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
05/13/2020
Reason for Revision: Biometrics Rule
Legend for Proposed Text:
Expires 04/30/2020 Edition Date 4/27/2018 |
Current Page Number and Section |
Current Text |
Proposed Text |
Pages 1-2, Part 1. Information About You |
[page 1]
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Other Names Used
Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 1]
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Other Names Used
Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Pages 3-4, Part 2. Reasons You Are Filing Form I-212 |
[page 3]
Part 2. Reasons You Are Filing Form I-212
If you are inadmissible to the United States for the following reason, select “Yes” and then select the appropriate boxes. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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1.d. I have been convicted of an aggravated felony in the United States or abroad, before or after my removal from the United States. Provide information on your aggravated felony convictions in Part 9. Additional Information and include the required evidence.
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5.d. I have been convicted of an aggravated felony in the United States or abroad, before or after my removal from the United States. Provide information on your aggravated felony convictions in Part 9. Additional Information and include the required evidence.
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[page 4]
NOTE: If you answered “Yes” to Item Number 14., list all the dates when you were excluded, deported, or removed from the United States. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 3]
Part 2. Reasons You Are Filing Form I-212
If you are inadmissible to the United States for the following reason, select “Yes” and then select the appropriate boxes. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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1.d. I have been convicted of an aggravated felony in the United States or abroad, before or after my removal from the United States. Provide information on your aggravated felony convictions in Part 8. Additional Information and include the required evidence.
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5.d. I have been convicted of an aggravated felony in the United States or abroad, before or after my removal from the United States. Provide information on your aggravated felony convictions in Part 8. Additional Information and include the required evidence.
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[page 4]
NOTE: If you answered “Yes” to Item Number 14., list all the dates when you were excluded, deported, or removed from the United States. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Page 4, Part 3. Reasons For Your Request For Permission to Reapply |
[page 4]
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2. Explain Why You Would Like to Reenter the United States
NOTE: If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
U.S. Citizen or Lawful Permanent Resident Family Members (if any)
NOTE: If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 4]
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2. Explain Why You Would Like to Reenter the United States
NOTE: If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
U.S. Citizen or Lawful Permanent Resident Family Members (if any)
NOTE: If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Page 4, Part 4. Biographic Information |
[page 4]
Part 4. Biographic Information
1. Ethnicity (Select only one box) Hispanic or Latino Not Hispanic or Latino
2. Race (Select all applicable boxes) White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander
3. Height Feet Inches
4. Weight Pounds
5. Eye Color (Select only one box) Black Blue Brown Gray Green Hazel Maroon Pink Unknown/Other
6. Hair Color (Select only one box) Bald (No hair) Black Blond Brown Gray Red Sandy White Unknown/Other
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[page 4]
[deleted] |
Pages 5-7, Part 5. Additional Information if Filing with CBP |
[page 5]
Part 5. Additional Information if Filing with CBP
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Address History
Provide physical addresses for everywhere you have lived during the last ten years, whether inside or outside the United States. Provide your current address first. If you are unsure of the exact date, provide the closest approximate date to the best of your knowledge. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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Employment History
Provide your employment history for the last five years, whether inside or outside the United States. Provide the most recent employment first. If you are unsure of the exact employment date, provide the closest approximate date to the best of your knowledge. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 7]
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Information About Prior Marriages (if any)
If you have been married before, whether in the United States or in any other country, provide the following information about your prior spouse. If you have had more than one previous marriage, use the space provided in Part 9. Additional Information to provide the information below.
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[page 5]
Part 4. Additional Information if Filing with CBP
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Address History
Provide physical addresses for everywhere you have lived during the last ten years, whether inside or outside the United States. Provide your current address first. If you are unsure of the exact date, provide the closest approximate date to the best of your knowledge. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Employment History
Provide your employment history for the last five years, whether inside or outside the United States. Provide the most recent employment first. If you are unsure of the exact employment date, provide the closest approximate date to the best of your knowledge. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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[page 7]
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Information About Prior Marriages (if any)
If you have been married before, whether in the United States or in any other country, provide the following information about your prior spouse. If you have had more than one previous marriage, use the space provided in Part 8. Additional Information to provide the information below.
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Page 8, Part 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature |
[page 8]
Part 6. Applicant's Statement, Contact Information, Declaration, Certification, and Signature
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1.b. The interpreter named in Part 7. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.
2. At my request, the preparer named in Part 8., [Fillable Field] prepared this application for me based only upon information I provided or authorized.
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I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.
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[page 8]
Part 5. Applicant's Statement, Contact Information, Declaration, Certification, and Signature
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1.b. The interpreter named in Part 6. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.
2. At my request, the preparer named in Part 7., [Fillable Field] prepared this application for me based only upon information I provided or authorized.
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I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
[deleted]
I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.
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Pages 8-9, Part 7. Interpreter’s Contact Information, Certification, and Signature
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[page 8]
Part 7. Interpreter’s Contact Information, Certification, and Signature …
[page 9]
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I am fluent in English and [Fillable Field], which is the same language specified in Part 6., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.
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[page 8]
Part 6. Interpreter’s Contact Information, Certification, and Signature …
[page 9]
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I am fluent in English and [Fillable Field], which is the same language specified in Part 5., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.
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Pages 9-10, Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant |
[page 9]
Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
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[page 9]
Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
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Page 11, Part 9. Additional Information |
[page 11]
Part 9. Additional Information
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[page 11]
Part 8. Additional Information
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Mulvihill, Timothy R |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |