Instructions For Application For Replacement/initial Nonimmigrant Arrival-Departure Document (Form I-102) (Page 2 of 7) in pdf

Copies. You may submit a legible photocopy of the documents requested, unless the instructions specifically state that

you must submit an original document. Original documents submitted when not required may remain a part of the record,

and USCIS will not automatically return them to you.

Translations. Any document you submit to USCIS with information in a foreign language must have a full English

translation. The translator must certify that the English language translation is complete and accurate, and that he or she is

competent to translate from the foreign language into English.

How to Fill Out Form I-102

You must file a separate Form I-102 for each person seeking the immigration benefit.

1. Type or print legibly in black ink.

2. If you need extra space to complete any item, attach a separate sheet of paper; type or print your name and Alien

Registration Number (A-Number) (if any) at the top of each sheet of paper; indicate the Page Number, Part

Number, and Item Number to which your answer refers; and date and sign each sheet.

3. Answer all questions fully and accurately. If an item is not applicable or the answer is "none," type or print "N/A,"

unless otherwise directed.

Specific Instructions

Form I-102 is divided into Parts 1. - 6. The following information should help you fill out the form.

Part 1. Information About You

Item Number 1. Alien Registration Number (A-Number). This is your immigration file number. If you do not have an

Alien Registration Number or do not know it, leave this blank.

Item Number 2. USCIS Online Account Number (if any). If you previously filed any USCIS form using USCIS,

provide the USCIS Account Number you were issued. The USCIS Account Number is not the same as an A-Number. If

you were issued a USCIS Account Number, enter it in the space provided.

Item Numbers 3.a. - 3.c. Your Full Name. Provide your legal name. If you have two last names, include both and use a

hyphen (-) between the names, if appropriate.

Item Numbers 4.a. - 5. U.S. Mailing Address. Provide your complete U.S. mailing address in the spaces provided. If

your mail is sent to someone other than yourself, include an "In Care Of Name" as part of your mailing address.

Item Numbers 6.a. - 6.f. U.S. Physical Address. Provide your physical address if this address is different from your

U.S. mailing address.

Item Number 7. Date of Birth. Provide your date of birth (mm/dd/yyyy) in the space provided as it is shown on your

birth certificate or other government-issued identity document.

Item Numbers 8. - 9. Country of Birth and Country of Citizenship. Provide the name of the country of your birth and

the name of the country of your citizenship. Use the current names of the country of your birth and country of your

citizenship.

Item Number 10. U.S. Social Security Number. Provide your U.S. Social Security Number. If you do not have a U.S.

Social Security Number, leave this field blank.

Item Numbers 11. - 12. Date and Place of Last Entry into the United States. Provide the date (mm/dd/yyyy) and

location of your last actual entry into the United States.

Item Number 13. Current Nonimmigrant Status. Provide your current status. If you were granted a change of status,

provide a copy of the approval notice noting the change.

Form I-102 Instructions 10/19/17 N

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Instructions For Application For Replacement/initial Nonimmigrant Arrival-Departure Document (Form I-102) Page 2