l 4 4Sk iin Printed Name -R r-eStS t ala+ Title 4.14ses; Signed this day of At: United Slates of America By: Commissioner Immixrigion and Ninundizatim Service F 1.775 5-12-90 N ()MB Approved No. II15-014Y EFTA00310753 U.S. Department of Justice Immigration and Naturalization Service Visa Waiver Pi