VIRGIN ISLANDS DEPARTMENT OF JUSTICE
OFFICE OF THE ATTORNEY GENERAL
VIRGIN ISLANDS SEXUAL OFFENDER REGISTRY
SEXUAL OFFENDERS TRAVEL NOTIFICATION FORM
PLEASE PRINT OR TYPE
Name: Alias:
SSN: DOB: POB:
Current Address:
Intended Address:
Telephone:
Date of Departure: Expected Return date:
Type of proof provided: Airline Itinerary ( ) Cruise line Itinerary ( )
Signature of Registrant Date
EFTA00672343