Form I-730 - Refugee/asylee Relative Petition

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Department of Homeland Security
OMB No.1615-0037
I-730, Refugee/Asylee Relative Petition
U.S. Citizenship and Immigration Services
DO NOT WRITE IN THIS BLOCK - FOR USCIS OFFICE ONLY
Section of Law
Action Stamp
Receipt
207 (c)(2) Spouse
207 (c)(2) Child
208 (b)(3) Spouse
208 (b)(3) Child
Remarks
Reviewed For TRIG:
TRIG Not Present
TRIG Issues Present
Date:
Initials:
Beneficiary Not Previously Claimed
Yes
CSPA Eligible:
No
N/A
Beneficiary Previously Claimed On:
(e.g., Form I-590, Form I-589, etc.)
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:
Unmarried child who is a (n):
Biological Child
Stepchild
Adopted Child
)
(
Number of relatives for whom I am filing separate Form I-730s:
of
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)
Street Number and Name:
Apt. #
Apt. #
Street Number and Name:
State or Province:
City:
City:
State or Province:
Zip/Postal Code:
Country:
Country:
Zip/Postal Code:
Mailing Address (If different from residence) - C/O:
Mailing Address (If different from residence) - C/O:
Apt. #:
Apt. #:
Street Number and Name:
Street Number and Name:
City:
State or Province:
City:
State or Province:
Country:
Country:
Zip/Postal Code:
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:
Gender:
Date of Birth (mm/dd/yyyy):
Gender:
Date of Birth (mm/dd/yyyy):
Male
a.
a.
Male
b.
b.
Female
Female
Country of Citizenship/Nationality:
Country of Citizenship/Nationality:
Country of Birth:
Country of Birth:
U.S.Alien Registration # (A#):
U.S. Alien Registration # (A#):
U.S. Social Security # (If applicable):
U.S. Social Security # (If applicable):
Form I-730 (Rev. 05/02/11) Y

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