VIRGIN ISLANS DEPARTMENT OF JUSTICE OFFICE OF THE ATTORNEY GENERAL VIRGIN ISLANDS SEXUAL OFFENDER REGISTRY Notification of Duty to Report Travel Name of recipient: 3effreci g_psktin On this iStel day of Mr , 20PI , I have been advised, and I understand, Travel to US Jurisdictions 1. That pursuant to Chapter 86, Section 1724 (b) (I) in the event of a change in temporary lodging, I am required to inform the Virgin Islands Department of Justice, in person, of any changes to my temporary lodging information and shall notify the jurisdiction in which I will be temporarily staying. Ini ials 2. That "temporary lodging" refers to a place where I abide, lodge, or reside, including, but not limited to vacation, business, or personal travel destinations outside of the U.S. Virgin Islands. 9 Initials International Travel 1. That pursuant to Chapter 86, Section 1724 (b) (4) I am required to appear in person at the Virgin Islands Department of Justice at least twenty one (21) calendar days prior to any intended travel outside of the United States and provide pertinent travel information. Initials 2. if a reduction in the 2I-day notice requirement is requested, I must submit information in support of the request for approval at the discretion of the Department oflustice. Initials Required Information for Travel I . That when I appear in person to inform the Department of Justice of my intent to travel, I must provide the following information: i. Destination ii. Dates of travel iii. Places of arrival and departure iv. Itinerary details v. Address or, in lieu, telephone contact information vi. Purpose of travel vii. Any other required information VIDOJISOR4S nitials USAO 004487 EFTA_00022397 EFTA00172077