Form I-730 - Refugee/asylee Relative Petition Page 3
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4Part 2. Information About 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:
Date:
Place:
I-94#:
Date Status Expires/Expired:
Status:
Date:
Place:
Status:
Date Status Expires/Expired:
I-94#:
Part 3. 2-Year Filing Deadline
Are you filing this application more than 2 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later withdrawn.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 (Rev. 05/02/11) Y Page 3
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