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Form Eoir - 28 - Notice Of Entry Of Appearance As Attorney Or Representative Before The Immigration Court

OMB#1125-0006

U.S. Department of Justice

Notice of Entry of Appearance as Attorney or

Executive Office for Immigration Review

Immigration Court

Representative Before the Immigration Court

ALIEN (A) NUMBER (S)

(Type or print)

NAME AND ADDRESS OF REPRESENTED PARTY

(List number(s) of all parties

represented in this case.)

(First)

(Middle Initial)

(Last)

(Number and Street)

(Apt. No.)

For disciplinary case, enter docket

number.

(City)

(State)

(Zip Code)

NAME OF ATTORNEY OR REPRESENTATIVE, ADDRESS, FAX & PHONE NUMBERS, & E-MAIL

ADDRESS

Check here if new address

Please check one of the following:

I am an attorney eligible to practice law in, and a member in good standing of, the bar of the highest court(s) of the

following state(s), possession(s), territory(ies), commonwealth(s), or the District of Columbia (use additional space on

reverse side if necessary) and I am not subject to any order disbarring, suspending, or otherwise restricting me in the

practice of law (if subject to such an order, explain on reverse).

Full Name of Court

Bar Number (if applicable)

I am an accredited representative as defined in 8 C.F.R. § 1292.1(a)(4) with the following recognized organization:

I am a law student or law graduate of an accredited U.S. law school as defined in 8 C.F.R. § 1292.1(a)(2).

I am a reputable individual as defined in 8 C.F.R. § 1292.1(a)(3).

I am an accredited foreign government official as defined in 8 C.F.R. § 1292.1(a)(5).

I am a person who was authorized to practice on December 23, 1952, under 8 C.F.R. § 1292.1(b).

I hereby enter my appearance as attorney or representative for, and at the request of, the party named above.

I have read and understand the statements provided on the reverse side of this form that set forth the regulations and

conditions governing appearances and representation before the Immigration Court. I declare under penalty of

perjury under the laws of the United States of America that the foregoing is true and correct.

SIGNATURE OF ATTORNEY OR REPRESENTATIVE

EOIR ID NUMBER

DATE

Form EOIR - 28

Rev. Sept. 2012

Form Eoir - 28 - Notice Of Entry Of Appearance As Attorney Or Representative Before The Immigration Court

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