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Liaison International

Contact Information

Current Address

Enter the address where you want to receive mail correspondence. Be sure to keep this section up-to-date as you complete and submit your application. If you anticipate a change of address, enter the date through which your current address is valid. 

Note: To ensure applicants are entering consistent data for some questions, this application uses pre-populated answer options that are maintained by the International Organization for Standardization (ISO). For example, country answer options are derived from ISO 3166, which is the international standard for country codes and codes for their subdivisions.

Permanent Address

If your current address is different from your permanent address, select No under Is this your permanent address? Then, enter the address that you consider to be your permanent and/or legal residence. 

Note: To ensure applicants are entering consistent data for some questions, this application uses pre-populated answer options that are maintained by the International Organization for Standardization (ISO). For example, country answer options are derived from ISO 3166, which is the international standard for country codes and codes for their subdivisions.

Phone 

Your phone number pulls in from the information entered when you created your account. Verify that the listed phone number and type are correct; click the Profile Section link to make changes. 

Text/Voice Messages

Select I agree to authorize text and voice messages to the phone number provided and accept responsibility for any charges incurred.

Email

Your email address pulls in from the information entered when you created your account. Verify that what appears here is correct; click the Profile Section link to make changes.

Contact Person

Enter the complete names, addresses, and telephone numbers of persons who can provide your address. 

Residency Status

Indicate whether you are an in-state or out-of-state resident. 

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