Form I-485 - Application To Register Permanent Residence Or Adjust Status Page 12
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A-Number
A-
51.d.
Provided money, a thing of value, services or labor, or
Part 8. General Eligibility and Inadmissibility
any other assistance or support for any of the activities
Grounds (continued)
described in Item Number 51.a.?
Yes
No
Have you EVER:
51.e.
Provided money, a thing of value, services or labor, or
48.a. Committed, threatened to commit, attempted to commit,
any other assistance or support to an individual, group, or
conspired to commit, incited, endorsed, advocated,
organization who did any of the activities described in
planned, or prepared any of the following: hijacking,
Item Number 51.a.?
Yes
No
sabotage, kidnapping, political assassination, or use of a
weapon or explosive to harm another individual or cause
51.f.
Received any type of military, paramilitary, or weapons
substantial damage to property?
training from a group or organization that did any of the
Yes
No
activities described in Item Number 51.a.?
48.b.
Participated in, or been a member of, a group or
Yes
No
organization that did any of the activities described in
Item Number 48.a.?
NOTE: If you answered “Yes” to any part of Item Number
Yes
No
51., explain the relationship and what occurred, including the
48.c.
Recruited members or asked for money or things of value
dates and location of the circumstances, in the space provided
for a group or organization that did any of the activities
in Part 14. Additional Information.
described in Item Number 48.a.?
Yes
No
52.
Have you EVER assisted or participated in selling,
providing, or transporting weapons to any person who,
48.d. Provided money, a thing of value, services or labor, or
to your knowledge, used them against another person?
any other assistance or support for any of the activities
Yes
No
described in Item Number 48.a.?
Yes
No
53.
Have you EVER worked, volunteered, or otherwise
48.e. Provided money, a thing of value, services or labor, or
served in any prison, jail, prison camp, detention facility,
any other assistance or support for an individual, group,
labor camp, or any other situation that involved detaining
or organization who did any of the activities described in
persons?
Yes
No
Item Number 48.a.?
Yes
No
54.
Have you EVER been a member of, assisted, or
49.
Have you EVER received any type of military,
participated in any group, unit, or organization of any
paramilitary, or weapons training?
Yes
No
kind in which you or other persons used any type of
weapon against any person or threatened to do so?
50.
Do you intend to engage in any of the activities listed in
Yes
No
any part of Item Numbers 48.a. - 49.?
Yes
No
55.
Have you EVER served in, been a member of, assisted,
NOTE: If you answered “Yes” to any part of Item Numbers
or participated in any military unit, paramilitary unit,
46.a. - 50., explain what you did, including the dates and
police unit, self-defense unit, vigilante unit, rebel group,
location of the circumstances, or what you intend to do in the
guerilla group, militia, insurgent organization, or any
space provided in Part 14. Additional Information.
other armed group?
Yes
No
Are you the spouse or child of an individual who EVER:
56.
Have you EVER been a member of, or in any way
51.a.
Committed, threatened to commit, attempted to commit,
affiliated with, the Communist Party or any other
conspired to commit, incited, endorsed, advocated,
totalitarian party (in the United States or abroad)?
planned, or prepared any of the following: hijacking,
Yes
No
sabotage, kidnapping, political assassination, or use of a
weapon or explosive to harm another individual or cause
57.
During the period from March 23, 1933 to May 8, 1945,
substantial damage to property?
Yes
No
did you ever order, incite, assist, or otherwise participate
in the persecution of any person because of race, religion,
51.b.
Participated in, or been a member or a representative of a
national origin, or political opinion, in association with
group or organization that did any of the activities
either the Nazi government of Germany or any
described in Item Number 51.a.?
Yes
No
organization or government associated or allied with the
Nazi government of Germany?
Yes
No
51.c.
Recruited members, or asked for money or things of value,
for a group or organization that did any of the activities
described in Item Number 51.a.?
Yes
No
Form I-485 06/26/17 N
Page 12 of 18
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