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 EFTA01148373