Application For Kansas Veterinary License Page 7
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10SECTION II – CITIZENSHIP OR NATIONAL STATUS DECLARATION
Ye s
No
Are you a citizen or national of the United States?
If Yes, indicate place of birth:
City _____________________________________________________________
State (or equivalent) ________________________________________________
Country or Territory ________________________________________________
If you are a citizen or nation of the United States, go to Section IV. If you are not a citizen
or national of the United States, you must complete Section III and IV.
SECTION III – ALIEN STATUS DECLARATION
To be completed by applicants who are not citizens or nationals of the United States.
Please indicate alien status by checking the appropriate box.
Qualified Alien Status (8 U.S.C.§§ 1621(a)(1),-1641(b) and (c))
1. An alien lawfully admitted for permanent residence under the Immigration and
Nationality Act (INA).
2
An alien who is granted asylum under Section 208 of the INA.
3. A refugee admitted to the United States under Section 207 of the INA.
4. An alien paroled into the United States for at least one year under Section
212(d)(5) of the INA.
5. An alien whose deportation is being withheld under Section 243(h) of the INA.
6. An alien granted conditional entry under Section 203(a)(7) of the INA as in effect
prior to April 1, 1980.
7. An alien who is a Cuban/Haitian entrant.
8. An alien who has, or whose child or child's parent is a "battered alien" or an alien
subject to extreme cruelty in the United States.
Nonimmigrant Status (8 U.S.C. § 1621(a)(2))
9. A nonimmigrant under the Immigration and Nationality Act [8 U.S.C § 1101 et seq.]
Nonimmigrants are persons who have temporary status for a specific purpose. See
8 U.S.C § 1101(a)(15).
Alien Paroled into the United States For Less Than One Year (8 U.S.C. § 1621(a)(3))
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