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Sample Exchange Visitor Attestation EXHIBIT J J1 WAIVER PHYSICIAN Addendum signing this addendum, John/Jane Doe (the Physician) agrees to the contractual requirements set forth in Section 214(I) of
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How to fill out sample exchange visitor attestation

01
To fill out a sample exchange visitor attestation, follow these steps:
02
Start by entering your personal information such as your name, address, and contact details.
03
Provide your passport details, including your passport number, date of issue, and expiration date.
04
List the purpose of your visit and the specific exchange visitor program you are participating in.
05
Describe your educational background and any previous exchange visitor programs you have attended.
06
Provide details of your sponsor, including their name, contact information, and sponsorship details.
07
Include information about your financial support, such as any funding or scholarships you have received.
08
Indicate your intended length of stay and any plans for extending or changing your status while in the country.
09
Sign and date the attestation to confirm the accuracy and truthfulness of the information provided.
10
Submit the completed attestation to the relevant authorities or your sponsoring organization.

Who needs sample exchange visitor attestation?

01
Anyone participating in an exchange visitor program is required to submit a sample exchange visitor attestation. This includes individuals who are visiting another country for educational, cultural, research, or training purposes through an approved exchange program. The attestation serves as a formal declaration of the visitor's intention, purpose, and compliance with the rules and regulations of the exchange program.
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Sample exchange visitor attestation is a form that verifies an exchange visitor’s participation in a program approved by the U.S. Department of State.
The host organization or sponsor is required to file the sample exchange visitor attestation.
The sample exchange visitor attestation can be filled out online or submitted in paper form with all required information and signatures.
The purpose of sample exchange visitor attestation is to ensure that the exchange visitor is participating in an approved program and is eligible for certain benefits.
The sample exchange visitor attestation must include the exchange visitor’s personal information, program details, dates of participation, and signatures.
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