TABLE OF CHANGES – FORM
Form I-212, Application for Permission to Reapply for Admission Into the United States After Deportation or Removal
OMB Number: 1615-0018
Reason for Revision: Fee Rule Project Phase: Post G-1056
Legend for Proposed Text:
Expires 06/30/2022 Edition Date 06/09/2020 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 1 |
[Page 1]
To be completed by an Attorney or Accredited Representative (if any). Select this box if Form G-28 or Form G-28I is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any)
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[Page 1]
To be completed by an Attorney or Accredited Representative. Select this box if Form G-28 or Form G-28I is attached. Attorney State Bar Number Attorney or Accredited Representative USCIS Online Account Number |
Page 1-2, Part 1. Information About You |
[Page 1]
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1. Alien Registration Number (A-Number) (if any)
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5.a. In Care Of Name (if any) 5.b. Street Number and Name 5.c. Apt. Ste. Flr. 5.d. City or Town 5.e. State 5.f. ZIP Code 5.g. Province 5.h. Postal Code 5.i. Country
[Page 2]
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8. U.S. Social Security Number (if any)
9. U.S. Online Account Number (if any)
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18.a. USCIS Receipt Number (if any) 18.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)? 18.c. Date Filed (mm/dd/yyyy)
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If you answered “No” provide the information requested in Item Numbers 20.a. – 20.c. about previously filed Forms I-601 (if any):
20.a. USCIS Receipt Number for Form I-601 (if any) 20.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)? 20.c. Date Filed (mm/dd/yyyy)
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[Page 1]
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1. Alien Registration Number (A-Number)
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5.a. In Care Of Name 5.b. Street Number and Name 5.c. Apt. Ste. Flr. 5.d. City or Town 5.e. State 5.f. ZIP Code 5.g. Province 5.h. Postal Code 5.i. Country
[Page 2]
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8. U.S. Social Security Number
9. U.S. Online Account Number
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18.a. USCIS Receipt Number 18.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)? 18.c. Date Filed (mm/dd/yyyy)
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If you answered “No” provide the information requested in Item Numbers 20.a. – 20.c. about previously filed Forms I-601:
20.a. USCIS Receipt Number for Form I-601
20.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)? 20.c. Date Filed (mm/dd/yyyy)
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Page 4 Part 3. Reasons For Your Request For Permission to Reapply |
[Page 4]
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U.S. Citizen or Lawful Permanent Resident Family Members (if any)
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[Page 4]
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U.S. Citizen or Lawful Permanent Resident Family Members
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Page 5-7, Part 5. Additional Information if Filing with CBP |
[Page 7]
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30. A-Number (if any)
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Information About Prior Marriages (if any)
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[Page 7]
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30. A-Number
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Information About Prior Marriages
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Page 11, Part 9. Additional Information |
[Page 11]
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If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
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2. A-Number (if any)
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[Page 11] …
If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
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2. A-Number
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Hallstrom, Samantha M |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |