FDA Foreign Visitor Request



VISITORS FULL NAME (First, Middle, Last)GENDERCOUNTRY OF ORIGIN/CITIZENSHIPDATE OF BIRTH (MM/DD/YYYY)PLACE OF BIRTH (city and country)PASSPORT NUMBERCOUNTRY THAT ISSUED PASSPORT ISSUANCE DATE:EXPIRATION DATE:VISITOR ORGANIZATION/EMPLOYERMEETING START DATE AND TIMEFebruary 19, 2020 8:00 amMEETING ENDING DATE AND TIMEFebruary 19, 2020 1:00 pmPURPOSE OF MEETING SOT FDA Food Safety Colloquium: Route-to-Route Extrapolation in the 21st CenturyBUILDING(S) & ROOM NUMBER(S) TO BE VISITED Wiley Auditorium USFDA College Park, MDWILL CRITICAL INFRASTRUCTURE AND/OR FDA LA BORATORIES BE VISITED?NoPOINT OF ENTRYMain securityHOSTING OFFICIAL (name, title, office/bldg, room number, and phone number)Jason L Aungst, PhDSupervisory BiologistFDA/CFSAN/OFAS/DFCN5001 Campus Drive HFS-275College Park, MD 20740Email: jason.aungst@fda.Phone: 240.402.1258ESCORT INFORMATION (If different from HostingOfficial)SameReturn form to Jim Dailey by February 4, 2020. ................
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