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BI FORM CGAF-001-Rev 0
CONSOLIDATED GENERAL APPLICATION FORM
FOR IMMIGRANT VISA
V. ACR I-CARD
Application Number
Date of Issuance [DD-MMM-YYYY e.g. 01 JAN 1990]
Received/Recommended by: ________________________________
_____________________
Date [DD-MMM-YYYY]
________________________________________
_______________________________________
_____________________________________
Approval
Recommending Approval:
Disapproval*
* Please see attached findings.
____________________________________________
CERTIFICATION
I HEREBY CERTIFY that this application was APPROVED/DISAPPROVED by the Board of Commissioners during
its meeting on ____________________________.
This is to certify further that a ______________________ visa valid from _____________ to _____________
is hereby authorized to be issued to applicant.
[DD-MMM-YYYY]
[DD-MMM-YYYY]
ERIC E. DIMACULANGAN
Application Number
Executive Director
Date Signed: ______________
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