Form I-918 - Supplement B, U Nonimmigrant Status Certification Page 5
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55.a.
Page Number
5.b. Part Number
5.c. Item Number
Part 7. Additional Information
If you need extra space to complete any item within this
supplement, use the space below or attach a separate sheet of
5.d.
paper; type or print the agency's name, petitioner's name, and
the Alien Registration Number (A-Number) (if any) at the top
of each sheet; indicate the Page Number, Part Number, and
Item Number to which your answer refers; and sign and date
each sheet. If you need more space than what is provided, you
may also make copies of this page to complete and file with this
supplement.
1.
Agency Name
Petitioner's Name
2.a.
Family Name
(Last Name)
2.b. Given Name
(First Name)
2.c. Middle Name
3.
A-Number (if any)
A-
►
6.a.
Page Number
6.b.
Part Number
6.c.
Item Number
4.a. Page Number
4.b. Part Number
4.c. Item Number
6.d.
4.d.
Form I-918 Supplement B 02/07/17 N
Page 5 of 5
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