Form I-690 - Application For Waiver Of Grounds Of Inadmissibility Page 3
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8Part 2. Additional Information About You (continued)
6.
List all immediate relatives in the United States (Parents, spouse, and children). If you need more space, use Part 6. Additional
Information or attach an additional sheet.
A. Your Relative's Information
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy) Relationship
A-Number (if any)
►
A-
Immigration Status (for example, U.S. citizen, lawful permanent resident, valid nonimmigrant status,
deferred action recipient)
B. Your Relative's Information
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Apt.
Ste.
Flr. Number
Street Number and Name
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy) Relationship
A-Number (if any)
►
A-
Immigration Status (for example, U.S. citizen, lawful permanent resident, valid nonimmigrant status,
deferred action recipient)
C. Your Relative's Information
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy) Relationship
A-Number (if any)
►
A-
Immigration Status (for example, U.S. citizen, lawful permanent resident, valid nonimmigrant status,
deferred action recipient)
Form I-690 12/23/16 N
Page 3 of 8
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