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Form I-687 - Application For Status As A Temporary Resident Under Section 245a Of The Immigration And Nationality Act Page 4

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31. AFFILIATIONS OR ASSOCIATIONS: List all affiliations or associations, clubs, organizations, churches, unions, businesses,

etc. to which you belong or have belonged. If you need more space to complete, use a separate sheet of paper. Write your name

and Alien Registration Number (A-Number), if any, at the top of each sheet of paper and indicate on the sheet that the information

refers to Number 31.

Name of Organization

Location (City and State)

From (mm/yyyy)

To (mm/yyyy)

32. ABSENCES FROM THE UNITED STATES SINCE FIRST ENTRY: List most recent absence first and then all previous

absences dating back to your first entry. If you need more space to complete, use a separate sheet of paper. Write your name and

Alien Registration Number (A-Number), if any, at the top of each sheet of paper and indicate on the sheet that the information

refers to Number 32.

Manner of Reentry

From (mm/yyyy)

To (mm/yyyy)

Purpose of Trip

Country

(type of visa, EWI)

Form I-687 (11/23/10) Y Page 4

Form I-687 - Application For Status As A Temporary Resident Under Section 245a Of The Immigration And Nationality Act Page 4

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