Form I-129s - Nonimmigrant Petition Based On Blanket L Petition Page 7
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8Preparer's Certification
Part 9. Contact Information, Declaration, and
Signature of the Person Preparing this Petition, if
By my signature, I certify, under penalty of perjury, that I
Other Than the Petitioner (continued)
prepared this petition at the request of the petitioner or
authorized signatory. The petitioner has reviewed this
completed petition, including the Petitioner's or Authorized
Preparer's Mailing Address
Signatory's Declaration and Certification, and informed me
3.a.
Street Number
that all of this information in the petition and in the supporting
and Name
documents is complete, true, and correct.
3.b.
Apt.
Ste.
Flr.
Preparer's Signature
3.c. City or Town
8.a. Preparer's Signature
3.d. State
3.e. ZIP Code
3.f.
Province
8.b. Date of Signature (mm/dd/yyyy)
3.g.
Postal Code
3.h. Country
Preparer's Contact Information
4.
Preparer's Daytime Telephone Number
5.
Preparer's Mobile Telephone Number (if any)
6.
Preparer's Email Address (if any)
Preparer's Statement
7.a.
I am not an attorney or accredited representative but
have prepared this petition on behalf of the petitioner
and with the petitioner's consent.
7.b.
I am an attorney or accredited representative and my
representation of the petitioner in this case
extends
does not extend beyond the
preparation of this petition.
NOTE: If you are an attorney or accredited
representative whose representation extends beyond
preparation of this petition, you must submit a
completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited
Representative, or G-28I, Notice of Entry of
Appearance as Attorney In Matters Outside the
Geographical Confines of the United States, with this
petition.
Form I-129S 06/02/16 N
Page 7 of 8
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