Form I-730 - Refugee/asylee Relative Petition - Department Of Homeland Security Page 3
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8Part 2. Information About Your Alien Relative, the Beneficiary
(Continued)
List Each of the beneficiary's entries into the United States, if any, beginning with the most recent entry. Submit a copy of each I-94
and/or copy of the beneficiary's passport showing all the entry and exit stamps for each entry. Attach an additional sheet if the
beneficiary has more than two entries into the United States:
Place (City and State):
Status:
Date of Arrival (mm/dd/yyyy):
Date Status Expires (mm/dd/yyyy):
Passport Number:
I-94 Number:
Expiration Date for Passport
Country of Issuance for Passport or Travel Document:
Travel Document Number:
or Travel Document:
Place (City and State):
Status:
Date of Arrival (mm/dd/yyyy):
Date Status Expires (mm/dd/yyyy):
Passport Number:
I-94 Number:
Expiration Date for Passport
Country of Issuance for Passport or Travel Document:
Travel Document Number:
or Travel Document:
Part 3. Two-Year Filing Deadline
Are you filing this application more than two years after the date you were admitted to the United States as a refugee or granted asylee
status?
No
Yes
If you answered "Yes" to the previous question, explain the delay in filing and submit evidence to support your explanation (Attach
additional sheets of paper if necessary):
Part 4. Warning
WARNING: Any beneficiary who is in the United States illegally is subject to removal if Form I-730 is not granted by USCIS. Any
information provided in completing this petition may be used as a basis for the institution of, or as evidence in, removal
proceedings, even if the petition is later withdrawn. Unexcused failure by the beneficiary to appear for an appointment to provide
biometrics (such as fingerprints and photographs) and biographical information within the time allowed may result in denial of
Form I-730. Information provided on this form and biometrics and biographical information provided by the beneficiary may also
be used in producing an Employment Authorization Document if the beneficiary is granted derivative refugee or asylee status.
Form I-730 (05/30/17) N Page 3
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