Form I-601 - Application For Waiver Of Grounds Of Inadmissibility - U.s. Citizenship And Immigration Services Page 8
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12Part 8. Interpreter's Contact Information,
Part 7. Applicant's Statement, Contact
Certification, and Signature
Information, Declaration, Certification, and
Signature (continued)
Provide the following information about the interpreter.
Applicant's Contact Information
Interpreter's Full Name
3.
Applicant's Daytime Telephone Number
1.a.
Interpreter's Family Name (Last Name)
4.
Applicant's Mobile Telephone Number (if any)
1.b.
Interpreter's Given Name (First Name)
2.
Interpreter's Business or Organization Name (if any)
5.
Applicant's Email Address (if any)
Applicant's Certification
Interpreter's Mailing Address
3.a.
Street Number
Copies of any documents I have submitted are exact
and Name
photocopies of unaltered, original documents, and I understand
that USCIS may require that I submit original documents to
3.b.
Apt.
Ste.
Flr.
USCIS at a later date. Furthermore, I authorize the release of
any information from any and all of my records that USCIS
3.c. City or Town
may need to determine my eligibility for the immigration
benefit that I seek.
3.d. State
3.e. ZIP Code
I furthermore authorize release of information contained in this
3.f.
Province
application, in supporting documents, and in my USCIS records
to other entities and persons where necessary for the
3.g. Postal Code
administration and enforcement of U.S. immigration law.
I understand that USCIS may require me to appear for an
3.h.
Country
appointment to take my biometrics (fingerprints, photograph,
and/or signature) and, at that time, if I am required to provide
biometrics, I will be required to sign an oath reaffirming that:
Interpreter's Contact Information
1) I reviewed and understood all of the information
4.
Interpreter's Daytime Telephone Number
contained in, and submitted with, my application; and
2) All of this information was complete, true, and correct
at the time of filing.
5.
Interpreter's Mobile Telephone Number (if any)
I certify, under penalty of perjury, that all of the information in
my application and any document submitted with it were
provided or authorized by me, that I reviewed and understand
6.
Interpreter's Email Address (if any)
all of the information contained in, and submitted with, my
application and that all of this information is complete, true, and
correct.
Interpreter's Certification
Applicant's Signature
I certify, under penalty of perjury, that:
6.a.
Applicant's Signature (sign in ink)
I am fluent in English and
,
which is the same language specified in Part 7., Item Number
1.b., and I have read to this applicant in the identified language
6.b.
Date of Signature (mm/dd/yyyy)
every question and instruction on this application and his or her
answer to every question. The applicant informed me that he or
NOTE TO ALL APPLICANTS: If you do not completely fill
she understands every instruction, question, and answer on the
out this application or fail to submit required documents listed
application, including the Applicant's Declaration and
in the Instructions, USCIS may deny your application.
Certification, and has verified the accuracy of every answer.
Form I-601 08/21/17 N
Page 8 of 12
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