U.S. Agency for International Development certification with incorrect birthplace

ALL INFORMATION CONTAINED HEREIN IS UNCLASSIFIED DATE 12-04-2012 BY 65179 DMH/MJS JUL-06-99 TUE 10:59 am INS/SND FOIA UNIT FAX NO. 619 557 5314 P. 02 OMB No. 0412-0016 Expiration Date: 12-31-87 PLEASE DO NOT STAPLE THIS FORM AGENCY FOR INTERNATIONAL DEVELOPMENT OFFICE OF INTERNATIONAL TRAINING Control No. 160552 UNITED STATES INFORMATION AGENCY ASSOCIATE DIRECTORATE FOR EDUCATIONAL AND CULTURAL AFFAIRS CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS PART I - IT IS HEREBY CERTIFIED THAT:

1. AULAQI Anwar Nasser (X) Male (FAMILY NAME OF EXCHANGE VISITOR) (FIRST NAME) (MIDDLE NAME) ( ) Female born 71 in Sana'a Republic of Yemen (Mo.) (Day) (Yr.) (City) (Country) a legal permanent resident of Republic of Yemen , whose position in (Country) (Code) that country is Student 215 (Pos Code) U.S. address c/o Ann Oyer, CSU Fort Collins, CO 80523 THE PURPOSE OF THIS FORM IS TO: 1 (X) Begin a new program 2 ( ) Extend an on going program 3 ( ) Transfer to a different program 4 ( ) Replace a lost form 5 ( ) Permit visitor's immediate family to enter U.S. separately.
2. which will be sponsored by the AGENCY FOR INTERNATIONAL DEVELOPMENT, U.S. INTERNATIONAL DEVELOPMENT COOPERATION AGENCY to participate in the EXCHANGE VISITOR PROGRAM NO. G-2-0283 which is still valid and is officially described as follows: A program of the Agency for International Development, U.S. International Development Cooperation Agency to bring participants to the United States for training, academic study, observation or consultation in keeping with the objectives of human resource development as contained in the Foreign Assistance Act of 1961 as amended. PIO/P No. 279-051-1-90106 DTS No. Contractor Consortium for International Development
3. This form covers the period from 06 02 90 to 06 01 91 (one year maximum) Passport No. G1226365 (Mo.) (Day) (Yr.) (Mo.) (Day) (Yr.) If this form is for family travel or replaces a lost form, the expiration date on the exchange visitor's I-94 is
4. The category of this visitor is 1 X) Student, 2 ( ) Trainee, 3 ( ) Teacher, 4 ( ) Professor, 5 ( ) Research Scholar or Specialist, 6 ( ) International Visitor, 7 ( ) Professional Trainee, and the specific educational field or non-study activity to be engaged in is Code No. 3010 verbally described as follows: (Subj/Field Code) Civil Engineering
5. During the period covered by this form, it is estimated that the following financial support (in U.S.$) will be provided to this exchange visitor by: a. (X) The Program Sponsor in item 2 above $ AID provides full funding Financial support from organizations other than the sponsor will be provided by one or more of the following: b1. ( ) U.S. Government Agency(ies): (Agency Code), $ (Agency Code), $ c1. ( ) International Organization(s): (Int. Org. Code), $ (Int. Org. Code), $ d. ( ) The Exchange Visitor's Government $ (If necessary, use above spaces e. ( ) The binational Commission of the visitor's Country $ for funding by multiple U.S. f. ( ) All other organizations providing support $ Agencies or Int. Organizations) g. ( ) Personal funds: $
6. INS USE ONLY PHILADELPHIA, PA ADMISSEC JUN 05 1990 J JUL 01 1991
7. Robert Schmeding, EHRD Officer (Name of Official Preparing Form) (Title) c/o USAID/Sana'a (Address) (Signature of Responsible Officer or Alternate R.O.) 6/2/90 (Date) PART II - ENDORSEMENT OF CONSULAR OR IMMIGRATION OFFICER REGARDING SECTION 212(e) OF THE I.N.A. No endorsement of Consular or Immigration Officer regarding Sec. 212(e) of the Immigration and Naturalization Act is necessary because... ALL AID PARTICIPANTS ARE SUBJECT TO THE TWO YEAR RESIDENCE REQUIREMENT Keypunch Information: Col 138=1 Col 139=1 Col 140=1 PART III - STATEMENT OF RESPONSIBLE OFFICER FOR RELEASING SPONSOR (FOR TRANSFER OF PROGRAM) Date Transfer of this exchange visitor from program No. sponsored by to the program specified in item (2) is necessary or highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural Exchange Act of 1961. (Signature of Officer) (Date) IAP 66A (2-83) Page 1 Awlaki-442