Legal Visa Request Form

LEGAL VISA REQUEST FORM

This Legal Visa Request Form is entered into by the parties below for the purpose of preparing, filing, and pursuing a visa application on behalf of the Applicant. Applicant Name: (hereinafter "Applicant") and Legal Representative / Requesting Organization Name: (hereinafter "Representative").

RECITALS

WHEREAS, Applicant seeks to obtain a visa of type: for entry to Country of Intended Travel: for the purpose of .

WHEREAS, Representative is authorized by Applicant to prepare, assemble, submit and otherwise pursue the visa application and related petitions, and to receive communications from governmental authorities on Applicant's behalf.

WHEREAS, the parties wish to set forth the terms and conditions under which Representative will act and Applicant will provide instructions and information required to pursue the requested immigration benefit.

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows.

1. DEFINITIONS

For purposes of this Form: "Application" means the visa petition, application, and any supporting forms or requests to governmental authorities; "Supporting Documents" means passport, photographs, letters, certificates, clearances, and other documentary evidence submitted in connection with the Application; "Fees" means professional fees charged by Representative and any governmental filing fees.

2. SCOPE OF REPRESENTATION

Representative shall prepare, review and submit the Application and such ancillary forms as necessary, advise Applicant on required Supporting Documents, respond to routine requests for information from immigration authorities, and represent Applicant in administrative interviews and non-adjudicative communications. Representative will not provide legal services outside the scope of immigration representation unless expressly agreed in writing.

3. APPLICANT REPRESENTATIONS AND WARRANTIES

Applicant represents and warrants that all information and documents provided to Representative are true, accurate, and complete to the best of Applicant's knowledge. Applicant acknowledges that knowingly submitting false information to immigration authorities may constitute a criminal offense and may result in denial of the Application or other legal consequences.

4. DOCUMENTS, EVIDENCE AND CHECKLIST

Applicant shall timely provide originals or certified copies of all documents required for the Application. Representative may collect, copy and return original documents where appropriate. The initial supporting documents provided are indicated below (check all that apply):

Passport copy Passport-size photographs Employment or admission letter Police clearance certificate Medical examination results Other (describe below)

5. FEES AND EXPENSES

Applicant agrees to pay Representative professional fees in the amount of plus all governmental filing fees, courier costs, translation fees and other disbursements incurred in connection with the Application. Payment terms: .

6. CONFIDENTIALITY AND DATA HANDLING

Representative will maintain the confidentiality of Applicant's information consistent with applicable professional and legal obligations. Representative may disclose information to governmental authorities as required by law or necessary to pursue the Application. Representative will take commercially reasonable measures to protect Applicant data from unauthorized access.

7. CONSENT TO REPRESENT AND AUTHORIZATION

Applicant hereby authorizes Representative to act as Applicant's agent to prepare, sign where necessary, file and pursue the Application, to receive correspondence and decisions from immigration authorities, and to provide certified copies of documents where required. Applicant authorizes third parties to release records and information to Representative in relation to the Application.

8. NOTICES

All formal notices under this Form must be in writing and delivered to the addresses below. Notice to Applicant:

9. GOVERNING LAW

This Form shall be governed by and construed in accordance with the laws of the jurisdiction in which Representative maintains its principal place of business, without regard to conflict of laws principles.

10. ENTIRE AGREEMENT

This Form contains the entire agreement between the parties with respect to the matters herein and supersedes all prior oral or written agreements relating to the same subject matter.

11. SEVERABILITY

If any provision of this Form is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect and shall be construed so as to effectuate the intent of the parties to the greatest extent permitted by law.

12. AMENDMENTS; WAIVER; COUNTERPARTS

Any amendment to this Form must be in writing and signed by both parties. No waiver of any provision of this Form shall be effective unless in writing and signed by the party waiving compliance. This Form may be executed in counterparts, each of which shall be deemed an original.

13. CERTIFICATION

By signing below, Applicant certifies under penalty of perjury that the information provided in support of the Application is true and correct. Applicant understands that Representative is not able to guarantee any particular outcome, and that decisions will be made by immigration authorities in their discretion.

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