Yes ____No ____ Under Sponsorship of Government of Bangladesh or any other sponsor: Yes ___No ___, if you did not come privately, please furnish details of the program under which you came _____ Are you under obligation to serve the Government of Bangladesh or any other institution on return to Bangladesh: Yes ___No ___ State date and place from where you left Bangladesh: _____ _____ State precise objective of your journey abroad: _____ _____ Why do you want to settle permanently in the USA?)
2 _____ _____ State name of office of the Bank of Bangladesh from which you availed of traveling facility: _____ Did you avail of any exchange facility for educational purpose: Yes ____No ____ If yes, state exchanges permit reference: _____ _____ (Please complete the reverse side of this form ) (Page- 1) APPLICATION FOR NO OBJECTION Please give in the space below details regarding places in Bangladesh (with full address and duration of stay at each place with dates where you have stayed for more than 6 (six) months). This will be necessary where Police clearance certificate is required. _____ Address in USA: _____ _____ I certify that the information provided in this form is true to the best of my knowledge. (Signature of applicant) (NOTARIZE) Embassy requirements: Filled out and notarized No OBJECTION certificate form ( FORM-G ).
3 Waiver review file number obtained from the Department of State (check ). Fees $ (regular 2-5 days), $ (urgent one day) as money order or bank draft payable to the Embassy of Bangladesh. Photocopy of passport from page 1 to 10. A requesting letter for NOC stating reasons. If Government Service holder, copy of NOC from Government. NOC from previous employer in Bangladesh Copy of J-1 Visa. Copy of I-94 After applying other documents, as may be deemed necessary, may be asked for. Note: 1. Any document generated in Bangladesh must be attested by the Ministry of Foreign Affairs, Consular Section before it can be presented as a supporting document. (Page 2)
