Form I-800 - Petition To Classify Convention Adoptee As An Immediate Relative Page 3

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Part 2. Processing Information
(Continued)
c.
The child will seek adjustment of status because the child is already present in the United States in a status that does not
preclude the child’s adjustment of status, and I (we), the U.S. citizen petitioner and spouse (if married), will either adopt the
child in the country of the child’s habitual residence or adopt the child in the United States after obtaining custody of the
child in that country for purposes of emigration and adoption.
NOTE: This option is not available if the country of the child’s habitual residence requires the child's return to that
country in order for the U.S. citizen petitioner to adopt or obtain custody of the child.
3. If you checked Item 2, a, or Item 2, b, provide the location of the U.S. Embassy or consulate outside the United States where you
intend to submit the child's application for a visa.
City in Foreign Country
Foreign Country
4. Are you filing more than one Form I-800 on behalf of a child from a Convention Country within the
Yes
No
validity period of your approved I-800A? If "Yes," go to Question 5.
5. If you are filing more than one Form I-800, are the children already siblings prior to the proposed
Yes
No
adoption?
(If more than one Form I-800 is filed during the approval period for different children, a fee is required for the second and each
subsequent Form I-800. However, if the children are siblings, no additional filing fee is required. For more detailed information, see
"What is the Filing Fee?" of Form I-800A instructions.)
Part 3.
Information About the Beneficiary (Convention adoptee)
1. Give the following information about the child's current name.
Family Name (Last Name)
Given Name (First Name)
Middle Name
2. Give the following information about the child's name at the time of birth, if known.
Family Name (Last Name)
Given Name (First Name)
Middle Name
3. Give any other name that the child is or was known as:
Family Name (Last Name)
Given Name (First Name)
Middle Name
4. Give the following information about the child's birth.
Date of Birth (mm/dd/yyyy)
Place of Birth (City/Town, State/Province, Country)
Gender
Male
Female
5. Give the name of the country in which the child is a habitual resident (as provided for in 8 CFR Part 204.303).
6. Who is currently the legal custodian of the child?
Form I-800 03/10/17 N Page 3

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