Form I-918 - Supplement A - Petition For Qualifying Family Member Of U-1 Recipient Page 5
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12Has your family member EVER been a member of, solicited
Part 5. Processing Information (continued)
money or members for, provided support for, attended military
Has your family member EVER:
training (as defined in section 2339D(c)(1) of Title 18, United
States Code) by or on behalf of, or been associated with any other
4.a.
Engaged in, or does he or she intend to engage in,
group of two or more individuals, whether organized or not,
prostitution or procurement of prostitution?
which has been designated as, or has engaged in or has a
Yes
No
subgroup which has been designated as, or has engaged in:
4.b. Engaged in any unlawful commercialized vice, including,
6.a.
A terrorist organization under section 219 of the
but not limited to, illegal gambling?
Immigration and Nationality Act (INA)?
Yes
No
Yes
No
4.c. Knowingly encouraged, induced, assisted, abetted, or
aided any alien to try to enter the United States illegally?
6.b.
Hijacking or sabotage of any conveyance (including an
aircraft, vessel, or vehicle)?
Yes
No
Yes
No
4.d. Illicitly trafficked in any controlled substance or knowingly
6.c.
Seizing or detaining, and threatening to kill, injure, or
assisted, abetted, or colluded in the illicit trafficking of any
continue to detain, another individual in order to compel a
controlled substance?
third person (including a governmental organization) to
Yes
No
do or abstain from doing any act as an explicit or implicit
condition for the release of the individual seized or
Has your family member EVER committed, planned or prepared,
detained?
Yes
No
participated in, threatened to, attempted to, conspired to commit,
gathered information for, or solicited funds for any of the
6.d.
Assassination?
Yes
No
following:
5.a.
6.e.
Hijacking or sabotage of any conveyance (including an
The use of any firearm with intent to endanger, directly or
aircraft, vessel, or vehicle)?
indirectly, the safety of one or more individuals or to cause
Yes
No
substantial damage to property?
Yes
No
5.b. Seizing or detaining, and threatening to kill, injure, or
continue to detain, another individual in order to compel a
6.f.
The use of any biological agent, chemical agent, nuclear
third person (including a governmental organization) to
weapon or device, explosive, or other weapon or dangerous
do or abstain from doing any act as an explicit or implicit
device, with intent to endanger, directly or indirectly, the
condition for the release of the individual seized or
safety of one or more individuals or to cause substantial
detained?
damage to property?
Yes
No
Yes
No
6.g.
Soliciting money or members or otherwise providing
5.c.
Assassination?
Yes
No
material support to a terrorist organization?
5.d.
The use of any firearm with intent to endanger, directly or
Yes
No
indirectly, the safety of one or more individuals or to
cause substantial damage to property?
Yes
No
Does your family member intend to engage in the United
States in:
5.e.
The use of any biological agent, chemical agent, nuclear
weapon or device, explosive, or other weapon or
7.a.
Espionage?
Yes
No
dangerous device, with intent to endanger, directly or
indirectly, the safety of one or more individuals or to
7.b.
Any unlawful activity, or any activity the purpose of
cause substantial damage to property?
which is in opposition to, or the control, or overthrow of
Yes
No
the Government of the United States?
Yes
No
7.c.
Solely, principally, or incidentally in any activity related
to espionage or sabotage or to violate any law involving
the export of goods, technology, or sensitive information?
Yes
No
8.
Has your family member EVER been or does he or she
continue to be a member of the Communist or other
totalitarian party, except when membership was
involuntary?
Yes
No
Page 5 of 12
Form I-918 Supplement A 02/07/17 N
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