Form I-363 - Request To Enforce Affidavit Of Financial Support And Intent To Petition For Legal Custody For Public Law 97-359 Amerasian Page 4

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Part 4. Applicant's Statement, Contact
Part 5. Interpreter's Contact Information,
Information, Certification, and Signature
Certification, and Signature
(continued)
Provide the following information about the interpreter.
Applicant's Certification
Interpreter's Full Name
Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
1.a.
Interpreter's Family Name (Last Name)
that USCIS may require that I submit original documents to
USCIS at a later date. Furthermore, I authorize the release of
any information from any of my records that USCIS may need
1.b.
Interpreter's Given Name (First Name)
to determine my eligibility for the immigration benefit that I
seek.
2.
Interpreter's Business or Organization Name (if any)
I further authorize release of information contained in this
request, in supporting documents, and in my USCIS records to
other entities and persons where necessary for the
administration and enforcement of U.S. immigration laws.
Interpreter's Mailing Address
I understand that USCIS may require me to appear for an
3.a.
Street Number
appointment to take my biometrics (fingerprints, photograph,
and Name
and/or signature) and, at that time, if I am required to provide
3.b. Apt.
Ste.
Flr.
biometrics, I will be required to sign an oath reaffirming that:
I reviewed and provided or authorized all of the
1.
3.c. City or Town
information in my request;
3.d. State
3.e. ZIP Code
2.
I understood all of the information contained in, and
submitted with, my request; and
3.f.
Province
3.
All of this information was complete, true, and
correct at the time of filing
3.g. Postal Code
I certify, under penalty of perjury, that I provided or authorized
3.h. Country
all of the information in my request, I understand all of the
information contained in, and submitted with, my request, and
that all of this information is complete, true, and correct.
Interpreter's Contact Information
Applicant's Signature
4.
Interpreter's Daytime Telephone Number
6.a.
Applicant's Signature (sign in ink)
5.
Interpreter's Mobile Telephone Number (if any)
6.b.
Date of Signature
(mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill
6.
Interpreter's Email Address (if any)
out this application or fail to submit required documents listed
in the Instructions, USCIS may deny your request.
Form I-363 03/01/17 N
Page 4 of 7

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