Form I-363 - Request To Enforce Affidavit Of Financial Support And Intent To Petition For Legal Custody For Public Law 97-359 Amerasian Page 6

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5.a. Page Number
5.b. Part Number
5.c. Item Number
Part 7. Additional Information
If you need extra space to provide any additional information
within this request, 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 request 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
2.
A-Number (if any)
6.a. Page Number
6.b. Part Number
6.c. Item Number
A-
6.d.
3.a.
Page Number
3.b. Part Number
3.c. Item Number
3.d.
7.a. Page Number
7.b.
Part Number
7.c. Item Number
7.d.
4.a. Page Number
4.b. Part Number
4.c. Item Number
4.d.
Form I-363 03/01/17 N
Page 6 of 7

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