I-192 e-SAFE

Application for Advance Permission to Enter as a Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA)

E-Safe Screenshots_Updated CBP

OMB: 1615-0017

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E-SAFE SCREENSHOTS
08/23/2023

APPLICATION TYPE:

INFORMATION ABOUT YOU:

ADDRESS and ADDRESS HISTORY:

MAILING ADDRESS

ADDRESS HISTORY:

MARITAL INFORMATION:

MARITAL STATUS:

MARITAL HISTORY SAVED:

IMMIGRATION and TRAVEL:

IMMIGRATION AND CRIMINAL HISTORY

IMMIGRATION and CRIMINAL HISTORY CONTINUED

TRAVEL INFORMATION:

EMPLOYMENT INFORMATION

EMPLOYMENT HISTORY:

APPLICANT STATEMENT:

INTERPRETER’S STATEMENT

PREPARER’S STATEMENT

UPLOAD DOCUMENTS:

APPLICANT CONSENT:


File Typeapplication/pdf
AuthorLEWIS, CHRISTOPHER C ( CTR )
File Modified2023-08-24
File Created2023-08-24

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