Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant
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7OMB No. 1615-0106; Expires 10/31/2012
Form I-929, Petition for Qualifying Family
Department of Homeland Security
Member of a U-1 Nonimmigrant
U.S. Citizenship and Immigration Services
DO NOT WRITE IN THIS BLOCK-- FOR USCIS USE ONLY
Action Block
Bar Code (USCIS Use only)
Bene. A-file
Yes
reviewed
No
U-1 A-file
Yes
reviewed
No
Bene. filed I-485
Remarks
Yes
No
U-1 adjusted
No
Yes
U-1 I-485 pending
No
Yes
START HERE -- TYPE OR PRINT LEGIBLY USING BLACK INK
I am filing for my: (Check one)
Spouse
Child:
Biological Child
Parent:
Biological Parent
Stepchild
Stepparent
Adopted Child
Parent who adopted me
Part 1. Information About You
Part 2. Information About Your Alien Relative
Last Name (Family Name)
Last Name (Family Name)
First Name (Given Name)
First Name (Given Name)
Middle Name
Middle Name
Current Address
Current Address
Street Number and Name
Apt. Number
Street Number and Name
Apt. Number
City
State
Zip Code
City
State/Province
Country
Postal/Zip Code
Safe Mailing Address If Other Than Above
Mailing Address If Other Than Above
Street Number and Name
Apt. Number
City
State
Zip Code
Date of Birth
A-Number
Date of Birth
A-Number
Form I-929 (10/04/11) Y
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