Permanent Enter address in country where residence is Home Address claimed. Signature Sign your name. Social Security Number Enter your social security number. Not required for travel expense reimbursement. Signature Sign your name.
Date Enter current date.
UP Complete the following steps after you have filled out the form. 1 Photocopy LA-6 for your records. If you need to speak with someone about registration, call 3-4391. Procedures in Office of Foreign Scholar Services, Bechtel applying for Visa International Center, 725-0885.