Form I-363 - Request To Enforce Affidavit Of Financial Support And Intent To Petition For Legal Custody For Public Law 97-359 Amerasian

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Request to Enforce Affidavit of Financial Support and Intent
to Petition for Custody for Pub. L. 97-359 Amerasian
USCIS
Department of Homeland Security
Form I-363
U.S. Citizenship and Immigration Services
Remarks
Action Block
For USCIS Use Only
Received
File Location
Trans In
Ret'd Trans Out
Completed
This applicant was interviewed by me
in person
by phone
On (Date)
At (Location)
Attorney State Bar Number
Attorney or Accredited Representative
Select this box if
To be completed by an
(if applicable)
USCIS Online Account Number (if any)
Form G-28 is
Attorney or Accredited
attached.
Representative (if any).
►
START HERE - Type or print in black ink.
Initially Admitted to the United States
Part 1. Information About You (Beneficiary)
Port-of-Entry
1.a. Family Name
(Last Name)
8.a.
City or Town
1.b. Given Name
(First Name)
8.b.
State
1.c. Middle Name
9.
Destination in U.S. at Time of Initial Admission
2.
Date of Birth (mm/dd/yyyy)
Beneficiary's Relationship to Sponsor
Place of Birth
10.
3.a. City or Town of Birth
Beneficiary's file is at the USCIS office in
11.a.
City or Town
3.b. Province or State of Birth
11.b.
State
3.c. Country of Birth
Mailing Address
12.a. In Care of
4.
Country of Citizenship or Nationality
12.b.
Street Number
5.
Alien Registration Number (A-Number) (if any)
and Name
►
A-
12.c.
Apt.
Ste.
Flr.
6.
U.S. Social Security Number (if any)
12.d.
City or Town
►
12.e.
State
12.f. ZIP Code
7.
USCIS Online Account Number (if any)
►
Form I-363 03/01/17 N
Page 1 of 7

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