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Item Numbers 2.a. - 8. Provide the full name, mailing address, and contact information of the attorney.

Part 2. Notice of Appearance as Attorney Admitted to Practice Outside the United States

Item Numbers 1.a. - 3.b. Select only one box to indicate the DHS agency where the matter is filed. If you select the

box for USCIS, list form numbers filed with Form G-28I. If you select the box for CBP or ICE, list the specific matter in

which the appearance is entered.

Item Number 4. Select only one box to indicate your appearance for the applicant, petitioner, or respondent.

Item Numbers 5.a. - 5.c. Provide the full name of the applicant, petitioner, or respondent.

Item Numbers 6.

If the applicant, petitioner, or respondent is an entity, provide

the name of the company or organization.

Item Number 7. If the applicant, petitioner, or respondent has previously filed a benefit request using USCIS ELIS,

provide the USCIS ELIS Account Number he or she was issued by the system. The USCIS ELIS Account Number is not

the same as an Alien Registration Number (A-Number).

Item Number 8. Provide the Alien Registration Number (A-Number) or USCIS Receipt Number, if applicable, for the

applicant, petitioner, or respondent.

Item Number 9. Provide the daytime telephone number for the applicant, petitioner, requestor, or respondent, if any.

Item Number 10. Provide the email address for the applicant, petitioner, requestor, or respondent, if any.

Item Numbers 11.a. - 11.h. Provide the mailing address of the applicant, petitioner, or respondent. Do not provide the

business mailing address of the attorney or accredited representative unless it serves as the safe mailing address on the

application, petition, or request being filed with this Form G-28I.

Part 3. Eligibility Information for Attorney

Item Numbers 1.a.- 1.d. You must select the box and provide the required information regarding the licensing authority

for all countries of admission or licensure. Provide the attorney’s license number, if any, for the jurisdiction listed in

Part 3., Item Number 1.a. If you are subject to any order of any court suspending, enjoining, restraining, disbarring, or

otherwise restricting you in the practice of law, you must disclose this information on Form G-28I. Attorneys are required

under 8 CFR 292.3 to notify DHS of any convictions or discipline.

Item Numbers 2. If you are not the attorney of record, you must select the box and fill in the name of the attorney who

has previously filed Form G-28I in this matter. Each attorney who appears in the matter must file a new Form G-28I.

Part 4. Applicant, Petitioner, or Respondent Consent to Representation, Contact Information, and Signature

Item Numbers 1. - 2.b. The applicant, petitioner, or respondent must consent to representation and the release of

information. The applicant, petitioner, or respondent must select the disclosure and notices boxes if he or she desires DHS

to send notices and/or secure identity documents only to the attorney of record.

NOTE: USCIS will not mail secure identity documents to a private, commercial, or business address in a foreign

country. USCIS, however, will mail secure identity documents to a U.S. business address of an attorney admitted to

practice law outside of the United States or to a designated Army/Air Post Office (APO), Fleet Post Office (FPO), or

Diplomatic Post Office (DPO) address. USCIS will mail notices and other correspondence to a foreign address.

Item Numbers 3.a. - 3.b. The applicant, petitioner, or respondent must sign and date the form in black ink.

Part 5. Signature of Attorney

The attorney must sign and date the form in black ink.

Part 6. Additional Information

Use this section to provide additional information related to Part 3., Item Numbers 1.a. - 1.d. or to provide your U.S.

business address for purposes of receiving secure identity documents for your client (if your client has consented to your

receipt of such documents under Part 4.)

Form G-28I Instructions 05/05/16 Y

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Instructions For Form G-28i - Notice Of Entry Of Appearance As Attorney In Matters Outside The Geographical Confines Of The United States Page 2

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