Part 7. Statement, Contact Information,
Interpreter's Contact Information
Declaration, and Signature of the Petitioner or
4.
Interpreter's Daytime Telephone Number
Authorized Signatory (continued)
Petitioner's or Authorized Signatory's Signature
5.
Interpreter's Mobile Telephone Number (if any)
8.a.
Petitioner's Signature
6.
Interpreter's Email Address (if any)
8.b.
Date of Signature (mm/dd/yyyy)
NOTE TO ALL PETITIONERS AND AUTHORIZED
Interpreter's Certification
SIGNATORIES: If you do not completely fill out this petition
or fail to submit required documents listed in the Instructions,
I certify that:
USCIS may delay a decision on or deny your petition.
I am fluent in English and
,
which is the same language provided in Part 7., Item Number
Part 8. Interpreter's Contact Information,
1.b. and I have read to this petitioner or the authorized signatory
in the identified language every question and instruction on this
Certification, and Signature
petition and his or her answer to every question. The petitioner
Provide the following information about the interpreter.
or authorized signatory informed me that he or she understands
every instruction, question, and answer on the petition,
including the Petitioner's or Authorized Signatory's
Interpreter's Full Name
Declaration and Certification, and has verified the accuracy of
1.a.
Interpreter's Family Name (Last Name)
every answer.
Interpreter's Signature
1.b.
Interpreter's Given Name (First Name)
7.a.
Interpreter's Signature
2.
Interpreter's Business or Organization Name (if any)
7.b.
Date of Signature (mm/dd/yyyy)
Interpreter's Mailing Address
Part 9. Contact Information, Declaration, and
3.a.
Street Number
Signature of the Person Preparing this Petition, if
and Name
Other Than the Petitioner
3.b.
Apt.
Ste.
Flr.
Provide the following information about the preparer.
3.c. City or Town
Preparer's Full Name
3.d. State
3.e. ZIP Code
1.a. Preparer's Family Name (Last Name)
3.f.
Province
3.g.
Postal Code
1.b.
Preparer's Given Name (First Name)
3.h. Country
2.
Preparer's Business or Organization Name (if any)
NOTE: If applicable, provide the name of your accredited
organization recognized by the Board of Immigration Appeals
(BIA).
Form I-129S 06/02/16 N
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