Form I-730 - Refugee/asylee Relative Petition - Department Of Homeland Security
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8OMB No. 1615-0037; Expires 05/31/2019
Department of Homeland Security
I-730, Refugee/Asylee Relative Petition
U.S. Citizenship and Immigration Services
FOR USCIS OFFICE ONLY
Action Stamp
Section of Law
Receipt
207 (c)(2) Spouse
207 (c)(2) Child
208 (b)(3) Spouse
208 (b)(3) Child
Remarks
Reserved
Beneficiary Not Previously Claimed
Yes
N/A
Beneficiary Previously Claimed On:
(e.g., Form I-590, Form I-589, etc.)
CSPA Eligible:
No
START HERE - Type or print legibly in black ink.
My Status:
Refugee
Lawful Permanent Resident based on previous Refugee status
Asylee
Lawful Permanent Resident based on previous Asylee status
Spouse
The beneficiary is my:
Biological Child
Stepchild
Adopted Child
Unmarried child who is a (n):
)
(
of
Number of relatives for whom I am filing separate Form I-730s:
Part 1. Information About You, the Petitioner
Part 2. Information About Your Alien Relative, the Beneficiary
Family Name (Last name), Given Name (First name), Middle Name:
Family Name (Last name), Given Name (First name), Middle Name:
Address of Residence (Where you physically reside)
Address of Residence (Where the beneficiary physically resides)
Apt. Number
Street Number and Name:
Apt. Number
Street Number and Name:
City:
State or Province:
City:
State or Province:
Zip/Postal Code:
Country:
Zip/Postal Code:
Country:
Mailing Address (If different from residence) - C/O:
Mailing Address (If different from residence) - C/O:
Apt. Number
Apt. Number:
Street Number and Name:
Street Number and Name:
City:
State or Province:
City:
State or Province:
Country:
Zip/Postal Code:
Country:
Zip/Postal Code:
Telephone Number including Country and City/Area Code:
Telephone Number including Country and City/Area Code:
Your E-Mail Address, if available:
The Beneficiary's E-Mail Address, if available:
Date of Birth (mm/dd/yyyy):
Male
Gender:
a.
Male
a.
Date of Birth (mm/dd/yyyy):
Gender:
b.
Female
b.
Female
Country of Citizenship/Nationality:
Country of Citizenship/Nationality:
Country of Birth:
Country of Birth:
U.S. Social Security Number
U.S. Alien Registration Number: U.S. Social Security Number
U.S. Alien Registration Number:
(If applicable):
(If applicable):
A-
A-
Form I-730 (05/30/17) N Page 1
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