Form I-130 - Petition For Alien Relative Page 12

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5.a.
5.b.
5.c.
Page Number
Part Number
Item Number
Part 9. Additional Information
If you need extra space to provide any additional information
within this petition, use the space below. If you need more
5.d.
space than what is provided, you may make copies of this page
to complete and file with this petition or attach a separate sheet
of paper. Type or print your name and 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.
1.a. Family Name
(Last Name)
1.b.
Given Name
(First Name)
1.c.
Middle Name
A-
2.
A-Number (if any) ►
3.a.
3.b. Part Number
3.c. Item Number
6.a.
6.b.
6.c.
Page Number
Page Number
Part Number
Item Number
3.d.
6.d.
4.a.
Page Number
4.b.
Part Number
4.c.
Item Number
7.a.
Page Number
7.b.
Part Number
7.c.
Item Number
4.d.
7.d.
Form I-130 02/27/17 N
Page 12 of 12

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