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pdfINSTRUCTIONS FOR COMPLETING FORM DS-2007,
CONTINUATION SHEET
PLEASE READ ALL INSTRUCTIONS BEFORE COMPLETING THIS FORM
This form is to be completed for all dependents of diplomatic, consular and foreign employees (hereafter referred to as principal). It should be
attached to the principal's Form DS-2003 or DS-2004 if the dependents arrive in the United States at the same time as the principal. It should be
attached to Form DS-2006 and submitted therewith if the dependents arrive at a later date.
Any changes in the information provided on this form should be reported to the Office of Protocol as soon as
possible using the Notification of Change, Form DS-2006.
NOTE: It is important that all information provided to the Office of Protocol and the Office of Foreign Missions be consistent. Discrepancies, such as in
the spelling of the name, the residence address, date of birth, etc., may delay processing applications for identification cards, tax exemption cards,
drivers licenses and automobile registrations.
The instructions below are numbered to correspond to the numbered items on the form. PLEASE TYPE ALL ANSWERS.
PRINCIPAL'S NAME: Enter the full name of the principal as originally
Provide arrival date if different from principal's. Please indicate by
notified to the Department. MISSION: Enter name of Embassy/Mission.
If this form is being submitted for dependents who arrive separately from
or later than the principal, please enter the principal's Personal
Identification Number (PID), if one has already been assigned.
22
marking an "X" in the box if the dependent is applying for an
identification card. (See instructions for DS-2003 or DS-2004 to
determine which dependents are eligible for identification cards.)
Enter names of all family members residing in the household of
the principal in the United States in the order specified (a)
surname or family name; (b) first name or given name; (c) middle
name; (d) prefix such as Mr., Mrs., Ms., or Miss; (e) suffix, such as
Jr. or Sr.; (f) maiden name, and (g) any other name used. Give
relationship to principal (e.g. wife, daughter, etc.), and indicate if
dependent is male or female.
NOTE: Names on the dependent identification cards will be printed:
Surname, Given Name, in the order of Surname, Given Name. (Due to
space limitations it may not be possible to include all names on
identification cards.)
Submit forms (original and two copies) and attachments to
Office of Protocol
Enter the dependent's date of birth (mm-dd-yyyy), place of birth (city,
country), current citizenship, and type of United States visa (A-1, B-2,
etc.) currently held.
U.S. Department of State
3507 International Place, NW
Washington, DC 20008-3034
ANY CHANGES IN THIS INFORMATION SHOULD BE REPORTED TO THE OFFICE OF
PROTOCOL USING NOTIFICATION OF CHANGE, FORM DS-2006.
DS-2007
09-2009
Instruction Page 1 of 1
U.S. Department of State
NOTIFICATION OF DEPENDENTS OF DIPLOMATIC, CONSULAR
AND FOREIGN GOVERNMENT EMPLOYEES
Principal's Name (Surname, Given Name)
(CONTINUATION SHEET)
Embassy/Mission
OMB APPROVAL NO. 1405-0105
EXPIRATION DATE: xx-xx-xxxx
ESTIMATED BURDEN: 10 MINUTES *
PID (If available)
22. Family Members Residing in Household in the United States (Continued)
(a) Surname (Last)
(d) Prefix
(e) Suffix
(b) Given (First)
(f) Maiden
(g) Other
(h) Relationship
Male
Date of Birth (mm-dd-yyyy)
Place of Birth (City, Country)
Citizenship
Arrival date if different from principal (mm-dd-yyyy)
Please indicate if requesting identification card.
(a) Surname (Last)
(d) Prefix
(e) Suffix
Visa Status
(Attach copies)
Yes
(f) Maiden
Date of Birth (mm-dd-yyyy)
(g) Other
Place of Birth (City, Country)
(h) Relationship
Citizenship
Arrival date if different from principal (mm-dd-yyyy)
Visa Status
Please indicate if requesting identification card.
(a) Surname (Last)
(e) Suffix
No
(b) Given (First)
Male
(d) Prefix
Female
Female
(Attach copies)
Yes
No
(b) Given (First)
(f) Maiden
(g) Other
(h) Relationship
Male
Date of Birth (mm-dd-yyyy)
Place of Birth (City, Country)
Arrival date if different from principal (mm-dd-yyyy)
Citizenship
Visa Status
Please indicate if requesting identification card.
Female
(Attach copies)
Yes
No
PRIVACY ACT STATEMENT
The Privacy Act of 1974, as amended, 5 U.S.C. 552a, contains provisions regarding the maintenance, collection, use, and dissemination of information about United
States citizens and aliens lawfully admitted for permanent residence in the United States. The following information is provided in accordance with subsection (e)(3) of the
Privacy Act.
AUTHORITIES: The information is sought pursuant to Vienna Convention on Diplomatic Relations of 1961; Vienna Convention on Consular Relations of 1963; Diplomatic
Relations Act (22 U.S.C. 254a-e); and International Organizations Immunities Act (22 U.S.C. 288e (a)).
PURPOSE: The principal purpose for the collection of this information is to notify the Department of State of dependents for diplomatic, consular, and/or foreign
government employees so the Department can therefore extend various privileges and benefits granted by the above-cited authorities which are predicated upon review
and acceptance of this information by the U.S. Department of State.
ROUTINE USES: The principal users of this information are offices within the U.S. Department of State, including but not limited to, the Office of Protocol, the Office of
Foreign Missions, and the Office of Visa Services. In response to inquiries from law enforcement agencies, the Office of Protocol may confirm status as recognized by
the U.S. Department of State as covered under STATE 36, Security Records. Information may also be provided to other government agencies having statutory or other
lawful authority to maintain such information. Names of the members of diplomatic staff, office addresses, titles, and names of spouses are published quarterly in the
Diplomatic List, U.S. Department of State Publication 10424. Names of Consular Officers, titles, and office addresses are published semi-annually in Foreign Consular
Offices in the United States, U.S. Department of State Publication 10277.
DISCLOSURE: Providing this information is mandatory. Failure to provide the information requested on this form may prevent acceptance and the extension of benefits
to principals or family members as provided in the above-cited authorities.
PAPERWORK REDUCTION ACT STATEMENT
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time required for searching existing data sources,
gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this
information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations
for reducing it, please send them to: M/OFM, 3507 International Place NW, Washington, DC 20008.
ANY CHANGES IN THIS INFORMATION MUST BE REPORTED IMMEDIATELY TO THE OFFICE OF PROTOCOL ON FORM DS-2006.
DS-2007 (Formerly DSP-114)
xx-xxxx
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File Type | application/pdf |
File Title | DS-2007 |
Author | ciupekra |
File Modified | 2014-11-18 |
File Created | 2014-11-18 |