Form G-28i - Notice Of Entry Of Appearance As Attorney In Matters Outside The Geographical Confines Of The United States

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Notice of Entry of Appearance as Attorney
In Matters Outside the Geographical Confines
DHS
of the United States
Form G-28I
OMB No. 1615-0105
Department of Homeland Security
Expires 03/31/2018
Part 1. Information About Attorney
Part 2. Notice of Appearance as Attorney
Admitted to Practice Outside the United States
1.
USCIS ELIS Account Number (if any)
►
This appearance relates to immigration matters before
(Select only one box):
Name and Address of Attorney
1.a.
USCIS
2.a. Family Name
1.b.
List form numbers
(Last Name)
2.b. Given Name
(First Name)
2.a.
ICE
2.c. Middle Name
2.b.
List the specific matter in which appearance is entered
3.
Name of Law Firm (if applicable)
CBP
3.a.
4.a.
Street Number
and Name
3.b.
List the specific matter in which appearance is entered
4.b.
Apt.
Ste.
Flr.
4.c.
City or Town
I enter my appearance as attorney at the request of:
4.
Select only one box:
4.d.
Province
Applicant
Petitioner
Respondent (ICE, CBP)
4.e.
Postal Code
Information About Applicant, Petitioner, or
4.f.
Country
Respondent
5.a. Family Name
5.
Telephone Number
(Last Name)
5.b. Given Name
(First Name)
6.
Fax Number
5.c. Middle Name
7.
E-Mail Address (if any)
6.
Name of Company or Organization (if applicable)
8.
Mobile Telephone Number (if any)
7.
USCIS ELIS Account Number (if any)
►
8.
Alien Registration Number (A-Number) or Receipt Number (if any)
9.
Telephone Number
10.
E-Mail Address (if any)
Form G-28I 05/05/16 Y
Page 1 of 3

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