Form I-730 - Refugee/asylee Relative Petition - Department Of Homeland Security Page 6

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Part 7. Contact Information, Certification and Signature of the Person Interpreting this Petition, if
Other Than the Petitioner or Beneficiary
Provide the following information about the interpreter used to complete this petition. NOTE: If you did not use an interpreter to help
you complete this petition, leave this section blank.
Interpreter's Full Name
1.a.
1.b.
Interpreter's Family Name (Last Name)
Interpreter's Given Name (First Name)
2.
Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
3.
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code + 4
-
Province
Postal Code
Country
Interpreter's Contact Information
Interpreter's Mobile Telephone Number (if any)
5.
4.
Interpreter's Daytime Telephone Number
6.
Interpreter's Email Address (if any)
Interpreter's Certification
I certify, under penalty of perjury, that:
, which is the same language specified in Part 5.
I am fluent in English and
or Part 6., Item Number 1.b., and I have read to this petitioner, beneficiary, or to them both (if the beneficiary is in the United States
and 14 years of age or older) in the identified language, every question and instruction on this petition and the petitioner's or the
beneficiary's answer to every question. The petitioner and/or beneficiary informed me that he and/or she understand every instruction,
question, and answer on the petition, including the Petitioner's Declaration and Certification, and the Beneficiary's Declaration
and Certification, and have verified the accuracy of every answer.
Interpreter's Signature
7.a.
Interpreter's Signature
7.b.
Date of Signature (mm/dd/yyyy)
Form I-730 (05/30/17) N Page 6

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