Form I-918 - Petition For U Nonimmigrant Status Page 3
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11Safe Foreign Address Where You Want Notification Sent
Part 2. Additional Information About You
(if other than U.S. Consulate, Pre-Flight Inspection, or
(continued)
Port-of-Entry)
Provide the date of entry, place of entry, and status under
12.a.
Street Number
which you entered the United States for each entry during
and Name
the five years preceding the filing of this petition.
12.b.
Apt.
Ste.
Flr.
8.a. Date of Entry (mm/dd/yyyy)
12.c. City or Town
Place of Entry into the United States
12.d.
Province
8.b.
City or Town
12.e.
Postal Code
8.c.
State
12.f. Country
8.d.
Status at the Time of Entry (for example, F-1 student,
B-2 tourist, entered without inspection)
Part 3. Processing Information
9.a.
Date of Entry (mm/dd/yyyy)
Answer the following questions about yourself. For the
purposes of this petition, you must answer "Yes" to the
Place of Entry into the United States
following questions, if applicable, even if your records were
9.b.
City or Town
sealed or otherwise cleared or if anyone, including a judge, law
enforcement officer, or attorney, told you that you no longer
9.c.
State
have a record.
NOTE: If you answer “Yes” to ANY question in Part 3.,
9.d. Status at the Time of Entry (for example, F-1 student,
provide an explanation in the space provided in Part 8.
B-2 tourist, entered without inspection)
Additional Information.
NOTE: Answering "Yes" does not necessarily mean that U.S.
Citizenship and Immigration Services (USCIS) will deny your
10.a.
Date of Entry (mm/dd/yyyy)
Petition for U Nonimmigrant Status.
Place of Entry into the United States
Have you EVER:
10.b.
City or Town
1.a.
Committed a crime or offense for which you have not
been arrested?
Yes
No
10.c.
State
1.b.
Been arrested, cited, or detained by any law enforcement
10.d.
Status at the Time of Entry (for example, F-1 student,
officer (including Department of Homeland Security (DHS),
B-2 tourist, entered without inspection)
former Immigration and Naturalization Service (INS), and
military officers) for any reason?
Yes
No
If you are outside of the United States, provide the U.S.
1.c.
Been charged with committing any crime or offense?
Consulate or inspection facility or a safe foreign mailing
Yes
No
address you want notified if this petition is approved.
1.d.
Been convicted of a crime or offense (even if the
11.a.
Type of Office (Select only one box):
violation was subsequently expunged or pardoned)?
Pre-Flight Inspection
U.S. Consulate
Yes
No
Port-of-Entry
1.e.
Been placed in an alternative sentencing or a rehabilitative
program (for example, diversion, deferred prosecution,
11.b.
City or Town
withheld adjudication, deferred adjudication)?
11.c.
State
Yes
No
11.d.
Country
Page 3 of 11
Form I-918 02/07/17 N
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