Form Eoir-42b - Application For Cancellation Of Removal And Adjustment Of Status For Certain Nonpermanent Residents Page 2
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13OMB#ll25-0001
U.S. Department of Justice
Application for Cancellation of Removal and Adjustment
Executive Office for Immigration Review
of Status for Certain Nonpermanent Residents
Were admitted to the United States as, or later became, a nonimmigrant exchange alien as defined in
B.
section 101(a)(15)(J) of the INA in order to receive graduate medical education or training, regardless
of whether you are subject to or have fulfilled the 2-year foreign residence requirement of section
212(e) of the INA;
Were admitted to the United States as, or later became, a nonimmigrant exchange alien as defined in
C.
section 101(a)(15)(J) of the INA, other than to receive graduate medical education or training, and are
subject to the 2-year foreign residence requirement of section 212(e) of the INA, but have neither ful-
filled nor obtained a waiver of that requirement;
Are an alien who is either inadmissible under section 212(a)(3) of the INA or deportable under
D.
section 237(a)(4) of the INA;
Are an alien who ordered, incited, assisted, or otherwise participated in the persecution of an individual
E.
because of the individual’s race, religion, nationality, membership in a particular social group, or
political opinion; or
Are an alien who was previously granted relief under section 212(c) of the INA, or section 244(a) of
F.
the INA as such sections were in effect prior to the enactment of the Illegal Immigration Reform and
Immigrant Responsibility Act of 1996, whose removal has previously been cancelled under section
240A of the INA.
III.
How to Apply for Cancellation of Removal
If you believe that you have met all the requirements for cancellation of removal, you must answer all the
questions on the attached Form EOIR-42B fully and accurately. You must pay the filing and biometrics fees
and comply with the Department of Homeland Security (DHS) instructions for providing biometric and
biographic information to USCIS, [available at You must also serve a copy of your application
on the Assistant Chief Counsel for the DHS, U.S. Immigration and Customs Enforcement (ICE) as required in
the proof of service on page 8 of this application, and you must file your application with the appropriate
Immigration Court. Please read the following instructions carefully before completing your application.
Form EOIR-42B
Revised July 2014
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