Form I-698 - Application To Adjust Status From Temporary To Permanent Resident (Under Section 245a Of The Ina) Page 5
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9Part 3. Eligibility Standards (continued)
A-
26.
Have you EVER been a member of, assisted in, or participated in any group, unit, or organization of any
Yes
No
kind in which you or other persons used any type of weapon against any person or threatened to do so?
27.
Have you EVER assisted or participated in selling, providing, or transporting weapons to any person who,
Yes
No
to your knowledge, used them against another person?
28.
Have you EVER received any type of military, paramilitary or weapons training?
Yes
No
29.
Have you EVER:
A.
Recruited, enlisted, conscripted, or used any person under 15 years of age to serve in or help an armed
Yes
No
force or group?
B.
Used any person under 15 years of age to take part in hostilities, or to help or provide services to
Yes
No
people in combat?
Part 4. Accommodations for Individuals With Disabilities and Impairments (Read the information in the
Form I-698 instructions before completing this part.
)
1.
Are you requesting an accommodation because of your disabilities and/or impairments?
Yes
No
If you answered "Yes," Select all applicable boxes.
A.
I am deaf or hard of hearing and request the following accommodations (if you are requesting a sign-language interpreter,
indicate for which language (e.g., American Sign Language)):
B.
I am blind or have low vision and request the following accommodations:
C.
I have another type of disability and/or impairment (describe the nature of your disabilities and/or impairments and the
accommodations you are requesting):
Part 5. Applicant's Statement, Contact Information, Acknowledgement of Appointment at USCIS
Application Support Center, Certification, and Signature
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, Selectthe box for Item Number 2.
1.
Applicant's Statement Regarding the Interpreter
A.
I can read and understand English, and have read and understand every question and instruction on this application, as
well as my answer to every question. I have read and understand the Acknowledgement of Appointment at USCIS
Application Support Center.
B.
The interpreter named in Part 6. has read to me every question and instruction on this application, as well as my
answer to every question, in
, a language in which I
am fluent. I understand every question and instruction on this application as translated to me by my interpreter, and have
provided complete, true, and correct responses in the language indicated above. The interpreter named Part 6. has also
read the Acknowledgement of Appointment at USCIS Application Support Center to me, in the language in which I
am fluent, and I understand this ASC Acknowledgement as read to me by my interpreter.
2.
Applicant's Statement Regarding the Preparer
I have requested the services of and consented
,
who is
is not an attorney or accredited representative, preparing this application for me. This person who assisted me
in preparing my application has reviewed the Acknowledgement of Appointment at USCIS Application Support Center
with me and I understand the ASC Acknowledgement.
Page 5 of 9
Form I-698 03/03/17 Y
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