Form I-485 - Application To Register Permanent Residence Or Adjust Status Page 5
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6Part 3. Processing Information (Continued)
17. Have you EVER assisted or participated in selling or providing weapons to any person who to your
Yes
No
knowledge used them against another person, or in transporting weapons to any person who to your
knowledge used them against another person?
18. Have you EVER received any type of military, paramilitary, or weapons training?
Yes
No
Part 4. Accommodations for Individuals With Disabilities and/or Impairments (See Page 10 of the instructions
before completing this section.)
Are you requesting an accommodation because of your disability(ies) and/or impairment(s)?
Yes
No
If you answered "Yes," check any applicable box:
a. I am deaf or hard of hearing and request the following accommodation(s) (if requesting a sign-language interpreter,
indicate which language (e.g., American Sign Language)):
b. I am blind or sight-impaired and request the following accommodation(s):
c. I have another type of disability and/or impairment (describe the nature of your disability(ies) and/or impairment(s) and
accommodation(s) you are requesting):
Part 5. Signature (Read the information on penalties on Page 10 of the instructions before completing this section. You
must file this application while in the United States.)
Your Registration With U.S. Citizenship and Immigration Services
"I understand and acknowledge that, under section 262 of the Immigration and Nationality Act (INA), as an alien who has been or will
be in the United States for more than 30 days, I am required to register with U.S. Citizenship and Immigration Services (USCIS). I
understand and acknowledge that, under section 265 of the INA, I am required to provide USCIS with my current address and written
notice of any change of address within 10 days of the change. I understand and acknowledge that USCIS will use the most recent
address that I provide to USCIS, on any form containing these acknowledgements, for all purposes, including the service of a Notice
to Appear should it be necessary for USCIS to initiate removal proceedings against me. I understand and acknowledge that if I change
my address without providing written notice to USCIS, I will be held responsible for any communications sent to me at the most
recent address that I provided to USCIS. I further understand and acknowledge that, if removal proceedings are initiated against me
and I fail to attend any hearing, including an initial hearing based on service of the Notice to Appear at the most recent address that I
provided to USCIS or as otherwise provided by law, I may be ordered removed in my absence, arrested, and removed from the United
States."
Selective Service Registration
The following applies to you if you are a male at least 18 years of age, but not yet 26 years of age, who is required to register
with the Selective Service System: "I understand that my filing Form I-485 with U.S. Citizenship and Immigration Services
(USCIS) authorizes USCIS to provide certain registration information to the Selective Service System in accordance with the Military
Selective Service Act. Upon USCIS acceptance of my application, I authorize USCIS to transmit to the Selective Service System my
name, current address, Social Security Number, date of birth, and the date I filed the application for the purpose of recording my
Selective Service registration as of the filing date. If, however, USCIS does not accept my application, I further understand that, if so
required, I am responsible for registering with the Selective Service by other means, provided I have not yet reached 26 years of age."
Form I-485 (Rev. 07/15/10) Y Page 5
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