I, the undersigned,
wish to apply for the following type of VISA:
ADOPTION BUSINESS: financial-commercial operator BUSINESS: fashion model BUSINESS: member of radio,TV or film crew BUSINESS: transport FAMILY: joining family member, accompanying family member MEDICAL TREATMENT INVITATION: from CONI, sports Federation, sports event organizer SELF EMPLOYMENT SUBORDINATE EMPLOYMENT RELIGIOUS REASONS RE-ENTRY ELECTIVE RESIDENCE STUDY: application to Italian Universities STUDY: study grants STUDY: religious novitiate/training STUDY: technical/professional instruction beyond the level of compulsory education TRANSIT AIRPORT TRANSIT TOURISM WORK VACATION
and request the Italian Consulate General in Los Angeles to waive the requirement for me to appear in person at their offices for the following reason(s) :
In case of approval of this application by the Italian Consulate General in Los Angeles, I will send all my papers in an AIR FEDEX envelope and arrangements will be made
for a pre-paid AIR FEDEX return envelope.
The undersigned will not hold the Italian Consulate General in Los Angeles responsible in case of loss of the above mentioned passport.
The undersigned has also reviewed all the requirements relative to the type of visa he is applying for.
Date: dd/mm/yyyy Signed:............................................................................
Authorized not to appear in person
Not authorized – has to make appointment and come in person
Date: Signature