Application for Expatriate Worker Authorization(s)

Your Name (required) Title or Position

Your Address: Your Email (required)

Name of Applying Foreign Investor:

Foreign Investment Permit held or sought by the applicant
If Already issued, permit number:
Date Issued:
If pending, date of application:
Issuing jurisdiction:

Automatic EWA under Section 210(1) of the FSM Foreign Investment Act:

Name: Job Title:

Already Issue?

Additional EWA(s) under Section 210(2) of the FSM Investment Act:

Name: Job Title:

Already Issue?

Name: Job Title:

Already Issue?

Attachments: For the position qualifications, please include the job description and the organization chart showing the ranking of the applicant in the organization.

Have you attached additional sheets to this applciation form? Yes No
If so, how many pages?

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