Instructions For Application For Regional Center Designation Under The Immigrant Investor Program ( Form I-924) Page 9

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Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than
the Authorized Individual
Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if
other than you, the authorized individual of the regional center. If the same individual acted as your interpreter and your
preparer, that person should complete both Part 8. and Part 9. If the person who completed this application is associated
with a business or organization, that person should complete the business or organization name and address information.
Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name
in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited
representative whose representation extends beyond preparation of this application, he or she also may be obliged to also
submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your
application.
Part 10. Additional Information
Item Numbers 1. - 7.d. If you need extra space to provide any additional information within this application, use the
space provided in Part 10. Additional Information. If you need more space than what is provided in Part 10., you may
make copies of Part 10. to complete and file with your application or attach a separate sheet of paper. Type or print the
regional center entity’s name at the top of each sheet; indicate the Page Number, Part Number, and Item Number to
which your answer refers; and sign and date each sheet.
We recommend that you print or save a copy of your completed application to review in the future and for
your records.
What Evidence Must You Submit?
You must submit all evidence requested in these Instructions with your application, including the items listed below.
If you fail to submit required evidence with your application, USCIS may reject or deny your application under 8 CFR
section 103.2(b)(1).
Provide the following evidence for applications filed to request initial designation of a regional center and/or to
make amendments to the name, organizational structure, ownership, geographic area, or administration of a
previously designated regional center.
1. Map or Illustration of Geographic Area of Regional Center. You must list and provide a map or other illustration
of the geographic components that comprise the limited and contiguous geographic area of the regional center as
further described in Part 4. of the Specific Instructions section.
2. Plan of Operation. You must submit a plan of operation as further described in Part 4. of the Specific Instructions
section.
3. North American Industry Classification System (NAICS). Provide the industry category title and the NAICS code
for each industrial category related to the regional center. You can obtain the NAICS codes at
The NAICS Code provided should accurately reflect the industry category or
subcategory related to the regional center.
Form I-924 Instructions 12/23/16 N
Page 9 of 14

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