Form I-914 - Application For T Nonimmigrant Status Page 5
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10PART D. Processing Information (continued)
5. Do you intend to engage in the United States in:
a. Espionage?
Yes
No
b. Any unlawful activity, or any activity the purpose of which is in opposition, to control, or overthrow of the
Yes
No
government of the United States?
c. Solely, principally, or incidentally in any activity related to espionage or sabotage or to violate any law
Yes
No
involving the export of goods, technology, or sensitive information?
6. Have you ever been or do you continue to be a member of the Communist or other totalitarian party, except
Yes
No
when membership was involuntary?
7. Have you, during the period of March 23, 1933, to May 8, 1945, in association with either the Nazi
Yes
No
Government of Germany or any organization or government associated or allied with the Nazi Government of
Germany, ever ordered, incited, assisted, or otherwise participated in the persecution of any person because of
race, religion, nationality, membership in a particular social group, or political opinion?
8. Have you EVER been present or nearby when any person was:
a. Intentionally killed, tortured, beaten, or injured?
Yes
No
b. Displaced or moved from his or her residence by force, compulsion, or duress?
Yes
No
c. In any way compelled or forced to engage in any kind of sexual contact or relations?
Yes
No
9. a. Are removal, exclusion, rescission, or deportation proceedings pending against you?
Yes
No
b. Have removal, exclusion, rescission, or deportation proceedings EVER been initiated against you?
Yes
No
c. Have you EVER been removed, excluded, or deported from the United States?
Yes
No
d. Have you EVER been ordered to be removed, excluded, or deported from the United States?
Yes
No
e. Have you EVER been denied a visa or denied admission to the United States? (If a visa was denied,
Yes
No
explain why on a separate sheet of paper.)
f. Have you EVER been granted voluntary departure by an immigration officer or an immigration judge and
Yes
No
failed to depart within the allotted time?
10. Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following:
a. Acts involving torture or genocide?
Yes
No
b. Killing any person?
Yes
No
c. Intentionally and severely injuring any person?
Yes
No
d. Engaging in any kind of sexual contact or relations with any person who was being forced or threatened?
Yes
No
e. Limiting or denying any person's ability to exercise religious beliefs?
Yes
No
11. Have you EVER:
a. Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police unit,
Yes
No
self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?
b. Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved
Yes
No
detaining persons?
Page 5
Form I-914 02/27/17 Y
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