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 () 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.

verbally described as follows:

(Subj/Field Code)

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.) The Program Sponsor in item 2 above $

Financial support from organizations other than the sponsor will be provided by one or more of the following: b1.) U.S. Government Agency(ies):

c1. () International Organization(s):

(Agency Code), $

b2.

c2..

(Agency Code), $

(Int. Org. Code),$

(If necessary, use above spaces for funding by multiple U.S. Agencies or Intl. Organizations)

INSTRUCTIONS FOR AND CERTIFICATION BY the alien beneficiary named on page 1 of this Form:

Read and complete this page prior to presentation to a United States consular or immigration official.

I understand that the following conditions are applicable to exchange visitors:

(a)

(b)

(c)

(d)

(e)

Extension of Stay and Program Transfers: The initial period of stay in the United States authorized for an exchange visitor may not exceed one year, notwithstanding the fact that a sponsorship beyond that period may be contemplated. The completed Form DSP-66 which is required in order to apply for an extension or transfer may be obtained from or with the assistance of the sponsor. It must be submitted to the appropriate office of the Immigration and Naturalization Service within fifteen to thirty days before the expiration of the authorized period of stay.

Limitation on Stay: STUDENTS as long as they pursue a substantial scholastic program leading to recognized degrees or certificate. (However, students whom the sponsor recommends for practical training may be permitted to remain for such purpose for an additional period of up to 18 months after receiving their degree or certificate.) BUSINESS AND INDUSTRIAL TRAINEES - 18 months. TEACHERS, PROFESSORS, RESEARCH SCHOLARS, and SPECIALISTS - 3 years. INTERNATIONAL VISITORS - 1 year. PROFESSIONAL TRAINEES: Graduate Nurses - 2 years; Medical Interns and Residents - 5 years; Medical Technologists, Medical Record Librarians, Medical Record Technicians, Radiologic Technicians, and Other Participants in Similar Categories the length of the approved training program plus a maximum of 18 months for practical experience, not exceeding a total of 3 years.

Documentation Required for Admission or Readmission as an Exchange Visitor: To be eligible for admission or readmission to the United States, an exchange visitor must present the following at the port of entry: (1) A valid nonimmigrant visa bearing classification J-1, unless exempt from nonimmigrant visa requirements; (2) A passport valid for six months beyond the anticipated period of admission, unless exempt from passport requirements; (3) A properly executed Form DSP-66.

Copies one and two of Form DSP-66 must be surrendered to a United States immigration officer upon arrival in the United
States. Copy three may be retained for re-entries within a period of previously authorized stay.

Change of Status: Exchange visitors are expected to leave the United States upon completing their objective. An exchange visitor
who is subject to the two-year home-country physical presence requirement is not eligible to change his status while in the United
States to any other nonimmigrant category except, if applicable, that of official or employee of a foreign government (A) or of an
international organization (G) or member of the family or attendant of either of these types of officials or employees.
Two-Year Home Country Physical Presence Requirement: Any exchange visitor whose program is financed in whole or in part,
directly or indirectly by either his own government or by the United States Government is required to reside in his own country
for two years following completion of his program in the United States before he can become eligible for permanent residence
(immigration) or for status as a temporary worker ("H") or as an intracompany transferee ("L"). Likewise, if an exchange visitor
is acquiring a skill which is in short supply in his own country (these skills appear on the Exchange Visitor Skills List) he will be
subject to this same two-year home country residence requirement. (Section 212(e) of the Immigration and Nationality Act, as
amended.)

If this form is for family travel or replaces a lost form, the expiration date on the exchange visitor's 1-94 is

4. The category of this visitor is 1() 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.
verbally described as follows:

(Subj/Field Code)

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.) The Program Sponsor in item 2 above $

Financial support from organizations other than the sponsor will be provided by one or more of the following:

PROHIBITIONS:

INSTRUCTIONS FOR PROGRAM SPONSOR

1)No one except the Responsible officer or Alternate Responsible Officer whose name is recorded with the Department of State may sign this form. 2) Authorized exchange visitor program sponsors may not transfer forms DSP-66 to any other organization whether or not that organization has an authorized exchange visitor program.

PROCEDURES:

Give copies 1, 2, and 3 (white, yellow and pink) to the exchange visitor for him to use in applying for a "J" visa or in applying to the INS for an extension or transfer. If the DSP-66 is to replace a lost form, destroy copies 1 and 2 and give copy 3 to the exchange visitor, being sure to fill in item 3, the expiration date of the visitor's I-94.

EXCHANGE VISITOR FAMILY MEMBERS:

If the Exchange Visitor's immediate family members will accompany him to the United States or if they will remain in the U.S. at the time the Exchange Visitor extends or transfers his program, attach a list (on the Sponsor's letterhead) giving the names, relationships to the Exchange Visitor, and dates and place of birth of the family members. If this form is for the Visitor's family travel attach a similar list.

PURPOSE OF FORM (Upper right-hand corner)

NEW PROGRAM: Check this box for an individual who is beginning an Exchange Visitor Program and who is not now an Exchange Visitor in this or any other Exchange Visitor Program.

EXTEND AN ONGOING PROGRAM: Check this box for an Exchange Visitor who is continuing in the same Exchange Visitor Program.

TRANSFER TO A DIFFERENT PROGRAM: Check this box for an Exchange Visitor who is transferring from one Program Sponsor to another. Do not use for change of activity or subject under the same Exchange Visitor Program Number.

LOST FORM: Check this box when the form is being issued to replace a pink copy of DSP-66 lost by the Exchange Visitor. Note the 1-94 expiration date requirement in item 3.

VISITOR'S FAMILY TRAVEL: Check this box when the form is to be used by the Exchange Visitor's immediate family in order to travel separately from the Visitor. Note the I-94 expiration date requirement in item 3.

PART I

Block 1. Fill in the FAMILY NAME first. Use numerals for the BIRTH DATE, in the order Month, Day, Year, e.g., 07 22 39. Province. prefecture, township, district, etc., may be used in place of CITY OF BIRTH where local custom or regulation requires, followed by COUNTRY OF BIRTH. LEGAL PERMANENT RESIDENT is a phrase used to distinguish country of intended permanent residence from country of birth and/or citizenship in those few cases where permanent residence and citizenship are different. In most cases, the country of citizenship and the country of permenent residence are the same. Exchange Visitors are subject to the Skills List and two-year foreign residence requirement in the country of permanent residence if that is different from the country of citizenship and/or birth. POSITION IN THAT COUNTRY is the position or location of the Exchange Visitor in the economy/society of his country of permanent residence prior to becoming an Exchange Visitor. U.S. ADDRESS: If the Visitor has a residence address in the U.S., use that address. If not, use the address of the institution where the Visitor will carry out his program or the address of the Program Sponsor.

Block 2. Write the PROGRAM SPONSOR'S NAME on the first line. The PROGRAM NUMBER consists of three parts, separated by dashes. The first is either "G" or "P", followed by a one-digit number (do not use Roman numerals), followed by a number from 1 to 4 digits. In the space below enter the entire PROGRAM DESCRIPTION as recorded by the Department of State. This description may be pre-printed or entered with a rubber stamp if all copies are legible. Program number example: P-3-230.

Block 3. Enter the DATES OF THE PROGRAM covered by this DSP-66 (one year maximum). Use numerals for the date as you did for the date of birth. The Immigration & Naturalization Service grants admission into, and extensions of stay in, the United States in maximum periods of one year. Exchange Visitors planning programs in excess of one year must apply to the I.N.S. with a new DSP-66 (checked to extend) at the end of the initial authorized period. If this form is for the Visitor's family travel or to replace a lost form enter the EXPIRATION DATE which appears on the Exchange Visitor's form I-94.

Block 4. Definitions of VISITOR CATEGORIES will be found in Codes for Educational and Cultural Exchange. Below the visitor category enter the SUBJECT/FIELD code which most closely describes the principal activity to be engaged in by the visitor. Finally, describe in your own words the activity which you have coded.

Block 5. Indicate the total amount of FUNDS to be supplied by the various sources during the period of validity of this form. Do not make entries such as "$450 per month"; rather enter the totals for the period. Any funds supplied to the exchange visitor by the program sponsor should be listed in the first line, even though the sponsor may belong to one of the categories listed in subsequent lines. If the sponsor commingles funds received from other sources and cannot identify specific amounts in an individual's program, enter all those funds in the first line. Then check the appropriate category below and enter "unknown" on the amount line for that category. See additional instructions in Codes for Educational and Cultural Exchange.

Block 6. Do not write in block 6.

Block 7. Fill in the name and business address of the OFFICIAL SIGNING THE FORM and the date of execution. That official must be the Responsible Officer or an Alternate Responsible Officer of the program described in block 2 above.

PART II Do not write in this space.

PART III The Responsible Officer or alternate should fill in this block to indicate approval of a transfer of an Exchange Visitor from his program to the program of another sponsor (i.e., to another program number). Changes in type of activity of Exchange Visitors within the same program number do not require a new DSP-66.

The codes required to execute the DSP-66 will be found in the publication, Codes for Educational and Cultural Exchange, which can be obtained from the Facilitative Services Staff; Bureau of Educational and Cultural Affairs; Department of State; Washington, D.C. 20520.

FORM DSP-66

POST SYMBOL:

DEPARTMENT OF STATE

BIOGRAPHIC DATA FOR VISA PURPOSES

Form Approved
Budget Bureau No. 47-R151.2

INSTRUCTIONS

Complete this form for your entire family (yourself, spouse and unmarried children under 21 years of age).

15. LIST UNMARRIED CHILDREN UNDER 21 YEARS, NOT U.S. CITIZENS WHO WILL ACCOMPANY YOU
NAME OF CHILD
PLACE OF BIRTH (City, state or province, country)

BIRTHDATE