TABLE OF CHANGES – FORM
Form I-131, Application for Travel Document
OMB Number: 1615-0013
07/21/2020
Reason for Revision: Fee Rule
Legend for Proposed Text:
Expires 04/30/2022 Edition Date 04/24/2019 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 1, For USCIS Use Only |
[Page 1]
For USCIS Use Only Action Block To Be Completed by an Attorney/ Representative, if any. Receipt Fill in box if G-28 is attached to represent the applicant. Document Hand Delivered By: Date: / / /
Document Issued Re-entry Permit (Update "Mail To" Section) Refugee Travel Document (Update "Mail To" Section) Single Advance Parole Multiple Advance Parole Valid Until: / / /
Mail To (Re-entry & Refugee Only) Address in Part 1 US Consulate at: Intl DHS Ofc at:
Attorney State License Number:
Start Here. Type or Print in Black Ink
|
[Page 1]
For USCIS Use Only Action Block To Be Completed by an Attorney/ Representative. Receipt Fill in box if G-28 is attached to represent the applicant. Document Hand Delivered By: Date: / / /
Document Issued Re-entry Permit (Update "Mail To" Section) Refugee Travel Document (Update "Mail To" Section) Single Advance Parole Multiple Advance Parole Valid Until: / / /
Mail To (Re-entry & Refugee Only) Address in Part 1 US Consulate at: Intl DHS Ofc at:
Attorney State License Number:
Start Here. Type or Print in Black Ink
|
Page 1, Part 1. Information About You |
[Page 1]
[New]
Part 1. Information About You
1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name
Physical Address
2.a. In Care of Name 2.b. Street Number and Name 2.c. Apt./Ste./Flr. 2.d. City or Town 2.e. State 2.f. ZIP Code 2.g. Postal Code 2.h. Province 2.i. Country
Other Information
3. Alien Registration Number (A-Number)
4. Country of Birth
5. Country of Citizenship
6. Class of Admission
7. Gender Male Female
8. Date of Birth (mm/dd/yyyy)
9. U.S. Social Security Number (if any)
|
[Page 1]
Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have?” or “How many times have you departed the United States?”), type or print “None” unless otherwise directed.
1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name
Physical Address
2.a. In Care of Name 2.b. Street Number and Name 2.c. Apt./Ste./Flr. 2.d. City or Town 2.e. State 2.f. ZIP Code 2.g. Postal Code 2.h. Province 2.i. Country
Other Information
3. Alien Registration Number (A-Number)
4. Country of Birth
5. Country of Citizenship
6. Class of Admission
7. Gender Male Female
8. Date of Birth (mm/dd/yyyy)
9. U.S. Social Security Number
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Lauver, James L |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |