Form I-690 - Application For Waiver Of Grounds Of Inadmissibility
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8Application for Waiver of Grounds of Inadmissibility
USCIS
Form I-690
Department of Homeland Security
OMB No. 1615-0032
U.S. Citizenship and Immigration Services
Expires 12/31/2018
For Government Use Only
Alien Registration Number (A-Number of This Applicant):
Action Block
A-
Fee Receipt Number (This application):
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).
►
APPLICANT: Start here. Type or print in black ink. Read the instructions before completing this application. If you need extra
space to complete any item within this application, use Part 6. Additional Information or attach a separate sheet of paper; type or
print your name and Alien Registration Number (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.
Part 1. Information About You (the Applicant)
Your Current Legal Name
1.
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Mailing Address
2.
In Care Of Name (if any)
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
3.
Is your current mailing address the same as your physical address?
Yes
No
If you answered "No" to Item Number 3., provide your physical address in Item Number 4.
Form I-690 12/23/16 N
Page 1 of 8
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Parent category: Legal