Gexpro Visitor Request Form For Foreign People

Submitted By malingxia0
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Pages: 2

Gexpro Visitor Request Form for Foreign Persons | Gexpro Host Information | Host Name | Telephone Number | Department | | | | Visit Information | Company Name | Date of Visit | | From | Click here to enter a date. | To: | Click here to enter a date. | Address | Is the company incorporated in the U.S.? | | | | Yes | ☐ | No | ☐ | Does the visitor represent a foreign Government? | Yes | ☐ | No | | | If Yes, list the countries: | | Visitor Information | Name (First, Middle, Last) | Date of Birth | Place of Birth | Passport Number or
Resident Alien Card Number | Expiration Date | Issuing Country | Citizenship(s) | Lingxiao Ma | 01/03/1989 | China | G45047246 | 09/02/2020 | China | Citizen | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Purpose of the Visit | Provide a detailed description of the purpose for the visit. | Factory tour and gain experience of warehouse management | | | | Yes | No | Will technical data as defined in the EAR or ITAR be discussed? | ☐ | | Will the visitor require a facility tour? | ☐ | | Will the visitor require a product demo? | ☐ | | Has a license been obtained in advance of the visit? | ☐ | | Will any information other than general business data, information already in the public domain or technical data which has been approved for public release be discussed? | ☐ | | Certification | I certify that I have read and understand my responsibilities for hosting a visit of a Foreign Person and that I must comply with Gexpro procedures on technical data exports. | | | | | Host Signature | Date | Empowered Official Approval | | Approved | Denied | This Foreign National visit is: | ☐ | ☐ | Restrictions placed on the visit by the Empowered Official. | | | | | | | | Empowered Official Signature | Date |

Gexpro Non-U.S. Citizen/Foreign National Visitor Host Certification