EMBASSY OF THE PEOPLE’S REPUBLIC OF BANGLADESH …

1 EMBASSY OF THE PEOPLE'S REPUBLIC OF BANGLADESH . 3510, international drive , NW. washington , DC 20008. Tel: (202) 244-0183 / 136 / 100 Fax: (202) 244-7248. APPLICATION FOR NO OBJECTION CERTIFICATE: FORM G. Full Name (in block letters): Father's Name: 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 the office of BANGLADESH Bank from which you availed of traveling facility: Did you avail of any exchange programme for educational purpose: Yes No If yes, state exchange permits reference: Page 1 of 2. APPLICATION FOR NO OBJECTION. Please provide details of the places/cities you stayed in BANGLADESH (with full address and duration of stay at each place with dates where you have stayed for more than 6 (six) months). These will be necessary where Police Clearance Certificate is required in last 5 (five) years. i. ii. iii. iv. v. 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 's Requirements: Duly filled-out and notarized No Objection Certificate form (form-G);. Waiver review file number obtained from the Department of State (check ).

3 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 request letter for NOC stating reasons;. Copy of NOC from the concerned Government office in BANGLADESH , if Government Service holder;. NOC from previous employer in BANGLADESH , if non-government service holder;. Copy of J-1 Visa;. Copy of I-94;. The EMBASSY may ask for other documents, as may be deemed necessary. Note: Any document generated from BANGLADESH must be attested by the Consular Section of the Ministry of Foreign Affairs, before it can be presented as a supporting document. Page 2 of 2.