Form I-485 - Application To Register Permanent Residence Or Adjust Status Page 4
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6Part 3. Processing Information (Continued)
5. Do you intend to engage in the United States in:
a. Espionage?
Yes
No
b. Any activity a purpose of which is opposition to, or the control or overthrow of, the Government of the
Yes
No
United States, by force, violence, or other unlawful means?
c. Any activity to violate or evade any law prohibiting the export from the United States of goods,
Yes
No
technology, or sensitive information?
6. Have you EVER been a member of, or in any way affiliated with, the Communist Party or any other
Yes
No
totalitarian party?
7. Did you, during the period from March 23, 1933, to May 8, 1945, in association with either the Nazi
Yes
No
Government of Germany or any organization or government associated or allied with the Nazi Government
of Germany, ever order, incite, assist, or otherwise participate in the persecution of any person because of
race, religion, national origin, or political opinion?
8. Have you EVER been deported from the United States, or removed from the United States at government
Yes
No
expense, excluded within the past year, or are you now in exclusion, deportation, removal, or rescission
proceedings?
9. Are you under a final order of civil penalty for violating section 274C of the Immigration and Nationality
Yes
No
Act for use of fraudulent documents or have you, by fraud or willful misrepresentation of a material fact,
ever sought to procure, or procured, a visa, other documentation, entry into the United States, or any
immigration benefit?
10. Have you EVER left the United States to avoid being drafted into the U.S. Armed Forces?
Yes
No
11. Have you EVER been a J nonimmigrant exchange visitor who was subject to the 2-year foreign residence
Yes
No
requirement and have not yet complied with that requirement or obtained a waiver?
12. Are you now withholding custody of a U.S. citizen child outside the United States from a person granted
Yes
No
custody of the child?
13. Do you plan to practice polygamy in the United States?
Yes
No
14. Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in
any of the following:
a. Acts involving torture or genocide?
Yes
No
b. Killing any person?
Yes
No
c. Intentionally and severely injuring any person?
Yes
No
d. Engaging in any kind of sexual contact or relations with any person who was being forced or threatened?
Yes
No
e. Limiting or denying any person's ability to exercise religious beliefs?
Yes
No
15. Have you EVER:
a. Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police unit,
Yes
No
self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?
b. Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved
Yes
No
detaining persons?
16. Have you EVER been a member of, assisted in, or participated in any group, unit, or organization of any
Yes
No
kind in which you or other persons used any type of weapon against any person or threatened to do so?
Form I-485 (Rev. 07/15/10) Y Page 4
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