Petition for Alien Relative
USCIS
Form I-130
Department of Homeland Security
OMB No. 1615-0012
U.S. Citizenship and Immigration Services
Expires 07/31/2018
For USCIS Use Only
Fee Stamp
Action Stamp
A-Number
A-
Initial Receipt
Resubmitted
Relocated
Section of Law/Visa Category
Received
201(b) Spouse - IR-1/CR-1
203(a)(1) Unm. S/D - F1-1
203(a)(2)(B) Unm. S/D - F2-4
201(b) Child - IR-2/CR-2
203(a)(2)(A) Spouse - F2-1
203(a)(3) Married S/D - F3-1
Sent
203(a)(4) Brother/Sister - F4-1
201(b) Parent - IR-5
203(a)(2)(A) Child - F2-2
Completed
Petition was filed on (Priority Date mm/dd/yyyy):
Field Investigation
Personal Interview
204(a)(2)(A) Resolved
Approved
Previously Forwarded
Pet. A-File Reviewed
I-485 Filed Simultaneously
PDR request granted/denied - New priority date (mm/dd/yyyy):
Returned
203(g) Resolved
Ben. A-File Reviewed
204(g) Resolved
Remarks
At which USCIS office (e.g., NBC, VSC, LOS, CRO) was Form I-130 adjudicated?
To be completed by an attorney or accredited representative (if any).
Select this box if
Volag Number
Attorney State Bar Number
Attorney or Accredited Representative
Form G-28 is
(if any)
(if applicable)
USCIS Online Account Number (if any)
attached.
N/A
N/A
N / A
►
START HERE - Type or print in black ink.
If you need extra space to complete any section of this petition, use the space provided in Part 9. Additional Information.
Complete and submit as many copies of Part 9., as necessary, with your petition.
Part 1. Relationship (You are the Petitioner. Your
Part 2. Information About You (Petitioner)
relative is the Beneficiary)
1.
Alien Registration Number (A-Number) (if any)
1.
I am filing this petition for my (Select only one box):
►
A-
9 9 9 9 9 9 9 9 9
Spouse
Parent
Brother/Sister
Child
2.
USCIS Online Account Number (if any)
2.
If you are filing this petition for your child or parent,
►
N / A
select the box that describes your relationship (Select only
one box):
3.
U.S. Social Security Number (if any)
►
0 0 0 0 0 0 0 0 0
Child was born to parents who were married to each
other at the time of the child's birth
Your Full Name
Stepchild/Stepparent
4.a. Family Name
Child was born to parents who were not married to
Moodley
(Last Name)
each other at the time of the child's birth
4.b. Given Name
Khayone
Child was adopted (not an Orphan or Hague
(First Name)
Convention adoptee)
4.c. Middle Name
Jacob
3.
If the beneficiary is your brother/sister, are you related by
adoption?
Yes
No
4.
Did you gain lawful permanent resident status or
citizenship through adoption?
Yes
No
Form I-130 02/27/17 N
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