Form I-829 - Petition By Entrepreneur To Remove Conditions On Permanent Resident Status Page 4
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11Mailing Address
Part 4. Information About Your Children
(continued)
17.a.
Street Number
and Name
Mailing Address
17.b.
Apt.
Ste.
Flr.
7.a.
Street Number
and Name
17.c.
City or Town
7.b.
Apt.
Ste.
Flr.
17.d.
State
17.e. ZIP Code
7.c.
City or Town
17.f.
Province
7.d.
State
7.e. ZIP Code
17.g.
Postal Code
7.f.
Province
17.h.
Country
7.g.
Postal Code
7.h.
Country
18.
Is this child currently living with you?
Yes
No
19.
Is this child applying with you?
Yes
No
8.
Is this child currently living with you?
Yes
No
20.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
9.
Is this child applying with you?
Yes
No
inspection)
10.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Child 3
21.a. Family Name
(Last Name)
Child 2
21.b. Given Name
(First Name)
11.a. Family Name
(Last Name)
21.c. Middle Name
11.b. Given Name
(First Name)
22.
Gender
Male
Female
11.c. Middle Name
23.
Alien Registration Number (A-Number) (if any)
►
12.
Gender
Male
Female
A-
13.
Alien Registration Number (A-Number) (if any)
24.
USCIS Online Account Number (if any)
►
►
A-
14.
USCIS Online Account Number (if any)
25.
Date of Birth (mm/dd/yyyy)
►
Other Names Your Child Has Used
15.
Date of Birth (mm/dd/yyyy)
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
Other Names Your Child Has Used
complete this section, use the space provided in Part 12.
List all other names your child has ever used, including aliases,
Additional Information.
maiden name, and nicknames. If you need extra space to
26.a. Family Name
complete this section, use the space provided in Part 12.
(Last Name)
Additional Information.
26.b. Given Name
16.a. Family Name
(First Name)
(Last Name)
26.c. Middle Name
16.b. Given Name
(First Name)
16.c. Middle Name
Form I-829 04/21/17 N
Page 4 of 11
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Parent category: Legal