1030 15th Street, N.W. Washington DC 20005
Email:visa@consbrasdc.org Phone: (202) 461 3000-Fax: (202) 461 3001
APPLICANT’S SWORN STATEMENT WAIVER
I certify that the information provided by me on the Visa-Application Form are complete and accurate
_____________________ __________________________ _______________
Printed Name Signature Date
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With any further questions or concerns please contact our own “Visa Knowledge Champion”
Cynthia Barnes:
202.298.6550
CBarnes@documentlegalization.us