Form I-730 Refugee/Asylee Relative Petition

Refugee/Asylee Relative Petition

I-730 Rev 07-23-07

Refugee/Asylee Relative Petition

OMB: 1615-0037

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OMB No.1615-0037; Expires 08/31/07

Department of Homeland Security
U.S. Citizenship and Immigration Services

I-730, Refugee/Asylee Relative Petition
Instructions

Please read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paper
and indicate the section and number of the item to which the answer refers.

Who May File This Petition?
If you have been admitted to the United States as a refugee or
if you have been granted status in the United States as an
asylee, and you were the principal applicant for your family,
you may file this petition, provided that your refugee
admission or asylum grant occurred within the past two (2)
years. Approval of the I-730 petition for a relative abroad
does not guarantee visa issuance. A separate Form I-730 must
be filed for each qualifying family member for whom you are
petitioning.
You are not eligible to file this petition if:
1. You were granted status as an accompanying or followingto-join derivative refugee or asylee; or
2. You were admitted to the United States as a refugee more
than two years ago (see NOTE 1 ); or
3. You were granted status in the United States as an asylee
more than two years ago (see NOTE 1); or
4. You became a naturalized United States citizen prior to
filing this Form (I-730). If you are currently a United States
citizen, you may file Form I-130 to petition for your spouse
or minor children. (Note: If you previously filed a Form
I-730 for your relative when you were a principal refugee
but now you are a U.S. citizen and USCIS has not yet
adjudicated your petition, USCIS may continue to process
your relative for refugee resettlement in the United States as
a matter in the public interest, provided that your relative
is otherwise qualified for consideration by the U.S. Refugee
Program. See 8 Code of Federal Regulations (CFR) § 207.1
(d)).
NOTE 1: The two-year limitation may be waived by
USCIS for humanitarian reasons. Please explain in Part 3
of the form why the petitioner could not file within two
years of being granted status. USCIS will make a decision
based upon the explanation.

Who Is Eligible to Receive Accompanying
or Following-to-Join Benefits?
Your spouse and/or your unmarried child(ren) under (21)
years of age, whether living inside or outside of the United
States, are eligible for accompanying or following-to-join
benefits provided that the family member(s) qualify under
the conditions described below.

If you are a principal refugee:
1. The relationship between you and your relative must have
existed on the date you were admitted to the United States
as a refugee and must continue to exist.
a. If the person you are filing for is a child who was
conceived but not yet born on the date you were

admitted to the United States, the relationship will be
considered to exist as of the date you were admitted to
the United States. (See NOTE 2)
b. The mother of such child is not an eligible relative
unless the mother was married to you, the principal
refugee, when you were admitted to the United States.
NOTE 2: If your child was physically born in the United
States, then the child is a U.S. Citizen, and you do not need to
file this form. You should obtain documentation of the child's
citizenship, such as a birth certificate and/or passport.

If you are a principal asylee:
1. The relationship between you and your relative must
have existed on the date you were granted asylum in the
United States and must continue to exist.
a. If the person you are filing for is a child who was
conceived but not yet born on the date you were admitted
to the United States, the relationship will be considered
to exist as of the date you were admitted to the United
States. (See NOTE 3)
b. The mother of such child is not an eligible relative
unless the mother was married to you, the principal
asylee, when you were granted asylum in the United
States.
NOTE 3: If your child was physically born in the United
States, then the child is a U.S. citizen and you do not need to
file this form. You should obtain documentation of the child's
citizenship such as a birth certificate and/or passport.

Children who have reached the age of 21:
1. For asylees, a child who is under 21 on the date the Form
I-589, Application for Asylum and Withholding of
Removal, is received by USCIS will continue to be
classified as a child for purposes of determining asylum
eligibility and related benefits. For refugees, a child who is
under 21 on the date the principal alien is first interviewed
by USCIS will continue to be classified as a child for
purposes of determining refugee eligibility and related
benefits. In both cases, in order to be considered a
derivative child, the principal alien must have listed the
child on the Form I-589 or Form I-590, Registration for
Classification as Refugee, as appropriate, prior to the
derivative's 21st birthday and prior to adjudication of the
application. If your I-589 application for asylum or your
I-590 application for refugee status was filed before
August 6, 2002, and your child turned 21 prior to that
date, that application must still have been pending on
August 6, 2002 in order for your child to continue to be
classified as a child.

Form I-730 Instructions (Rev. 07/24/07) N

In all cases, your child must be unmarried on the date you
filed this petition and at the time it is decided by USCIS in
order to receive derivative asylum or refugee status.
2. A spouse or child of a principal refugee must be otherwise
admissible as an immigrant. A spouse or child of a
principal asylee must not be subject to the mandatory bars
of 8 CFR 208.21. Note: If the spouse or child of a principal
asylee is otherwise inadmissible as an immigrant, this fact
may be considered in determining whether USCIS will
exercise its discretion favorably to grant accompanying or
following to join asylee benefits to such spouse or child.

A petition may not be approved
for the following persons:
1. A spouse or child who has previously been granted
refugee or asylee status.
2. An adopted child, if the adoption took place after the
child became 16 years old, or if the child has not been in
legal custody and living with the adoptive parent(s)
for at least two years.
3. A stepchild, if the marriage that created this relationship
took place after the child became 18 years old.
4. A husband or wife, if each was not physically present at
the marriage ceremony and the marriage was not
consummated.
5. A husband or wife, if it is determined that such alien has
attempted or conspired to enter into a marriage for the
purpose of evading immigration laws.
6. A parent, sister, brother, grandparent, grandchild,
nephew, niece, uncle, aunt, cousin or in-law.
Warning: If your alien relative is in the United States
illegally, he or she is subject to removal if the I-730
petition is not granted by USCIS. Any information
provided in completing this petition may be used as a basis
for initiating, or as evidence in, removal proceedings, even
if the petition is later withdrawn. Unexcused failure of
your alien relative to appear for an appointment to
provide biometrics (such as fingerprints) and other
biographical information within the time allowed may
result in dismissal of the petition. See 8 CFR section 103.2
(b)(13).
Penalty for Perjury. All statements in response to questions
contained in this petition are declared to be true and correct
under penalty of perjury. You and anyone who assists you in
preparing the petition must sign the petition under penalty of
perjury. Your signature is evidence that you are aware of the
contents of this petition. Any person assisting you in
preparing this form must include his or her name, address,
telephone number, and sign the petition where indicated in
Part 7. Failure of the preparer to sign will result in the
petition being returned to you as an incomplete petition. If
USCIS later learns that you received assistance from
someone who willfully failed to sign the petition, this may
result in an adverse ruling against you.

Title 18, United States Code (U.S.C.), Section 1546(a),
provides in part:
Whoever knowingly makes under oath, or as
permitted under penalty of perjury under Section
1746 of Title 28, United States Code, knowingly
subscribes as true, any false statement with respect
to a material fact in any application, affidavit, or
other document required by the immigration laws or
regulations prescribed thereunder, or knowingly
presents any such application, affidavit, or other
document containing any such false statement shall
be fined in accordance with this title or imprisoned
not more than ten years, or both.
If aggravating factors exist, the maximum term of
imprisonment for a conviction under 18 U.S.C. § 1546(a)
could reach 25 years.
If you knowingly provide false information on this petition,
you or the preparer of this petition may be subject to criminal
penalties under Title 18 of the U.S.C. and to civil penalties
under section 274C of the INA, 8 U.S.C. 1324c.

General Instructions.
Type or print legibly in black ink.
If you need extra space to complete any item, attach a separate
continuation sheet. Indicate the item number, date and sign
each sheet.
Answer all questions fully and accurately. Portions left
unanswered may result in a Request for Evidence. If the
previous marriages portion does not apply to you, please state
"none." For all other portions that do not apply to you, please
state "N/A."
In Part 2, on page one, please supply the current residential
and mailing addresses (include the mailing address if it is
different from the residential address) of your alien relative
and indicate whether your alien relative is living inside or
outside of the United States. If your alien relative is outside of
the United States, please indicate at which USCIS Office or
U.S. Consulate or Embassy your alien relative will apply for
travel authorization. In Part 2 on page two, please supply the
current mailing address of your alien relative written in the
language of the country where he or she now resides, in order
for him or her to receive an interview notice or other
correspondence from USCIS. Failure to provide your
relative's mailing address in the language of the country
where he or she resides may result in significant delays in
interviewing your relative and processing this petition.
If your alien relative is inside the United States, both you
and your alien relative, if age 14 or over, must sign the
petition at the time of filing.

Form I-730 Instructions (Rev. 07/24/07) N Page 2

If your alien relative is outside of the United States, only
you are required to sign the petition at the time of filing.
Regardless of the location of your alien relative, he or she will
be required to review the information on this petition at the
time of his or her interview, verify that it is accurate, and sign
at the time of the interview.
Submission of Documents. You should submit one readable
photocopy of each required document to USCIS. You should
not submit original documents unless you are asked for them.
For example, USCIS may require that you provide for review
the original document of any copy you submit.
Translation. Documents in a foreign language must be
accompanied by a complete English translation. The translator
must certify that the translation is accurate and that he or she
is competent to translate.

What Documents Do You Need to
Prove Eligibility and a Family Relationship?
Certain documents are required to be submitted with this
petition to show that you are eligible to file this petition and to
show that a relationship exists between you and your relative.
(If the documents described below are not available, see the
sections of these instruction entitled "What If a Document Is
Not Available?" and "What If Secondary Evidence Is Not
Available?"
1. In all cases, submit evidence of your status as a refugee or
asylee in the United States.
2. In all cases, submit a recently taken clear photograph of the
family member for whom you are filing. The photograph
must be a full frontal picture of your family member, in
color and meet passport specifications. For more
information on photographs, you may call the USCIS
National Customer Service Center at 1-800-375-5283.
3. If you are petitioning for your husband or wife, submit
your marriage certificate and the birth certificate of your
spouse. If you and/or your spouse were previously married
to other people, submit evidence of the legal termination of
the previous marriage(s) such as a divorce or death
certificate. Evidence of any legal name change must also be
submitted, if applicable.
4. If you are petitioning for your child and you are the
natural mother, whether the child was born in or out of
wedlock, submit the child's birth certificate showing both
the child's name and your name. Evidence of any legal
name change must also be submitted if the names on the
birth certificate do not match the names on the petition.
5. If you are petitioning for your child and you are the
natural father, submit the child's birth certificate showing
both the child's name and your name. If you were married
to the child's mother, submit your marriage certificate. If
you and/or the child's mother were previously married to
other people, submit evidence of the legal termination of
the previous marriage(s).

If you were not married to the child's mother, submit
evidence that the child was legitimated by civil authorities
and submit evidence that a bona fide parent/child relationship
exists or existed between you and the child. Evidence of a
bona fide parent/child relationship should prove that you have
emotional and financial ties to the child, and that you have
shown genuine general welfare. Such evidence may include
(but is not limited to) the following:
a. Money order receipts;
b. Canceled checks showing financial support of the
child;
c.

Income tax returns in which you claim the child as a
dependent and member of your household;

d.

Medical or insurance records that include the child as
a dependent;

e.

School records for the child;

f.

Correspondence between you and the child;

g.

Notarized affidavits of reliable persons who are
knowledgeable about the relationship. Evidence of
any legal name change must also be submitted, if
applicable.

6. If you are petitioning for your stepchild, submit the child's
birth certificate and the marriage certificate between you
and the child's natural parent. If you and/or the child's
natural parent were ever previously married to other people,
submit evidence of the legal termination of the previous
marriage(s). Evidence of any legal name changes must also
be submitted, if applicable.
7. If you are petitioning for your adopted child, submit a
certified copy of the adoption decree and evidence that
you resided together with the child for at least two years.
If you were granted legal custody of the child prior to the
adoption, submit a certified copy of the court order
granting custody. Evidence of any legal name changes
must also be submitted, if applicable.

What If a Document Is Not Available?
If the documents described above are not available from the
civil authorities, you may submit the following, as secondary
evidence, along with a statement from the appropriate civil
authority certifying that the required document(s) is (are) not
available.
1. Religious institution record: A certificate under the seal
of the religious institution where the baptism, dedication or
comparable rite occurred within two months after birth,
showing the date and place of the child's birth, the date of
the religious ceremony, and the names of the child's
parents.

Form I-730 Instructions (Rev. 07/24/07) N Page 3

2. School record: A letter from the authorities of the school(s)
attended, showing the date of admission to the school, the
child's date and place of birth and the names of both parents,
if shown on the school records.
3. Census record: State or federal census record showing
name, place of birth, and date of birth or the age of the
person(s) listed.

Your relative's unexcused failure to appear for a scheduled
appointment or to provide biometrics where required,
including fingerprints and photographs, or to provide other
biographical information within the time allowed may result
in the denial of this I-730 petition.

Where to File.

What If Secondary Evidence is Not Available?
If the secondary evidence described above is not available, you
can submit affidavits. If you submit affidavits, they must
overcome the absence of primary and secondary evidence.

Affidavits:
Submit written statements sworn to or affirmed by two persons
who were living at the time and who have personal knowledge
of the event you are trying to prove: for example, the date and
place of birth, marriage, divorce or death. The persons making
the affidavits do not have to be United States citizens.
Each affidavit should contain the following information
regarding the person making the affidavit: his or her full name,
address, date and place of birth and his or her relationship to
you (if any); full information concerning the event; and
complete details concerning how the person acquired the
knowledge of the event.

What Additional Documents Must You Submit?
If your alien relative is in the United States, please submit a
copy of both sides of his or her Form I-94, Arrival/Departure
Record, if any.

Biometrics (e.g., Fingerprints and Photographs)
Identity, background and security checks are required on your
alien relative before he or she may be granted derivative
asylum or refugee status. For example, USCIS must check the
records of the U.S. Federal Bureau of Investigation (FBI) and
other information, including all relevant databases of the U.S.
Government before asylum may be granted to your relative.
To facilitate these checks, USCIS may require your alien
relative to provide biometrics. Where applicable, this means
that your relative must be fingerprinted, if age 14 or over, and
photographed. Your alien relative will be given instructions on
how to complete this requirement. If your alien relative is
living in the United States and is subject to biometrics
collection, he or she will be notified, in writing, of the
appointment time and the location of the Application Support
Center (ASC) or the designated Law Enforcement Agency
where he or she must go to be fingerprinted and photographed.
If your relative is living outside of the United States, he or she
will be given instructions, if applicable, for fingerprinting and
photographs by DHS, the Department of State (DOS) or
Overseass Processing Entities (OPEs) (i.e., organizations who
assist the U.S. government).

Nebraska Service Center Filings
File Form I-730 with the Nebraska Service Center if you, the
petitioner, currently live in the following states:
Alaska, Arizona, California, Colorado, Guam, Hawaii, Idaho,
Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri,
Montana, Nebraska, Nevada, North Dakota, Ohio, Oregon,
South Dakota, Utah, Washington, Wisconsin or Wyoming.
The mailing address you should use is:
USCIS - Nebraska Service Center
P.O. Box 87730
Lincoln, NE 68501-7730
Texas Service Center Filings
File Form I-730 with the Texas Service Center if you, the
petitioner, currently live in the following states:
Alabama, Arkansas, Connecticut, Florida, Georgia,
Kentucky, Louisiana, Maine, Maryland, Massachusetts,
Mississippi, New Hampshire, New Jersey, New Mexico, New
York, North Carolina, South Carolina, Oklahoma,
Pennsylvania, Puerto Rico, Rhode Island, Tennesse, Texas,
Vermont, Virginia, U.S. Virgin Islands, West Virginia or
Washington, DC.
The mailing address you should use is:
USCIS - Texas Service Center
P.O. Box 852824
Mesquite, TX 75185

Interview Process.
If your alien relative is living in the United States, USCIS
may request that he or she appear for an interview. A written
notice of the date, time, and place (address) of the scheduled
interview will be sent to your relative. (In addition to your
alien relative, you, the petitioner, may be asked to appear for
an interview.) See 8 C.F.R. § 103.2(a)(9) ("[A] petitioner...
[or] a beneficiary...may be required to appear...for an
interview."). Your alien relative generally will be required to
appear at an ASC for biometrics collection before the
interview will take place (see section entitled "Biometrics
(e.g., Fingerprints and Photographs)).

Form I-730 Instructions (Rev. 07/24/07) N Page4

USCIS suggests that your alien relative bring a copy of your
Form I-730, Refugee/Asylee Relative Petition, to the interview.
An asylum officer will interview your alien relative under oath
and make a determination concerning your petition. Your alien
relative may receive notification of the decision in the case on
the day of the interview, or he or she will in some cases be
notified of the decision on a date after the interview. Your
alien relative has the right to legal representation at the
interview, at no cost to the United States Government. Your
alien relative also may bring witnesses to the interview to
testify on his or her behalf.
If your alien relative, who resides in the United States, is
unable to proceed with the interview in fluent English and
you are applying for derivative asylum status for your
relative, he or she must provide at no expense to USCIS a
competent interpreter fluent in both English and a
language that your alien relative speaks fluently. See 8
C.F.R. 208.9(g). The interpreter must be at least 18 years of
age. The following persons cannot serve as the interpreter:
your or your alien relative's attorney or representative of
record; a witness testifying on your alien relative's behalf at
the interview; or a representative or employee of your
country. Quality interpretation may be crucial to your petition.
Such assistance must be obtained, at your expense, prior to
the interview.
Failure without good cause to bring a competent interpreter
to the interview may be considered an unexcused failure to
appear for the interview. Any unexcused failure to appear
for an interview may result in dismissal of your petition.
(See NOTE 4)
If you are hearing-impaired and require the services of a signlanguage interpreter in your language, one will be provided for
you. Please contact the asylum office with jurisdiction over
your case as soon as you receive a notice for your interview to
notify the office that you will need a sign-language interpreter
in your language, so that accommodations can be made in
advance.
NOTE 4: Although current regulations only require
individuals seeking asylum to bring competent interpreters to
the interview in the U.S., USCIS strongly suggests that
individuals seeking derivative refugee status should also bring
an interpreter for the interview in accordance with these
instructions.
If available, your alien relative must bring some form of
identification to the interview, including any passport(s), other
travel or identification documents, or the Form I-94, ArrivalDeparture Record. Your alien relative may bring to the
interview any additional available items in support of the
petition that have not already been submitted with your petition.
All documents must be submitted in triplicate.
If your alien relative is living outside of the United States,
he or she will be interviewed by an appropriate U.S.
government official in accordance with DHS and DOS
procedures for refugee and asylee derivative interviews in the
specific country. Your relative will be notified of the time
and place for his or her interview.

What Are the Penalties for
Committing Marriage Fraud?
1. Title 8, United States Code, Section 1325, states that any
person who knowingly enters into a marriage contract for
the purpose of evading any provision of the immigration
laws shall be imprisoned for not more than five years, or
fined not more than $250,000, or both.
2. Title 18, United States Code, Section 1001, states that
whoever willfully and knowingly falsifies a material fact,
makes a false statement or makes use of a false document
will be fined up to $10,000 or imprisoned up to five years,
or both.

What Is Our Authority for
Collecting This Information?
USCIS requests the information on the form to carry out the
immigration laws contained in Title 8, United States Code,
Sections 1157(c)(2) and 1158(b)(3). USCIS needs this
information to determine whether a person is eligible for
immigration benefits. The information you provide and the
information provided by your relative beneficiary, including
biometrics, may also be disclosed to other federal, state, local
and foreign law enforcement and regulatory agencies during
the course of the investigation by USCIS or for other lawful
purposes, subject to applicable confidentiality provisions.
You do not have to give this information. However, if you
refuse to give some or all of it, your petition may be denied.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at
1-800-870-3676. You can also get USCIS forms and
information on immigration laws, regulations and procedures
by telephoning our National Customer Service Center at
1-800-375-5283 or visiting our internet website at www.uscis.
gov.
As an altenative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our internet-based system, InfoPass. To access the system,
visit our website. Use the InfoPass appointment scheduler and
follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen. Print the notice and take it with you to
your appointment. The notice gives the time and date of your
appointment, along with the address of the USCIS office.
NOTE: Asylum Offices do not use InfoPass. If you have a
question regarding a petition in the jurisdiction of an
Asylum Office, you should visit the Asylum Office and
make your inquiry there.

Form I-730 Instructions (Rev. 07/24/07) N Page5

Paperwork Reduction Act.
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 35 minutes per
response, including the time for reviewing instructions,
completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services,
Regulatory Management Division, 111 Massachusetts
Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529.
OMB No. 1615-0037. Do not mail your application to this
address.

Check List.
1. Did you answer each question on the Form I-730
petition according to the instructions on the form?
2. Did you sign and date the petition?
3. Did you submit proof of your status as a refugee or
asylee in the United States?
4. Did you submit documented proof of relationship,
including copies and/or translations?
5. Did you submit the beneficiary's photo?
6. Did you provide the beneficiary's address where he or
she is residing now?
7. Did you provide the beneficiary's name and address as
written in the language of his or her country of
residence?
8. If your beneficiary is currently residing in the United
States, did he or she review the information on this
petition for accuracy?
9. If your beneficiary is currently residing in the United
States, did he or she read the certification statement,
sign it and date it?

Form I-730 Instructions (Rev. 07/24/07) N Page 6

OMB No.1615-0037; Expires 08/31/07

Department of Homeland Security
U.S. Citizenship and Immigration Services

I-730, Refugee/Asylee Relative Petition

DO NOT WRITE IN THIS BLOCK - FOR USCIS OFFICE ONLY
Section of Law

Action Stamp

Receipt

207 (c)(2) Spouse
207 (c)(2) Child
208 (b)(3) Spouse
208 (b)(3) Child

Remarks

Reviewed For
Material
Support
Date:

START HERE - Please type or print legibly in black ink.
Petitioner's Status:

Refugee

Lawful Permanent Resident based on previous Refugee status

Asylee

Lawful Permanent Resident based on previous Asylee status

The beneficiary is the petitioner's:

Spouse

Unmarried child who is a (n): Biological Child
Number of relatives for whom petitioner is filing separate I-730 petitions:

Stepchild

Adopted Child

(

)

of

Part 1. Information about you, the petitioner.

Part 2. Information about your alien relative, the beneficiary.

Family Name (Last Name), Given Name (First Name), Middle Name:

Family Name (Last Name), Given Name (First Name), Middle Name:

Address of Residence (Where you physically reside.)

Address of Residence (Where the beneficiary physically resides.)

Street Number and Name:

Apt. #

Street Number and Name:

City:

State or Province:

City:

Country:

Zip/Postal Code:

Country:

Mailing Address (If different from residence.) - C/O:

Apt. #

State or Province:
Zip/Postal Code:

Mailing Address (If different from residence.) - C/O:
Apt.#:

Street Number and Name:

Apt.#:

Street Number and Name:

City:

State or Province:

City:

State or Province:

Country:

Zip/Postal Code:

Country:

Zip/Postal Code:

Telephone Number including Country and City/Area Code:

Telephone Number including Country and City/Area Code:

Your e-mail address, if available:

The beneficiary's e-mail address, if available:

Gender:
a.
b.

Male

Date of Birth (mm/dd/yyyy):

Gender:
a.
b.

Male

Date of Birth (mm/dd/yyyy):

Female
Country of Birth:

Country of Citizenship/ Nationality:

Female
Country of Birth:

U.S. Alien Regristration # (A#):

U.S. Social Security # (If applicable.):

U.S.Alien Registration Number(A#): U.S. Social Security # (If applicable.):

Country of Citizenship/ Nationality:

Form I-730 (Rev. 07/24/07) N

Part 1. Information about you, the petitioner. (Continued.)

Part 2. Information about your alien relative, the
beneficiary. (Continued.)

Other Name(s) Used (Including maiden name):

Other Name(s) Used (Including maiden name):

If Married, Name of Spouse, Date (mm/dd/yyyy) and Place of Present Marriage:

If Married, Name of Spouse, Date (mm/dd/yyyy) and Place of Present Marriage:

If Previously Married, Name(s) of Prior Spouse(s):

If Previously Married, Name(s) of Prior Spouse(s):

Date(s) (mm/dd/yyyy) and Place(s) Previous Marriage(s) Ended:

Date(s) (mm/dd/yyyy) and Place(s) Previous Marriage(s) Ended:

If you were approved for Refugee Status, provide date (mm/dd/yyyy) and
Place Admitted to the United States as a Refugee:

Beneficiary is currently in the United States.
Beneficiary is outside the United States and will apply for travel
authorization at a USCIS Office or a U.S. Consulate or Embassy in:

Date (mm/dd/yyyy) and Place Asylee Status was granted in the United States:
City and Country
To Be Completed By
Attorney or Representative, if any.
Fill in box if G-28 is attached to represent the petitioner.

OR
Date (mm/dd/yyyy) and Place You Received Your Approval for Refugee Status
While Living Abroad:
Volag #

Atty State License #

Part 2. Information about the beneficiary. (Continued.)
Name and mailing address of the beneficiary written in the language of the country where he or she now resides:
Given Name:

Family Name:

Middle Name:

Address - C/O:

Street Number and Name:

Apt. #:

City/State or Province:

Zip/Postal Code/Country:

Check the box, a through d, that applies:
a.
b.

The beneficiary has never been in the U.S.
The beneficiary is now in immigration court proceedings in the U.S. Where?

c.

The beneficiary has never been in immigration court proceedings in the U.S.

d.

The beneficiary is not now in immigration court proceedings in the U.S., but has been in the past. Where?

What is the beneficiary's native language?

Is the beneficiary fluent in English?
No

What other language(s) does the beneficiary speak fluently:

Yes

Form I-730 (Rev. 07/24/07) N Page 2

Part 2. Information about the beneficiary. (Continued.)
Please list each of the beneficiary's entries into the U.S., if any, beginning with the most recent entry (attach an additional sheet if the beneficiary has more
than two entries into the U.S.):
Date:

Place:

Status:

I-94#:

Date Status Expires/Expired:

Date:

Place:

Status:

I-94#:

Date Status Expires/Expired:

Part 3. Two-year filing deadline.
Is the petitioner filing this application more than two years after the date the petitioner was admitted to the U.S. as a refugee or granted asylee
Yes
No
status?
If the petitioner answered yes to the previous question, please explain the delay in filing (Attach additional sheets of paper if necessary.):

Form I-730 (Rev. 07/24/07) N Page 3

Part 4. Warning.
WARNING: Beneficiaries who are in the United States illegally are subject to removal if the I-730 petition is not granted by USCIS. Any
information provided in completing this application may be used as a basis for the institution of, or as evidence in, removal proceedings, even if
the petition is later withdrawn. Unexcused failure by the beneficiary to appear for an appointment to provide biometrics (such as fingerprints
and photographs) and biographical information within the time allowed may result in denial of the I-730 petition. Information provided on this
form and biometrics and biographical information provided by the beneficiary may also be used in producing an Employment Authorization
Document if the beneficiary is granted derivative refugee or asylee status.

Part 5. Signature of petitioner.

Read the information on penalties in the instructions and the warning in Part 4 before completing this section and
sign below. If someone other than the beneficiary helped you to prepare this petition, that person must complete
Part 7.

I certify or, if outside the United States, I swear or affirm, under penalty of perjury under the laws of the United States of America, that this petition and the evidence
submitted with it is all true and correct. I authorize the release of any information from my record which U.S. Citizenship and Immigration Services needs to
determine eligibility for the benefit I am seeking.

Signature

Print Full Name

Date

Daytime Telephone Number

NOTE: If you do not completely fill out this form or fail to submit the required documents listed in the instructions, your relative may not be found eligible for the
requested benefit and this petition may be denied.

Part 6. Signature of beneficiary, if in the U.S.

Read the information on penalties in the instructions and the warning in Part 4 before
completing this section and sign below. If someone other than the petitioner helped
you to prepare this petition, that person must complete Part 7.

NOTE: If the beneficiary is not currently in the U.S., this section should be left blank.
I certify under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. I authorize
the release of any information from my record which U.S. Citizenship and Immigration Services needs to determine eligibilty for the benefit I am seeking.

Signature

Print Full Name

Date

Daytime Telephone Number

NOTE: If you do not completely fill out this form or fail to submit the required documents and biometrics listed in the instructions, you may not be found eligible for
the requested benefit and this petition may be denied.

Part 7. Signature of person preparing form, if other than petitioner or beneficiary above.
I declare that I prepared this petition at the request of
have knowledge.

Signature

Print Full Name

(name of person(s) above), and it is based on all of the information of which I

Date

Daytime Telephone Number

E-Mail Address (If any.)

Firm Name and Address

Part 8. To be completed at interview of beneficiary, if applicable (age 14 and over).
Beneficiaries in the U.S. will be interviewed by USCIS officers. Their petitioners may also be interviewed. Beneficiaries living overseas will be interviewed
by a USCIS officer or a DOS consular officer.
I swear (affirm) that I know the contents of this application that I am signing, including the attached documents and supplements, and that they are
all true or
not all true to the best of my knowledge and that correction(s) numbered
to
were made by me or at my request.
With these corrections, the information on this form is now true.

Signed and sworn before me by the beneficiary named herein on:

Signature of Beneficiary

Write your Name in your Native Alphabet

Date (mm/dd/yyyy)

Signature of USCIS Officer or DOS Consular Officer

Form I-730 (Rev. 07/24/07) N Page 4


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