Form I-363 - Request To Enforce Affidavit Of Financial Support And Intent To Petition For Legal Custody For Public Law 97-359 Amerasian Page 2

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7.
Are your mailing address and physical address the same?
Part 1. Information About You (Beneficiary)
(continued)
Yes
No
If you answered "No" to Item Number 7., provide your
Employment or School Information
physical address in Item Numbers 8.a. - 8.e.
13.
Name of Employer or School
Physical Address
14.
Type of Business
Street Number
8.a.
and Name
8.b.
Apt.
Ste.
Flr.
Employer or School Address
8.c.
City or Town
15.a.
Street Number
and Name
8.d.
State
8.e. ZIP Code
15.b.
Apt.
Ste.
Flr.
Sponsor's Contact Information
15.c.
City or Town
9.
Sponsor's Daytime Telephone Number
15.d.
State
15.e. ZIP Code
10.
Sponsor's Mobile Telephone Number (if any)
Part 2. Information About Sponsor
1.a. Family Name
11.
Sponsor's Email Address (if any)
(Last Name)
1.b. Given Name
(First Name)
Employment Information
1.c. Middle Name
12.
Name of Employer
2.
The Sponsor Is A:
U.S. Citizen
Lawful Permanent Resident
13.
Type of Business
3.
A-Number (if any)
►
A-
4.
U.S. Social Security Number (if any)
Employer Address
►
14.a.
Street Number
and Name
5.
USCIS Online Account Number (if any)
►
14.b.
Apt.
Ste.
Flr.
14.c.
City or Town
Mailing Address
14.d.
State
14.e. ZIP Code
6.a.
Street Number
and Name
14.f.
Province
6.b.
Apt.
Ste.
Flr.
14.g.
Postal Code
6.c.
City or Town
14.h.
Country
6.d.
State
6.e. ZIP Code
Form I-363 03/01/17 N
Page 2 of 7

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