Form I-914 - Application For T Nonimmigrant Status Page 4
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10PART D. Processing Information (continued)
2. Have you:
a. Engaged in prostitution or procurement of prostitution or do you intend to engage in prostitution or
Yes
No
procurement of prostitution?
b. EVER engaged in any unlawful commercialized vice, including, but not limited to illegal gambling?
Yes
No
c. EVER knowingly encouraged, induced, assisted, abetted, or aided any alien to try to enter the United States
Yes
No
illegally?
d. EVER illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the
Yes
No
illicit trafficking of any controlled substance?
3. Have you EVER committed, planned or prepared, participated in, threatened to, attempted to, or conspired to commit, gathered
information for, or solicited funds for any of the following:
a. Hijacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle)?
Yes
No
b. Seizing or detaining, and threatening to kill, injure, or continue to detain, another individual in order to
Yes
No
compel a third person (including a governmental organization) to do or abstain from doing any act as an
explicit or implicit condition for the release of the individual seized or detained?
c. Assassination?
Yes
No
d. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or more individual or
Yes
No
to cause substantial damage to property?
e. The use of any biological agent; chemical agent; or nuclear weapon or device; explosive; or other weapon
Yes
No
or dangerous device, with intent to endanger, directly or indirectly, the safety of one or more individuals or
to cause substantial damage to property?
4. Have you EVER been a member of, solicited money or members for, provided support for, attended military training (as defined
in section 2339D(c)(1) of title 18, United States Code) by or on behalf of, or been associated with an organization that is:
a. Designated as a terrorist organization under section 219 of the Immigration and Nationality Act?
Yes
No
b. Any other group of two or more individuals, whether organized or not, which has engaged in or has a
subgroup which has engaged in:
1. Hijacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle)?
Yes
No
2. Seizing or detaining, and threatening to kill, injure, or continue to detain another individual in order to
Yes
No
compel a third person (including a governmental organization) to do or abstain from doing any act as an
explicit or implicit condition for the release of the individual seized or detained?
3. Assassination?
Yes
No
4. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or more
Yes
No
individual or to cause substantial damage to property?
5. Soliciting money or members or otherwise providing material support to a terrorist organization?
Yes
No
6. The use of any biological agent; chemical agent; or nuclear weapon or device; explosive, or other
Yes
No
weapon or dangerous device, with intent to endanger, directly or indirectly, the safety of one or more
individuals or to cause substantial damage to property?
Page 4
Form I-914 02/27/17 Y
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